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Vol.6 Issue.1 ·
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Assessment of Health Care Service in terms of Rational Use of Medicines Delivered to Patients in Primary Health Care Centres and Public Hospitals

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Published Online: 15 February 2015 · Accepted: 4 December 2014 · Received: 20 August 2014
Doi: xxx
Authors: Ahmet Akıcı 1 · Salih Mollahaliloğlu 2 · Şenay Özgülcü 3 · Başak Dönertaş 4 · Ali Alkan 5
1 Marmara University Faculty of Medicine, Department of Medical Pharmacology, Prof. Dr. Istanbul Turkey
2 Yıldırım Beyazıt University School of Medicine, Department of Public Health & Education and Research Hospital, Assoc. Dr., Ankara, Turkey
3 T. C. Ministry of Health, Vector and Zoonotic Diseases Department, Dr., Ankara, Turkey
4 Eskişehir Osmangazi University School of Medicine, Department of Pharmacology, Res. See., Eskisehir, Turkey
5 T. C. Ministry of Health, Turkey Pharmaceuticals and Medical Devices Agency, Dr., Ankara, Turkey
Keywords: Hospital · Patient · Physician · primary care
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Abstract
References

Objective: To assess physicians’ and patients’ attitudes about the therapy in terms of rational use of medicines (RUM) contributes to the elimination of problems. This study evaluated the health care service in terms of RUM delivered to patients in primary and secondary health care centres.

Method: A questionnaire was applied to a total of 4470 patients from primary health care centres (PHCs) and public hospitals (PHs) in 12 provinces of Turkey. Briefly, patients’ knowledge, attitude and experiences about RUM were questioned and answers were compared with socio-demographic characteristics.

Results: Of the patients, 72.8% in PHCs, 89.9% in PHs reported that they had physical examination. The number of patients who had physical examination decreased with increasing age and low educational level (p<0.001). Although the examination time was “≤5 minutes” for 40.5% of the patients, 74.1% of them in PHCs, 50.1% in PHs reported that they were “definitely” satisfied with the allocated examination time. Eleven per cent of the patients stated that they did not know “how to use their drugs on prescription” and 45.4% reported that “the information given by physicians about their drugs was partly enough or not enough”. Patients stated that waiting time for examination was 13.5±14.2 minutes in PHCs and 45.3±50.5 minutes in PHs.

Conclusion: In contrast to patients’ general satisfaction in health care services, some problems were detected about the examination time and waiting time for examination, informing patients about their drugs. Even though, these problems seem to be derived from physicians, the effects of infrastructural inadequacies and other reasons should be examined with further studies.

References

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The Journal of Turkish Family Physician (e-ISSN 2148-550X) is a peer-reviewed national periodical journal published four times a year, quarterly on-line only. The journal can include all scientific, evidence-based articles in both Turkish and English, such as research articles, case reports, reviews, letters to the editor, national and international scientific documents and translations, which are related to general medicine and family medicine and primary health care services.

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