Abstract
References
- 1. Koçak A, Bulduklu Y. Health communication: The viewing motivations of health programs on television by elder people. Selçuk İletişim 2010:6(3);5-17.
- 2. Öz F. Bassis concepts in field of health. Nursing. 2nd edition, Ankara: Mattek typography, 2010:44-8.
- 3. Ertek S. Tele-Medicine and tele- health use in endocrinology practice. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2011;2:126-30.
- 4. Switzerland health guide. http://www.migesplus.ch/fileadmin/Publikationen/ tur_GWW_web_1_.pdf. Accessed 05.09.2017.
- 5. The minister of health Mr Akdağ participated in Anadolu Agency table of Editor Program. http://www.saglik.gov.tr/TR,13184/bakan-akdag-aa-editor-masasina-konuk-oldu.html. Accessed 05.04.2017.
- 6. Republic of Turkey the Ministry of Health’s Statistical yearbook of 2015. 143 http://www.saglikistatistikleri.gov.tr/dosyalar/SIY_2015.pdf Accessed: 05.10.2017.
- 7. Yazıcıoğlu, Y. and Erdoğan, S. SPSS applied scientific research methods. Ankara: Detay publishing. 2004,50.
- 8. Pazar B, Taştan S, İyigün E. Roles of nurses in tele-health services. Bakırköy Tıp Dergisi 2015;11:1-4
- 9. Han HR, Kim J, Kim KB, Jeong S, Levine D, Li C et al. Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure. Patient Educ Couns 2010;80:130-4.
- 10. Marcus AC, Garrett KM, Kulchak-Rahm A, Barnes D, Dortch W, Juno S. Telephone counseling in psychosocial oncology: a report from the Cancer Information and Counseling Line. Patient Educ Couns 2002;46:267-75.
- 11. Acemoğlu H, Ertem M, Bahçeci M ve Tuzcu A. Levels of health care utilization in patients with type 2 diabetes mellitus. EAJM 2006;38:89-95.
- 12. Cook PF, Emiliozzi S, El-Hajj D, McCabe MM. Telephone nurse counseling form education adherence in ulcerative colitis: A preliminary study. Patient Educ Couns 2010;81:182-6.
- 13. Bilik Ö. Effects of observing hip prosthesis applied patients with telephone to the recovery. (Doctorate thesis) İzmir: Ege University Health Sciences Institute; 2006; 240.
- 14. Glanz K, Shigaki D, Farzanfar R, Pinto B, Kaplan B, Friedman RH. Participant reactions to a computerized telephone system for nutrition and exercise counseling. Patient Educ Couns 2003;49:157-63.
- 15. Lorentz MM. Tele-nursing and home healthcare the many facet of technology. Home Healthc Nurse 2008;26:237-43.
- 16. Valanis B, Tanner C, Moscato SR, Shapiro S, Izumi S, David M et al. A model for examining predictors of outcomes of telephone nursing advice. J Nurs Admin 2003;33:91-5.
- 17. Foels T, Terranova MD, Melzer SM. After-hours telephone triage: reducing the financial burden- reply. Arch Pediatr Adolesc Med 2004:158-86.
- 18. Hintistan S, Çilingir D. A current approach in nursing practice: Telephone usage. Hemşirelikte Eğitim ve Araştırma Dergisi 2012;9(1):30-5.
- 19. Ortega MG, Badia JG, Kostov B, Martin CP. Randomized trial to reduce emergency visits or hospital admissions using telephone coaching to complex patients. Fam Pract 2017:34(2):219-26.
- 20. Bartlam B, McLeod J. Infertility counseling: the ISSUE experience of setting up a telephone counseling service. Patient Educ Couns 2000;41:313-21.
- 21. Holt TA, Fletcher E, Warren F, Richards S, Salisbury C. Telephone triage systems in UK general practice: analysis of consultation duration during the index day in a pragmatic randomized controlled trial. Br J Gen Pract 2016;e214-17 DOI:10.3399/bjgp16X684001 e214 British
- 22. Campbell JL, Fletcher E, Britten N, Green C, Holt TA. Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): a cluster randomized controlled trial and cost-consequence analysis. Lancet 2014;384:1859–68, http://dx.doi.org/10.1016/S0140-6736(14)61058-8
- 23. Huibers L, Moth G, Carlsen AH, ChristensenMB, Vedsted P. Telephone triage by GPs in out-of-hours primary care in Denmark: a prospective observational study of efficiency and relevance. Br J Gen Pract 18 July 2016;bjgpsep-2016-66-650-huibers-fl-p. DOI:ttps://doi.org/10.3399/bjgp16X686545
- 24. Who new comer to Netherlands. https://www.government.nl/binaries/government/documents/publications/2014/07/09/new-in-the-netherlands turkish/HR_92777_Brochure_Nieuw_in_Nederland_ Niet+EU_Turks_v2.pdf. Accessed: 05.10.2017.
Does Telephone Consultancy Reduce Intensity in the Emergencies? Viewpoints of the Primary Healthcare Workers
Abstract
Aim: The
aim of this research is to examine the viewpoints of the primary health
care workers in Turkey regarding directing the patients to the emergency
service by providing them with telephone consultancy (TC). Methods: In this cross-sectional study, the universe of the
research is composed of the primary health care workers in
online questionnaire technique was used to obtain the data. SPSS 15.0
statistical package was used in data analysis and p< 0.05 is considered
significant. Results: 1083
healthcare worker participated in the study. The proposal of "I
support the TC project" is a statistically significant difference in terms
of profession, and it was found out that family health employees looked more
positively at this project than the doctors (p=0,028). The total proportion of the health
professionals supporting the project was found out to be as low as 17.4%. A
statistically significant difference was determined between ages (p=0,005), gender (p=0,005), profession (p=0,000) and years
of professional experience (p=0,000) with the proposal of “TC is a populist approach”. The
proposal of "TC service reduces the intensity in the emergency
service" in term of the profession, the statistical difference was found
significant (p=0,023). Compared with family health employees; it was determined that the
physicians did not think TC would reduce urgent applications. Conclusion: In Turkey, the primary healthcare
workers mostly oppose the TC issue. As the professional experience increase,
this rate increases much more.
Giriş: Bu araştırmanın amacı, Türkiye’de aile hekimliği
çalışanlarının hastalara telefon danışmanlığı (TD) hizmeti vererek acil servise
yönlendirme konusundaki bakış açılarını incelemektir. Yöntem: Kesitsel tipteki bu çalışmada, araştırmanın
evrenini Türkiye’de birinci basamak sağlık çalışanları oluşturmaktadır.
Verilerin elde edilmesinde online anket tekniği kullanılmıştır.
İstatistiksel analizde SPSS.15.0 paket programı kullanıldı ve p<0.05
istatistiksel olarak anlamlı kabul edildi. Bulgular: Çalışmaya 1083 sağlık çalışanı katıldı. “TD
projesini destekliyorum” önermesi meslek açısından istatistiksel olarak anlamlı
olup; aile sağlığı elemanlarının hekimlere göre bu projeye daha olumlu baktığı
tespit edildi (p=0,028). Projeyi destekleyen sağlık profesyonellerinin toplam
oranı %17.4 olarak düşük tespit edilmiştir. “TD popülist bir yaklaşımdır”
önermesi ile yaş (p=0,005), cinsiyet (p=0,005), meslek (p=0,000) ve mesleki
deneyim yılı (p=0,000) arasında istatistiksel olarak anlamlı bir fark saptandı.
“TD hizmeti vermek acil servisteki yoğunluğu azaltır” önermesi ile meslek
açısından istatistiksel fark anlamlı bulundu (p=0,023). Hekimler aile sağlığı
elemanları ile karşılaştırıldığında TD’nin acil başvurularını azaltacağını
düşünmediği tespit edildi. Sonuç: Türkiye’de aile hekimliği çalışanları
TD konusuna büyük oranda karşı çıkmaktadır. Mesleki deneyim arttıkça bu oran da
artmaktadır.
References
- 1. Koçak A, Bulduklu Y. Health communication: The viewing motivations of health programs on television by elder people. Selçuk İletişim 2010:6(3);5-17.
- 2. Öz F. Bassis concepts in field of health. Nursing. 2nd edition, Ankara: Mattek typography, 2010:44-8.
- 3. Ertek S. Tele-Medicine and tele- health use in endocrinology practice. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2011;2:126-30.
- 4. Switzerland health guide. http://www.migesplus.ch/fileadmin/Publikationen/ tur_GWW_web_1_.pdf. Accessed 05.09.2017.
- 5. The minister of health Mr Akdağ participated in Anadolu Agency table of Editor Program. http://www.saglik.gov.tr/TR,13184/bakan-akdag-aa-editor-masasina-konuk-oldu.html. Accessed 05.04.2017.
- 6. Republic of Turkey the Ministry of Health’s Statistical yearbook of 2015. 143 http://www.saglikistatistikleri.gov.tr/dosyalar/SIY_2015.pdf Accessed: 05.10.2017.
- 7. Yazıcıoğlu, Y. and Erdoğan, S. SPSS applied scientific research methods. Ankara: Detay publishing. 2004,50.
- 8. Pazar B, Taştan S, İyigün E. Roles of nurses in tele-health services. Bakırköy Tıp Dergisi 2015;11:1-4
- 9. Han HR, Kim J, Kim KB, Jeong S, Levine D, Li C et al. Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure. Patient Educ Couns 2010;80:130-4.
- 10. Marcus AC, Garrett KM, Kulchak-Rahm A, Barnes D, Dortch W, Juno S. Telephone counseling in psychosocial oncology: a report from the Cancer Information and Counseling Line. Patient Educ Couns 2002;46:267-75.
- 11. Acemoğlu H, Ertem M, Bahçeci M ve Tuzcu A. Levels of health care utilization in patients with type 2 diabetes mellitus. EAJM 2006;38:89-95.
- 12. Cook PF, Emiliozzi S, El-Hajj D, McCabe MM. Telephone nurse counseling form education adherence in ulcerative colitis: A preliminary study. Patient Educ Couns 2010;81:182-6.
- 13. Bilik Ö. Effects of observing hip prosthesis applied patients with telephone to the recovery. (Doctorate thesis) İzmir: Ege University Health Sciences Institute; 2006; 240.
- 14. Glanz K, Shigaki D, Farzanfar R, Pinto B, Kaplan B, Friedman RH. Participant reactions to a computerized telephone system for nutrition and exercise counseling. Patient Educ Couns 2003;49:157-63.
- 15. Lorentz MM. Tele-nursing and home healthcare the many facet of technology. Home Healthc Nurse 2008;26:237-43.
- 16. Valanis B, Tanner C, Moscato SR, Shapiro S, Izumi S, David M et al. A model for examining predictors of outcomes of telephone nursing advice. J Nurs Admin 2003;33:91-5.
- 17. Foels T, Terranova MD, Melzer SM. After-hours telephone triage: reducing the financial burden- reply. Arch Pediatr Adolesc Med 2004:158-86.
- 18. Hintistan S, Çilingir D. A current approach in nursing practice: Telephone usage. Hemşirelikte Eğitim ve Araştırma Dergisi 2012;9(1):30-5.
- 19. Ortega MG, Badia JG, Kostov B, Martin CP. Randomized trial to reduce emergency visits or hospital admissions using telephone coaching to complex patients. Fam Pract 2017:34(2):219-26.
- 20. Bartlam B, McLeod J. Infertility counseling: the ISSUE experience of setting up a telephone counseling service. Patient Educ Couns 2000;41:313-21.
- 21. Holt TA, Fletcher E, Warren F, Richards S, Salisbury C. Telephone triage systems in UK general practice: analysis of consultation duration during the index day in a pragmatic randomized controlled trial. Br J Gen Pract 2016;e214-17 DOI:10.3399/bjgp16X684001 e214 British
- 22. Campbell JL, Fletcher E, Britten N, Green C, Holt TA. Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): a cluster randomized controlled trial and cost-consequence analysis. Lancet 2014;384:1859–68, http://dx.doi.org/10.1016/S0140-6736(14)61058-8
- 23. Huibers L, Moth G, Carlsen AH, ChristensenMB, Vedsted P. Telephone triage by GPs in out-of-hours primary care in Denmark: a prospective observational study of efficiency and relevance. Br J Gen Pract 18 July 2016;bjgpsep-2016-66-650-huibers-fl-p. DOI:ttps://doi.org/10.3399/bjgp16X686545
- 24. Who new comer to Netherlands. https://www.government.nl/binaries/government/documents/publications/2014/07/09/new-in-the-netherlands turkish/HR_92777_Brochure_Nieuw_in_Nederland_ Niet+EU_Turks_v2.pdf. Accessed: 05.10.2017.
Details
| Primary Language | English |
|---|---|
| Journal Section | Orijinal Articles |
| Authors | |
| Publication Date | August 27, 2018 |
| Submission Date | February 24, 2018 |
| Published in Issue | Year 2018 Volume: 12 Issue: 3 |
English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.