Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study

akman, mehmet; Ünlüoglu, İlhami; TÜZÜN, sabah; dabak, resat; SARGIN, MEHMET; Sakarya, Sibel

doi:10.4274/haseki.galenos.2023.8757

Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study

Sabah TÜZÜN, (Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İstanbul, Türkiye)

Mehmet AKMAN, (Marmara Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim Dalı, İstanbul, Türkiye)

Reşat DABAK, (Sağlık Bilimleri Üniversitesi, İstanbul Haseki Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İstanbul, Türkiye)

Mehmet SARGIN, (İstanbul Medeniyet Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim Dalı, İstanbul, Türkiye)

İlhami ÜNLÜOĞLU, (Eskişehir Osmangazi Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim Dalı, Eskişehir, Türkiye)

Sibel SAKARYA (Koç Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı, İstanbul, Türkiye)

Haseki Tıp Bülteni

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Yıl: 2023 Cilt: 61 Sayı: 2 Sayfa Aralığı: 72 - 80 Metin Dili: İngilizce DOI: 10.4274/haseki.galenos.2023.8757 İndeks Tarihi: 06-05-2023

Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study

Öz:

Aim: Family health centers (FHCs) are reimbursed for their current expenditures based on a classification of four clusters in Turkey. This study compared the coordination, comprehensiveness, continuity, accessibility, and the first contact of care among different reimbursement FHC groups. Methods: The data were obtained from the Turkish data of the Quality and Costs of Primary Care in Europe study. Data was collected in provinces from six geographical regions. Physicians and patients from Classes A and B FHCs were called the first group, and others were called the second group. Results: A total of 296 physicians and 2623 patients were enrolled. According to the reimbursement groups, 593 (22.6%) patients received services from the first group and 2012 (77.4%) patients from the second group. The first contact with care and the admission frequency of 3 or more in the last six months were higher in the first group (respectively, 99.2% vs. 97.7%, p=0.027; 55.4% vs. 49.6%, p=0.015). Conclusion: The reimbursement classification did not make a difference in coordination, comprehensive care, continuity, accessibility, and being the first contact of care. Therefore, the current classification does not contribute to improving the quality of primary care in terms of service provision.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within the organization for economic cooperation and development (OECD) countries 1970-1998. Health Serv Res 2003;38:831-65.
2. Sixty-second World Health Assembly. Primary health care, including health care strengthening. Resolution WHA62.12. 2009. Available from: https://apps.who.int/gb/ebwha/pdf_ files/WHA62-REC1/WHA62_REC1-en.pdf. Accessed August 01, 2022.
3. Öcek ZA, Çiçeklioğlu M, Yücel U, Ozdemir R. Family medicine model in Turkey: a qualitative assessment from the perspectives of primary care workers. BMC Fam Pract 2014;15:38.
4. Lim MT, Ong SM, Tong SF, Groenewegen P, Sivasampu S. Comparison between primary care service delivery in Malaysia and other participating countries of the QUALICOPC project: a cross-sectional study. BMJ Open 2021;11:e047126.
5. Kringos DS. The importance of measuring and improving the strengthof primary care in Europe: results of an international comparative study. Turk Aile Hek Derg 2013;17:165-79.
6. Republic of Turkey Official Journal. Regulation of Family Medicine Implementation. May 25, 2010. No: 27591. Available from: http://www.resmigazete.gov.tr/ eskiler/2010/05/20100525-10.htm. Accessed August 1, 2022.
7. Akman M, Kalaça S, Sargın M, et al. QUALICOPC: a multi- country study evaluating quality, costs and equity in primary care. Türk Aile Hek Derg 2012;16:68-71.
8. Akman M, Sakarya S. Avrupa’da Birinci Basamak Sağlık Hizmetlerinin Değerlendirilmesi: QUALICOPC Projesi Türkiye Sonuçları. Istanbul, TAHEV Yayınları, 2017. Erişim adresi: https://tahev.org.tr/download/QUALICOPC%20Baskı%20 Dosyası%201509.pdf. Accessed February 01, 2023.
9. Akman M, Sakarya S, Sargın M, et al. Changes in primary care provision in Turkey: A comparison of 1993 and 2012. Health Policy 2017;121:197-206.
10. Görgün M. Aile Sağlığı Merkezlerinin Hasta Merkezli Aile Sağlığı Merkezi Ölçütleri Açısından Değerlendirilmesi (tez). Erzurum: Atatürk University; 2015.
11. Boerma WGW, Kringos D, Spaan E, Pellny M, Karakaya K. Evaluation of the Organizational Model of Primary Care in Turkey a survey-based pilot project in two provinces of Turkey. WHO Europe; 2008. Available from: https://apps.who.int/ iris/handle/10665/347878. Accessed August 01, 2022.
12. De Maeseneer J, Roberts RG, Demarzo M, et al. Tackling NCDs: a different approach needed. Lancet 2012;379:1860- 1.
13. Xu RH, Wong EL. Involvement in shared decision-making for patients in public specialist outpatient clinics in Hong Kong. Patient Prefer Adherence 2017;11:505-12.
14. Health Statistics Yearbook 2018. Available from: https:// dosyamerkez.saglik.gov.tr/Eklenti/33116,haber-bulteni--- 2018-30092019pdf.pdf?0. Accessed August 1, 2022.
15. Tanır F. The condition of family medicine practices in the Doğankent health, training and research region. Turk J Public Health 2014;12:91-9.
16. Aktürk Z, Ateşoğlu D, Çiftçi E. Patient satisfaction with family practice in Turkey:Three-year trend from 2010 to 2012. Eur J Gen Pract 2015;238-45.
17. Akdağ R. Turkish health transformation project evaluation report (2003 - 2010). Ankara. Republic of Turkey Directorate of Hıfzıssıhha Mektebi, 2011.
18. Boerma W, Kringos D. Introduction. In: Kringos DS, Boerma WGW, Hutchinson A, editors. Building primary care in a changing Europe [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2015. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK458731/. Accessed August 1, 2022.

APA	TÜZÜN s, akman m, dabak r, SARGIN M, Ünlüoglu İ, Sakarya S (2023). Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. , 72 - 80. 10.4274/haseki.galenos.2023.8757
Chicago	TÜZÜN sabah,akman mehmet,dabak resat,SARGIN MEHMET,Ünlüoglu İlhami,Sakarya Sibel Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. (2023): 72 - 80. 10.4274/haseki.galenos.2023.8757
MLA	TÜZÜN sabah,akman mehmet,dabak resat,SARGIN MEHMET,Ünlüoglu İlhami,Sakarya Sibel Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. , 2023, ss.72 - 80. 10.4274/haseki.galenos.2023.8757
AMA	TÜZÜN s,akman m,dabak r,SARGIN M,Ünlüoglu İ,Sakarya S Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. . 2023; 72 - 80. 10.4274/haseki.galenos.2023.8757
Vancouver	TÜZÜN s,akman m,dabak r,SARGIN M,Ünlüoglu İ,Sakarya S Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. . 2023; 72 - 80. 10.4274/haseki.galenos.2023.8757
IEEE	TÜZÜN s,akman m,dabak r,SARGIN M,Ünlüoglu İ,Sakarya S "Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study." , ss.72 - 80, 2023. 10.4274/haseki.galenos.2023.8757
ISNAD	TÜZÜN, sabah vd. "Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study". (2023), 72-80. https://doi.org/10.4274/haseki.galenos.2023.8757

APA	TÜZÜN s, akman m, dabak r, SARGIN M, Ünlüoglu İ, Sakarya S (2023). Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. Haseki Tıp Bülteni, 61(2), 72 - 80. 10.4274/haseki.galenos.2023.8757
Chicago	TÜZÜN sabah,akman mehmet,dabak resat,SARGIN MEHMET,Ünlüoglu İlhami,Sakarya Sibel Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. Haseki Tıp Bülteni 61, no.2 (2023): 72 - 80. 10.4274/haseki.galenos.2023.8757
MLA	TÜZÜN sabah,akman mehmet,dabak resat,SARGIN MEHMET,Ünlüoglu İlhami,Sakarya Sibel Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. Haseki Tıp Bülteni, vol.61, no.2, 2023, ss.72 - 80. 10.4274/haseki.galenos.2023.8757
AMA	TÜZÜN s,akman m,dabak r,SARGIN M,Ünlüoglu İ,Sakarya S Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. Haseki Tıp Bülteni. 2023; 61(2): 72 - 80. 10.4274/haseki.galenos.2023.8757
Vancouver	TÜZÜN s,akman m,dabak r,SARGIN M,Ünlüoglu İ,Sakarya S Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study. Haseki Tıp Bülteni. 2023; 61(2): 72 - 80. 10.4274/haseki.galenos.2023.8757
IEEE	TÜZÜN s,akman m,dabak r,SARGIN M,Ünlüoglu İ,Sakarya S "Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study." Haseki Tıp Bülteni, 61, ss.72 - 80, 2023. 10.4274/haseki.galenos.2023.8757
ISNAD	TÜZÜN, sabah vd. "Primary Care Service Usage According to the Type of Family Health Centers: Analysis of the Turkish Data of the QUALICOPC Study". Haseki Tıp Bülteni 61/2 (2023), 72-80. https://doi.org/10.4274/haseki.galenos.2023.8757