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Table 1 Overview of selected proxy indicators by primary care function for Bolu and Eskişehir

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%

  1. *at national level
  2. ** the official minimum working hours of FDs are 40 hours. Additional hours worked is on a voluntary basis.