Research Article
Year 2023,
Volume: 8 Issue: 2, 126 - 138, 30.08.2023
Abstract
References
- Ozcelik, E.A., Working Paper 3: A Case Study on the Use of Pay-for Performance Contracts in Turkey to Reduce Geographic and Social Disparities in Access to Primary Health Care,” India Health Systems Reform Project,Harward T. H. Chan School of Public Health, Boston, 2020. Available: https://sites.sph.harvard.edu/india-health-systems/2020/10/31/wp3-turkey/.
- World Health Organization, United Nations Children’s Fund, “Declaration of Astana”, Global Conference on Primary Health Care, Astana, Kazakhstan, 2018. Available: https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf
- World Bank,(01/03/2022). Turkey Performance-Based Contracting Scheme in Family Medicine - Design and Achievements Human Development Sector Unit Europe and Central Asia Region. [Online]. Available: https://openknowledge.worldbank.org/server/api/core/bitstreams/1e54200d-19c4-549b-b759-ce129dd16f26/content.
- Safir, S., Shear, J., Yener, A.L., Building An Improved Primary Health Care System In Turkey Through Care Integration, World Bank, Washington, USA, 2019. Available: https://documents1.worldbank.org/curated/ar/895321576170471609/pdf/Building-an-Improved-Primary-Health-Care-System-in-Turkey-through-Care-Integration.pdf
- Acar, S., Bilen Kazancik, L., Meydan, M.C., Isik, M., Socio-economic development ranking research of provinces and regions SEGE-2017, General Directorate of Development Agencies Publication Number: 3. Research Report Number: 3, Ankara, December 2019,. Available: https://www.bebka.org.tr/admin/datas/sayfas/89/sege-2017_1581687211.pdf.
- Ministry of National Defence General Directorate of Mapping (20/03/2022). Provincial and district acreage. [Online] Available: https://www.harita.gov.tr/il-ve-ilce-yuzolcumleri.
- Ministry of Environment(20/03/2022). Urbanization and Climate Change General Directorate of Meteorology, Seasonal normals of the provinces. [Online] Available: https://Www.Mgm.Gov.Tr/Veridegerlendirme/Il-Ve-Ilceler-Istatistik.Aspx?M=ERZURUM.
- Ministry of Industry and Technology General Directorate of Development Agencies (20/03/2022). SEGE Studies [Online] Available: https://www.sanayi.gov.tr/merkez-birimi/b94224510b7b/sege.
- Turkish Statistical Institute(20/03/2022).Results of Address Based Population Registration System. [Online] Available: https://biruni.tuik.gov.tr/medas/?locale=tr
- World Health Organization (20/03/2022) Country case studies on primary health care: Turkey: family practice for quality in universal health coverage, apps.who.int, 2018. Available: https://apps.who.int/iris/handle/10665/326253.
- Ozcelik, E.A., Massuda, A., Castro, M.C., Baris, E., “A Comparative Case Study: Does the Organization of Primary Health Care in Brazil and Turkey Contribute to Reducing Disparities in Access to Care?,” Health Systems & Reform, 7(2), 2021. DOI: https://doi.org/10.1080/23288604.2021.1939931.
- Ministry of Health, “Family medicine contract and payment regulation”. Official Gazette,June 30, 2021, Number: 31527. Available: https://www.resmigazete.gov.tr/eskiler/2021/06/20210630-8.pdf
- Singh, N.S., Kovacs, R.J., Cassidy, R., Kristensen, S.R., Borghi, J., Brown, G.W., “A realist review to assess for whom, under what conditions and how pay for performance programmes work in low- and middle-income countries,” Social Science & Medicine, 270, 2021. https://doi.org/10.1016/j.socscimed.2020.113624.
- Bahadir, H., Simsek, H., Acar, B,. “Bir universite hastanesine basvuran gebelerin dogum oncesi bakim icin aile hekimligi hizmetlerini kullanma durumu”, DEU Tıp Fakultesi Dergisi, 29(1), 31-39, 2015.
- Guven, E. A., Aycan, S., “Ankara'da bir universite hastanesine basvuranlarin bir saglik sorunlari oldugunda tutum, davranislari ve buna etki eden faktorler”, Turk J Public Health 17(1),2019. doi: 10.20518/tjph.392050.
- Uysal, F., Devebakan, N., “Aile sagligi merkezi calisanlarinin aile hekimligi uygulamasinin degerlendirmesi: İzmir ilinde bir arastirma”, International Journal of Social Science, 58, 287-305, 2017. DOI:http://dx.doi.org/10.9761/JASSS6972.
- Tanir, F., “Aile hekimliği uygulamalarının Doğankent sağlık, eğitim ve araştırma bölgesindeki durumu”, Turk J Public Health, 12 (2), 91-99, 2014. https://doi.org/10.20518/thsd.72068
- Jia, L., Meng, Q., Scott, A., Yuan, B., Zhang, L., “Payment methods for healthcare providers working in outpatient healthcare settings,” Cochrane Database of Systematic Reviews, 1, 2021. DOI: 10.1002/14651858.CD011865.pub2.
- Cevik, C., Kilic, B., “Change from health center to family physician period in the Turkish health system: A qualitative study”, Int J Health Plann Mgmt, 33, 1022–1036, 2018. DOI: 10.1002/hpm.2580
- Yaksi, N., “Aile sağlığı merkezi çalışanlarının aşı reddi konusundaki düşünceleri ve davranışlarının değerlendirilmesi”, Turk J Public Health, 18(3),143-154, 2020. DOI:10.20518/tjph.692226
- Esmeray, O., Oner, C., Cetin, H., Simsek, E.E., “Bir eğitim aile sağliği merkezinin COVID-19 pandemi deneyiminin incelenmesi”, Acta Medica Nicomedia, 4(2), 56–63, 2021. DOI: 10.53446/actamednicomedia.884834.
- Bora Basara, B., Soytutan Caglar, İ., Aygun, A., Ozdemir, T.A., Kulali B.,Health Statistics Yearbook 2019. General Directorate of Health Information Systems, Ministry of Health, Ankara, 2021.
- Bora Basara, B., Soytutan Caglar, İ., Aygun, A., Ozdemir ,T.A., Kulali, B., Health Statistics Yearbook 2020. General Directorate of Health Information Systems, Ministry of Health, Ankara, 2022.
- Bora Basara, B., Soytutan Caglar, İ., Aygun, A., Ozdemir ,T.A., Kulali, B., Health Statistics Yearbook 2021. General Directorate of Health Information Systems, Ministry of Health, Ankara, 2023.
Year 2023,
Volume: 8 Issue: 2, 126 - 138, 30.08.2023
Abstract
Objective: The aim of this study was to examine rural-urban differences in performance-based service data and evaluate the reasons family physicians are unable to provide service by performance exception forms.
Methods: We retrospectively evaluated 4187 performance exception forms sent to the provincial health directorate by family physicians between 2019 and 2021. The preventive health service not provided, the reason specified by the family physician, the year, and whether the setting was rural or urban were noted.
Results: Between 2019 and 2021, there were 2553 applications from urban areas and 1634 applications from rural areas. There were significantly fewer applications from rural areas. During this period, disruptions in immunization services were most frequent (61.1%), with a significantly greater frequency in urban (65.5%) than rural (54.3%) settings. Nearly one-third of service disruptions were attributed to migration out of the family physician’s service area. The most common reason reported for immunization service disruption was vaccine refusal (47.6%).
Conclusion: Vaccine refusal and migration were identified as the main barriers to the provision of preventive health services. Although the global struggle against vaccine rejection continues, national legislative changes should be implemented to prevent a simple factor such as migration from interrupting health services in our country.
References
- Ozcelik, E.A., Working Paper 3: A Case Study on the Use of Pay-for Performance Contracts in Turkey to Reduce Geographic and Social Disparities in Access to Primary Health Care,” India Health Systems Reform Project,Harward T. H. Chan School of Public Health, Boston, 2020. Available: https://sites.sph.harvard.edu/india-health-systems/2020/10/31/wp3-turkey/.
- World Health Organization, United Nations Children’s Fund, “Declaration of Astana”, Global Conference on Primary Health Care, Astana, Kazakhstan, 2018. Available: https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf
- World Bank,(01/03/2022). Turkey Performance-Based Contracting Scheme in Family Medicine - Design and Achievements Human Development Sector Unit Europe and Central Asia Region. [Online]. Available: https://openknowledge.worldbank.org/server/api/core/bitstreams/1e54200d-19c4-549b-b759-ce129dd16f26/content.
- Safir, S., Shear, J., Yener, A.L., Building An Improved Primary Health Care System In Turkey Through Care Integration, World Bank, Washington, USA, 2019. Available: https://documents1.worldbank.org/curated/ar/895321576170471609/pdf/Building-an-Improved-Primary-Health-Care-System-in-Turkey-through-Care-Integration.pdf
- Acar, S., Bilen Kazancik, L., Meydan, M.C., Isik, M., Socio-economic development ranking research of provinces and regions SEGE-2017, General Directorate of Development Agencies Publication Number: 3. Research Report Number: 3, Ankara, December 2019,. Available: https://www.bebka.org.tr/admin/datas/sayfas/89/sege-2017_1581687211.pdf.
- Ministry of National Defence General Directorate of Mapping (20/03/2022). Provincial and district acreage. [Online] Available: https://www.harita.gov.tr/il-ve-ilce-yuzolcumleri.
- Ministry of Environment(20/03/2022). Urbanization and Climate Change General Directorate of Meteorology, Seasonal normals of the provinces. [Online] Available: https://Www.Mgm.Gov.Tr/Veridegerlendirme/Il-Ve-Ilceler-Istatistik.Aspx?M=ERZURUM.
- Ministry of Industry and Technology General Directorate of Development Agencies (20/03/2022). SEGE Studies [Online] Available: https://www.sanayi.gov.tr/merkez-birimi/b94224510b7b/sege.
- Turkish Statistical Institute(20/03/2022).Results of Address Based Population Registration System. [Online] Available: https://biruni.tuik.gov.tr/medas/?locale=tr
- World Health Organization (20/03/2022) Country case studies on primary health care: Turkey: family practice for quality in universal health coverage, apps.who.int, 2018. Available: https://apps.who.int/iris/handle/10665/326253.
- Ozcelik, E.A., Massuda, A., Castro, M.C., Baris, E., “A Comparative Case Study: Does the Organization of Primary Health Care in Brazil and Turkey Contribute to Reducing Disparities in Access to Care?,” Health Systems & Reform, 7(2), 2021. DOI: https://doi.org/10.1080/23288604.2021.1939931.
- Ministry of Health, “Family medicine contract and payment regulation”. Official Gazette,June 30, 2021, Number: 31527. Available: https://www.resmigazete.gov.tr/eskiler/2021/06/20210630-8.pdf
- Singh, N.S., Kovacs, R.J., Cassidy, R., Kristensen, S.R., Borghi, J., Brown, G.W., “A realist review to assess for whom, under what conditions and how pay for performance programmes work in low- and middle-income countries,” Social Science & Medicine, 270, 2021. https://doi.org/10.1016/j.socscimed.2020.113624.
- Bahadir, H., Simsek, H., Acar, B,. “Bir universite hastanesine basvuran gebelerin dogum oncesi bakim icin aile hekimligi hizmetlerini kullanma durumu”, DEU Tıp Fakultesi Dergisi, 29(1), 31-39, 2015.
- Guven, E. A., Aycan, S., “Ankara'da bir universite hastanesine basvuranlarin bir saglik sorunlari oldugunda tutum, davranislari ve buna etki eden faktorler”, Turk J Public Health 17(1),2019. doi: 10.20518/tjph.392050.
- Uysal, F., Devebakan, N., “Aile sagligi merkezi calisanlarinin aile hekimligi uygulamasinin degerlendirmesi: İzmir ilinde bir arastirma”, International Journal of Social Science, 58, 287-305, 2017. DOI:http://dx.doi.org/10.9761/JASSS6972.
- Tanir, F., “Aile hekimliği uygulamalarının Doğankent sağlık, eğitim ve araştırma bölgesindeki durumu”, Turk J Public Health, 12 (2), 91-99, 2014. https://doi.org/10.20518/thsd.72068
- Jia, L., Meng, Q., Scott, A., Yuan, B., Zhang, L., “Payment methods for healthcare providers working in outpatient healthcare settings,” Cochrane Database of Systematic Reviews, 1, 2021. DOI: 10.1002/14651858.CD011865.pub2.
- Cevik, C., Kilic, B., “Change from health center to family physician period in the Turkish health system: A qualitative study”, Int J Health Plann Mgmt, 33, 1022–1036, 2018. DOI: 10.1002/hpm.2580
- Yaksi, N., “Aile sağlığı merkezi çalışanlarının aşı reddi konusundaki düşünceleri ve davranışlarının değerlendirilmesi”, Turk J Public Health, 18(3),143-154, 2020. DOI:10.20518/tjph.692226
- Esmeray, O., Oner, C., Cetin, H., Simsek, E.E., “Bir eğitim aile sağliği merkezinin COVID-19 pandemi deneyiminin incelenmesi”, Acta Medica Nicomedia, 4(2), 56–63, 2021. DOI: 10.53446/actamednicomedia.884834.
- Bora Basara, B., Soytutan Caglar, İ., Aygun, A., Ozdemir, T.A., Kulali B.,Health Statistics Yearbook 2019. General Directorate of Health Information Systems, Ministry of Health, Ankara, 2021.
- Bora Basara, B., Soytutan Caglar, İ., Aygun, A., Ozdemir ,T.A., Kulali, B., Health Statistics Yearbook 2020. General Directorate of Health Information Systems, Ministry of Health, Ankara, 2022.
- Bora Basara, B., Soytutan Caglar, İ., Aygun, A., Ozdemir ,T.A., Kulali, B., Health Statistics Yearbook 2021. General Directorate of Health Information Systems, Ministry of Health, Ankara, 2023.
There are 24 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Policy, Primary Health Care, Health Care Administration |
| Journal Section | Article |
| Authors | |
| Publication Date | August 30, 2023 |
| Submission Date | May 11, 2023 |
| Acceptance Date | August 29, 2023 |
| Published in Issue | Year 2023 Volume: 8 Issue: 2 |
https://upload.wikimedia.org/wikipedia/commons/2/20/DOAJ_logo.pnghttps://upload.wikimedia.org/wikipedia/commons/2/20/DOAJ_logo.pnghttps://upload.wikimedia.org/wikipedia/commons/2/20/DOAJ_logo.pnghttps://upload.wikimedia.org/wikipedia/commons/2/20/DOAJ_logo.png 