From: A snapshot of the organization and provision of primary care in Turkey
Primary care functions | Selected proxy indicators | Findings FDs (N = 78) Patients (N = 1548) |
---|---|---|
Stewardship | Department in Ministry of Health (MoH) specifically dealing with primary care (PC) | yes |
% family health centres with patient complaint procedure in place | 78% | |
Financing | Employment status of FDs | 100% state employed |
Remuneration method | Capitation + Performance related payments | |
Resource generation | % of all active physicians working in PC * | 13.8% |
% provinces with Family Medicine (FM) being introduced * | 16% | |
% FDs among all PC doctors in provinces with FM being introduced* | 72% | |
Average age of FDs | 39 years | |
Hours FDs spend on professional reading (per month) | 9.5 hours | |
% medical universities with department of family medicine* | 74% | |
Average number of items of medical equipment available to FDs (from a list of 29 items) | 21 items | |
% of FDs reporting no or insufficient access to a laboratory | 3.8% | |
% of FDs reporting no or insufficient access to X-ray equipment | 45% | |
% of FDs with a computer in the family health centre | 97% | |
Access to services | % patients reporting copayments for drugs prescribed in PC | 57% |
% of patients living within 20 minutes travel from PC facility | 79% | |
Average number of registered patients per FD | 3715 | |
Average number of patient consultations per day | 47 | |
Average number of home visits per day | 1.7 | |
Average working hours of FD per week | 46** | |
Average length of patient consultations (minutes) | 11 | |
Reported average utilization rate (frequency) by patient per year | 7.6 | |
% of FDs using an appointment system | 1% | |
Coordination of care | % of FDs sharing premises with other FD(s) | 90% |
% of FDs having regular meetings with practice nurses | 77% | |
Continuity of care | % FDs keeping medical records routinely | 43% |
% of patients assigned to their FD (not chosen) | 71% | |
% of patients with their FD for at least 1 year | 59% | |
Comprehensiveness | % of FDs frequently using clinical guidelines | 16% |
Score for FDs' role in first contact care for a selection of 17 health problems (range of score 1 (never) - 4 (always)) | 2.47 | |
Score for FDs' involvement in the treatment of a selection of 18 diseases (range of score 1 (never) - 4 (always)) | 2.59 | |
Score for FDs' or team members involvement in the provision of a selection of 16 preventive and medical-technical procedures (range of score 1 (never) - 4 (always)) | 2.41 | |
% of FDs having regular meetings with local authorities | 26% |