Evde sağlık hizmeti alan hastalara yönelik bir araştırma ve politika önerileri: Diyarbakır örneği
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Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmanın amacı evde sağlık hizmeti alan hastaların profillerini belirleyerek evde sağlık hizmetleri
sunumunda sağlık politikaları açısından alınabilecek önlem ve önerileri içermektedir. Çalışma retrospektif ve
kesitsel özelliktedir. Yaş, cinsiyet, tıbi teşhis ve hizmet süresi değişkenlerine ait veri analizlerinde frekans, yüzde
ve ortalama gibi tanımlayıcı istatistiklerden faydalanılmıştır. Demografik verilere göre, hizmeti sonlandırılan
hastaların ortalama tanı sayısı 2, aldıkları hizmetin ortalama süresi 581 gündür. Hizmeti alan hastaların %53,7’si
kadın iken hastaların %66,2’si 65 yaş üstü ve yaş ortalamaları 63’tür. ICD-11 tanı türleri itibari ile hastaların
%23,83’ü Akıl ve Davranış Bozuklukları tanısı almışken, %26,29’u Dolaşım Sistemi Hastalıkları tanısı,
%11,61’i Kas-İskelet ve Bağ Dokusu Hastalıkları tanısı almıştır. Evde sağlık hizmetleri kapsamında hizmet alan
bireylerin genç nüfustan yaşlı nüfusa doğru artış göstermiş olması, verilen hizmetin önemini ve hizmet
kapsamının genişlemesi gerektiğini ortaya koymaktadır. Hastaların almış oldukları tanı gruplarına göre hizmet
sunulurken hizmet ekibinde ayrıca kardiyoloji, ortopedi, psikiyatri uzmanlarının katılması hizmetin daha çok
hastaya ulaştırılabilmesi açısından büyük öneme sahiptir. Kadın hastaların aldıkları tanı sayısının fazla olması
kadınların evde sağlık hizmetleri almadan önceki sağlık hizmetlerine ulaşımları noktasında olası problemlerin
ele alınmasını zorunlu kılmaktadır. Elde edilen bulgular ışığında ülke sağlık politikaları açısından büyük öneme
sahip olan evde sağlık hizmetlerinin etkili ve ulaşılabilir olması için hizmetlerin daha etkin şekillerde
uygulanması gerekmektedir. Bunun içinde örneğin hizmet sunan ekip içerisinde ilk ziyarette olmasa da ikinci ev
ziyaretinde farklı uzmanlıkların (fizik tedavi, kardiyoloji uzmanı vb.) bulundurulması sayesinde hastalara ev
ortamında hizmet sunularak hastane ortamları meşgul edilmemiş olacaktır.
This study includes the precautions and suggestions that can be taken in terms of health policies in the provision of home health services in Turkey, in line with the evaluation made with the data of 10,553 patients who received home health services in the last 10 years in Diyarbakır but whose services were terminated for various reasons. The study is retrospective and cross-sectional. Descriptive statistical analyzes were used in the analysis of demographic information such as age groups, gender, medical diagnosis status, and the time of service provided. According to demographic data, the average number of diagnoses of the patients whose service was terminated was 2, and the average duration of the service they received was 581 days. While 53.7% of the patients receiving the service are women, 66.2% of the patients are over 65 years old and their average age is 63. As of the ICD-11 diagnosis types, 23.83% of the patients were diagnosed with Mental and Behavioral Disorders, 26.29% were diagnosed with Circulatory System Diseases, and 11.61% were diagnosed with Musculoskeletal and Connective Tissue Diseases. The fact that the individuals receiving services within the scope of home health services have increased from the young population to the elderly population reveals the importance of the service provided and the scope of the service should be expanded. While providing services according to the diagnosis groups of the patients, the participation of cardiology, orthopedics, and psychiatry specialists in the service team is of great importance in terms of delivering the service to more patients. The high number of diagnoses received by female patients necessitates addressing possible problems in women's access to health services before receiving home health services. In the light of the findings obtained, it is necessary to implement the services more effectively for the home health services, which are of great importance in terms of country health policies, to be effective and accessible, for example, different specialties (physical therapist, cardiologist, etc.) will be able to provide the services that should be provided in-home health more effectively, therefore, the hospital environment will not be occupied by providing services to the patients in the home environment.
This study includes the precautions and suggestions that can be taken in terms of health policies in the provision of home health services in Turkey, in line with the evaluation made with the data of 10,553 patients who received home health services in the last 10 years in Diyarbakır but whose services were terminated for various reasons. The study is retrospective and cross-sectional. Descriptive statistical analyzes were used in the analysis of demographic information such as age groups, gender, medical diagnosis status, and the time of service provided. According to demographic data, the average number of diagnoses of the patients whose service was terminated was 2, and the average duration of the service they received was 581 days. While 53.7% of the patients receiving the service are women, 66.2% of the patients are over 65 years old and their average age is 63. As of the ICD-11 diagnosis types, 23.83% of the patients were diagnosed with Mental and Behavioral Disorders, 26.29% were diagnosed with Circulatory System Diseases, and 11.61% were diagnosed with Musculoskeletal and Connective Tissue Diseases. The fact that the individuals receiving services within the scope of home health services have increased from the young population to the elderly population reveals the importance of the service provided and the scope of the service should be expanded. While providing services according to the diagnosis groups of the patients, the participation of cardiology, orthopedics, and psychiatry specialists in the service team is of great importance in terms of delivering the service to more patients. The high number of diagnoses received by female patients necessitates addressing possible problems in women's access to health services before receiving home health services. In the light of the findings obtained, it is necessary to implement the services more effectively for the home health services, which are of great importance in terms of country health policies, to be effective and accessible, for example, different specialties (physical therapist, cardiologist, etc.) will be able to provide the services that should be provided in-home health more effectively, therefore, the hospital environment will not be occupied by providing services to the patients in the home environment.
Açıklama
Anahtar Kelimeler
Evde sağlık, Hastalık tanısı, Sağlık politikası, Home health, Disease diagnosis, Health policy
Kaynak
Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
23
Künye
Kurt, M. E. ve Çakmak, M. A. (2022). Evde sağlık hizmeti alan hastalara yönelik bir araştırma ve politika önerileri: Diyarbakır örneği. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 12(23), 358-372.
