Aydemir Yusuf
Department of Chest Diseases, Sakarya University Faculty of Medicine, Sakarya, Turkey.
Turk Thorac J. 2015 Oct;16(4):166-171. doi: 10.5152/ttd.2015.4664. Epub 2015 Oct 1.
Upon transitioning to the family medicine system in Turkey, the number of tuberculosis dispensaries (TDs) was reduced, and important responsibilities have been given to family physicians in tuberculosis (TB) control. Furthermore, with the new system, the incomes of doctors working at TDs remained quite lower than those of family physicians. The primary aim of this study was to examine whether family physicians possess the necessary level of knowledge regarding TB, and the secondary aim was to evaluate the attitudes and views of primary care physicians regarding working at TDs because of this economic inequality.
A questionnaire consisting of 15 questions that measures the basic knowledge regarding TB and that evaluates the role of family health centers in TB control and the willingness of doctors to work at TDs was presented to family physicians in the city of Sakarya.
Of the 84 family physicians that participated in the study, 43% did not have sufficient knowledge about diagnosis, 56% about medicine information, and 77% about transmission and duration of treatment. In addition, 74% of family physicians stated that TD workers run the risk of infection and that their chances of contracting TB are higher, 90% stated that TD workers should be provided with the same economic conditions as family physicians, and 68% stated that TD workers should be positively discriminated. Half of the participants stated, as it stands, that they do not want to work at a TD, and 31% stated that they would definitely not work at a TD even if TD workers are provided with the same economic conditions as family physicians or they are positively discriminated.
To take the national fight against TB to a higher level, we reached the conclusion that it is important that the lack of knowledge of family physicians should be remedied, that TB should be included in their job descriptions, and that TD workers should be provided with the same economic conditions as family physicians.
在土耳其向家庭医学体系过渡期间，结核病诊疗所（TDs）的数量减少，家庭医生在结核病控制方面承担了重要职责。此外，新体系下，在结核病诊疗所工作的医生收入仍远低于家庭医生。本研究的主要目的是调查家庭医生是否具备结核病方面的必要知识水平，次要目的是评估基层医疗医生因这种经济不平等而对在结核病诊疗所工作的态度和看法。
向萨卡里亚市的家庭医生发放了一份包含15个问题的问卷，该问卷用于衡量关于结核病的基本知识，评估家庭健康中心在结核病控制中的作用以及医生在结核病诊疗所工作的意愿。
参与研究的84名家庭医生中, 43%对诊断知识不足，56%对药物信息了解不足，77%对传播和治疗时长了解不足。此外，74%的家庭医生表示结核病诊疗所工作人员有感染风险且感染结核病的几率更高，90%表示应给予结核病诊疗所工作人员与家庭医生相同的经济条件，68%表示应对结核病诊疗所工作人员给予积极的差别对待。一半的参与者表示，就目前情况而言，他们不想在结核病诊疗所工作，31%的人表示即使结核病诊疗所工作人员获得与家庭医生相同的经济条件或受到积极的差别对待，他们也绝对不会在结核病诊疗所工作。
为将全国结核病防治工作提升到更高水平，我们得出结论，弥补家庭医生知识不足、将结核病纳入其工作职责描述以及给予结核病诊疗所工作人员与家庭医生相同的经济条件非常重要。
