原创力文档a snapshot of the organization and provision of primary care in turkey组织和提供初级保健的快照在土耳其.pdfVIP
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a snapshot of the organization and provision of primary care in turkey组织和提供初级保健的快照在土耳其
Kringos et al. BMC Health Services Research 2011, 11:90
/1472-6963/11/90
RESEARCH ARTICLE Open Access
A snapshot of the organization and provision
of primary care in Turkey
1* 1 2 3
Dionne S Kringos , Wienke GW Boerma , Ernst Spaan and Martina Pellny
Abstract
Background: This WHO study aimed to support Turkey in its efforts to strengthen the primary care (PC) system by
implementing the WHO Primary Care Evaluation Tool (PCET). This article provides an overview of the organization
and provision of primary care in Turkey.
Methods: The WHO Primary Care Evaluation Tool was implemented in two provinces (Bolu and Eskişehir) in Turkey
in 2007/08. The Tool consists of three parts: a national questionnaire concerning the organisation and financing of
primary care; a questionnaire for family doctors; and a questionnaire for patients who visit a family health centre.
Results: Primary care has just recently become an official health policy priority with the introduction of a family
medicine scheme. Although the supply of family doctors (FDs) has improved, they are geographically uneven
distributed, and nationwide shortages of primary care staff remain. Coordination of care could be improved and
quality control mechanisms were lacking. However, patients were very satisfied with the treatment by FDs.
Conclusions: The study provides an overview of the current state of PC in Turkey for two provinces with newly
introduced family medicine, by using a structured approach to evaluate the essential functions of PC, including
governance, financing, resource generation, as well as the characteristics of a “good” service delivery system (as
being accessible, comprehensive, coordinated and continuous).
Background
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