Bazi aile hekimligi pilot uygulama birimlerinde birinci basamak degerlendirme ölçegi (BDÖ) (Primary Care Assessment Survey) ile saglik hizmet özelliklerinin degerlendirilmesi

Bu kesitsel çalismanin amaci 2008 yilindan baslayan Aile Aim: The objective of this cross-sectional study is to assess the structural and functional properties of the recently (in 2008) promoted Family Physician Services by using the PCAS (Primary Care Assessment Survey: Primary Care Evaluation Scale) scale.Methods: The study was conducted between 20.08.2009 and 27.8.2009 in 6 Family Physician Units (FPUs) of Manisa city. The household universe was 6900 and 381 persons living in 360 Households (sample size) were interviewed by a face to face approach. Results: The mean age of the study sample was 41.2 ± 13.9 (min-max 18-77) and 86.4% of the sample was female. 16.5% of respondents were illiterate; 17.0% were green card holders; 85.6% were married and 72.7% were living in core families. 98.4% of the households had safe and clean tap water and 89.8% of the households had an inside toilet, the rest had outdoor toilets. The dimensional scores of the PCAS were as follows: Accessibility 53.56 ± 17.41; Continuity 74.01 ± 11; Comprehensiveness 49.04 ± 20.51; Coordination 43.13 ± 43.3; Service satisfaction 70.01 ± 13.57; Trust 71.94 ± 17.41 and Interpersonal treatment 71.95 ± 11, 96. Among the four structural dimensions of the PCAS, the highest score was obtained for the Continuity dimension whereas the Accessibility, Comprehensiveness and Coordination dimension scores were rather low. The results of the univariate analyses indicated that the Accessibility score was significantly higher when: neonate or children under five were in the household; health insurance and/or green card was available; a person with a chronic disease was present in the household, and when all of the household members were registered with the same family physician. The Continuity score was significantly higher for persons who were older, female, or had a low educational level and in those households with any children under five or presence of any person with a chronic disease in the household. The Comprehensiveness score was also significantly higher for older persons, those who had health insurance, those with a person with a chronic disease or a disabled person in the household. The Service satisfaction dimension was better for those with a low educational level and those aged over 65. The Personal relationships dimension score was only affected by an older age and the Trust score was found higher in older persons and those who are chronically ill or disabled. Service satisfaction, persona