The effect of health expenditures on chronic disease care of chronic patients in Hatay
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Dosyalar
Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Çukurova Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızda, kronik hastalığı bulunan bireylerin sağlık harcamalarının, kronik hastalık bakım memnuniyetine etkisinin
değerlendirilmesi amaçlanmıştır. Yöntem: Kesitsel tanımlayıcı tasarıma sahip bu çalışma, Haziran 2017–Ekim 2017 ayları arasında,
Hatay’da (Antakya) dört aile sağlığı merkezinde yürütülmüştür. Belirlenen aile sağlığı merkezlerine başvuran 18 yaş ve üzeri, en az
bir yıldır kronik hastalığı bulunan bireyler dahil edilmiştir. Kronik hastalığa sahip bireylerin; sosyodemografik özelliklerini,
hastalıklarının özelliklerini, aldıkları sağlık hizmetlerini, yaptığı sağlık harcamalarını etkileyen faktörleri kapsayan bir anket
uygulanmıştır. Ayrıca hastalara, aldıkları bakımı kendilerinin değerlendirmesine olanak veren Kronik Hastalık Bakımını
Değerlendirme Ölçeği-Hasta formu (Modifiye PACIC) çalışma yürütücüsü tarafından uygulanmıştır. Bulgular: Anketi
değerlendirmeye alınan 47,11 ± 15,20 yaş ortalamasına sahip 790 katılımcının 400 (%50,6)’ü kadın, 390 (%49,4)’si erkek hastaydı.
Katılımcılarımızın, Modifiye PACIC puan ortalaması toplam ölçek için 3,29 ± 0,7 olarak hesaplanmıştır. Hastaların gelir düzeyi
arttıkça, sağlık hizmet alımının etkilendiği görülmüştür(Cramer’s V=0,263; p=0,001). Aterosklerotik kalp hastalığı olanlarda, kronik
hastalık memnuniyet puan ortalaması 3,0±0,6 ile diğer hastalıklara göre daha düşük bulunmuştur (p=0,005). Hastaların gelir düzeyi
kategorilerine göre kronik hastalık bakım memnuniyet puanları arasında fark görülmemiştir (p=0,853).Sonuç: Cepten yapılan sağlık
harcamalarının, hizmet alımını etkilemediğini belirten hastaların Modifiye PACIC alt ölçek skorları genel olarak daha yüksek
bulunmuştur. Ayrıca hastaların gelir düzeyinin kronik hastalık bakımlarını etkilediği sonucuna ulaşılmıştır.
Aim: To evaluate the effect of healthcare expenditure of the patients who have chronic disease on chronic disease care satisfaction. Method: This cross sectional design study was conducted at four primary care clinics in Antakya, the central city of Hatay. The adult patients with a chronic disease at least for one year who visit the primary care centers from June to October 2017 were included in the study. A questionnaire including questions about the chronic disease, the healthcare they receive, and the factors that effect their healthcare expenditure were applied to the subjects. Also the subjects filled a chronic disease care evaluation scale- patient form (modified PACIC) to evaluate the healthcare they receive. P value<0,05 is considered as significant. Results: Of the 790 patients 400 (50,6%) were female, while 390 (49,4%) were male. The average age of the participants was 47,1 ±15,2. Average Modified PACIC score was calculated as 3,29 ±0,7. It was observed that healthcare intake was affected as the income level of the patients increased (Cramer’s V = 0,263; p = 0,001). In patients with atherosclerotic heart disease, the chronic disease satisfaction score was found to be lower with 3.0 ± 0.6 compared to other diseases (p = 0.005). There was no difference between the chronic disease care satisfaction scores according to the income level categories of the patients (p = 0.853). Conclusion: Modified PACIC subscale scores of the patients who stated that their out-of-pocket health spending did not affect their service purchases were generally higher. In addition, it was concluded that the income level of the patients affected chronic disease care.
Aim: To evaluate the effect of healthcare expenditure of the patients who have chronic disease on chronic disease care satisfaction. Method: This cross sectional design study was conducted at four primary care clinics in Antakya, the central city of Hatay. The adult patients with a chronic disease at least for one year who visit the primary care centers from June to October 2017 were included in the study. A questionnaire including questions about the chronic disease, the healthcare they receive, and the factors that effect their healthcare expenditure were applied to the subjects. Also the subjects filled a chronic disease care evaluation scale- patient form (modified PACIC) to evaluate the healthcare they receive. P value<0,05 is considered as significant. Results: Of the 790 patients 400 (50,6%) were female, while 390 (49,4%) were male. The average age of the participants was 47,1 ±15,2. Average Modified PACIC score was calculated as 3,29 ±0,7. It was observed that healthcare intake was affected as the income level of the patients increased (Cramer’s V = 0,263; p = 0,001). In patients with atherosclerotic heart disease, the chronic disease satisfaction score was found to be lower with 3.0 ± 0.6 compared to other diseases (p = 0.005). There was no difference between the chronic disease care satisfaction scores according to the income level categories of the patients (p = 0.853). Conclusion: Modified PACIC subscale scores of the patients who stated that their out-of-pocket health spending did not affect their service purchases were generally higher. In addition, it was concluded that the income level of the patients affected chronic disease care.
Açıklama
Anahtar Kelimeler
Sağlık harcamaları, Kronik hastalık, Birinci basamak, Health costs, Chronic disease, Primary care
Kaynak
Turkish Journal of Family Medicine and Primary Care
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
2
Künye
Nuran ŞAHİN,Cahit ÖZER.(2020).Hatay İlinde Kronik Hastalığı Bulunan Bireylerin Cepten Yaptıkları Sağlık Harcamalarının Kronik Hastalık Bakımlarına Etkisi.Turkish Journal of Family Medicine and Primary Care
