IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v121y2017i2p197-206.html
   My bibliography  Save this article

Changes in primary care provision in Turkey: A comparison of 1993 and 2012

Author

Listed:
  • Akman, Mehmet
  • Sakarya, Sibel
  • Sargın, Mehmet
  • Ünlüoğlu, İlhami
  • Eğici, Memet Taşkın
  • Boerma, Wienke G.W.
  • Schäfer, Willemijn L.A.

Abstract

Since the early 1990s, the primary care system in Turkey has undergone fundamental changes. In the first decade of the millennium family doctor scheme was introduced to the Turkish primary care sector and the name of the primary care doctors (PCDs) changed from “general practitioner” (GP) to “family doctor” (FD). This study aims to give an insight into those changes and to compare the service profiles of PCDs in 1993 and 2012. Data, based on cross sectional surveys among Turkish doctors working in primary care are derived from the 1993 European GP Task Profile study (n=199) and the 2012 Quality and Costs of Primary Care in Europe (QUALICOPC) study (n=299). The study focuses on the changes in the primary care service provision based on selected aspects such as the first contact of care, preventive care, and the knowledge exchange and collaboration with other health professionals. Compared to GPs in 1993, FDs in 2012 reported that their involvement in treatment of chronic diseases, first contact care, antenatal and child health care have increased. FDs have more contact with other primary healthcare workers but their contact with hospital consultants have decreased. Overall, the services provided by PCDs seem to be expanded. However, the quality of care given by FDs and its effects on health indicators are needed to be explored by further studies.

Suggested Citation

  • Akman, Mehmet & Sakarya, Sibel & Sargın, Mehmet & Ünlüoğlu, İlhami & Eğici, Memet Taşkın & Boerma, Wienke G.W. & Schäfer, Willemijn L.A., 2017. "Changes in primary care provision in Turkey: A comparison of 1993 and 2012," Health Policy, Elsevier, vol. 121(2), pages 197-206.
  • Handle: RePEc:eee:hepoli:v:121:y:2017:i:2:p:197-206
    DOI: 10.1016/j.healthpol.2016.11.016
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851016303244
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.healthpol.2016.11.016?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Groenewegen, Peter P. & Dourgnon, Paul & Greß, Stefan & Jurgutis, Arnoldas & Willems, Sara, 2013. "Strengthening weak primary care systems: Steps towards stronger primary care in selected Western and Eastern European countries," Health Policy, Elsevier, vol. 113(1), pages 170-179.
    2. Bulent Kilic & Sibel Kalaca & Belgin Unal & Peter Phillimore & Shahaduz Zaman, 2015. "Health policy analysis for prevention and control of cardiovascular diseases and diabetes mellitus in Turkey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(1), pages 47-53, January.
    3. repec:dau:papers:123456789/12226 is not listed on IDEAS
    4. Kringos, Dionne S. & Boerma, Wienke G.W. & van der Zee, Jouke & Groenewegen, Peter P., 2013. "Political, cultural and economic foundations of primary care in Europe," Social Science & Medicine, Elsevier, vol. 99(C), pages 9-17.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Põlluste, Kaja & Kosunen, Elise & Koskela, Tuomas & Mattila, Kari J. & Schäfer, Willemijn L.A. & Boerma, Wienke G.W. & Lember, Margus, 2019. "Primary health care in transition: Variations in service profiles of general practitioners in Estonia and in Finland between 1993 and 2012," Health Policy, Elsevier, vol. 123(1), pages 37-44.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Reibling, Nadine & Ariaans, Mareike & Wendt, Claus, 2019. "Worlds of Healthcare: A Healthcare System Typology of OECD Countries," Health Policy, Elsevier, vol. 123(7), pages 611-620.
    2. Kelly, Niall & Garvey, John & Palcic, Dónal, 2016. "Health policy and the policymaking system: A case study of primary care in Ireland," Health Policy, Elsevier, vol. 120(8), pages 913-919.
    3. Põlluste, Kaja & Kosunen, Elise & Koskela, Tuomas & Mattila, Kari J. & Schäfer, Willemijn L.A. & Boerma, Wienke G.W. & Lember, Margus, 2019. "Primary health care in transition: Variations in service profiles of general practitioners in Estonia and in Finland between 1993 and 2012," Health Policy, Elsevier, vol. 123(1), pages 37-44.
    4. Nóra Kovács & Anita Pálinkás & Valéria Sipos & Attila Nagy & Nouh Harsha & László Kőrösi & Magor Papp & Róza Ádány & Orsolya Varga & János Sándor, 2019. "Factors Associated with Practice-Level Performance Indicators in Primary Health Care in Hungary: A Nationwide Cross-Sectional Study," IJERPH, MDPI, vol. 16(17), pages 1-15, August.
    5. Kok, Lucy & Boyle, Seán & Lammers, Marloes & Tempelman, Caren, 2015. "Remuneration of medical specialists. Drivers of the differences between six European countries," Health Policy, Elsevier, vol. 119(9), pages 1188-1196.
    6. Yanchen Liu & Yingchun Chen & Xueyan Cheng & Yan Zhang, 2020. "Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    7. Ana Isabel Ribeiro & Elias Teixeira Krainski & Marilia Sá Carvalho & Guy Launoy & Carole Pornet & Maria de Fátima Pina, 2018. "Does community deprivation determine longevity after the age of 75? A cross-national analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 469-479, May.
    8. Vermeulen, Lisa & Schäfer, Willemijn & Pavlic, Danica Rotar & Groenewegen, Peter, 2018. "Community orientation of general practitioners in 34 countries," Health Policy, Elsevier, vol. 122(10), pages 1070-1077.
    9. Igor Sheiman & Vladimir Shevski, 2017. "Two Models of Primary Health Care Development: Russia vs. Central and Eastern European Countries," HSE Working papers WP BRP 06/PSP/2017, National Research University Higher School of Economics.
    10. Onur Demiray & Evrim D. Gunes & Ercan Kulak & Emrah Dogan & Seyma Gorcin Karaketir & Serap Cifcili & Mehmet Akman & Sibel Sakarya, 2023. "Classification of patients with chronic disease by activation level using machine learning methods," Health Care Management Science, Springer, vol. 26(4), pages 626-650, December.
    11. Laberge, Maude & Gaudreault, Myriam, 2019. "Promoting access to family medicine in Québec, Canada: Analysis of bill 20, enacted in November 2015," Health Policy, Elsevier, vol. 123(10), pages 901-905.
    12. Mihajlo Jakovljevic & Paula Odete Fernandes & João Paulo Teixeira & Nemanja Rancic & Yuriy Timofeyev & Vladimir Reshetnikov, 2019. "Underlying Differences in Health Spending Within the World Health Organisation Europe Region—Comparing EU15, EU Post-2004, CIS, EU Candidate, and CARINFONET Countries," IJERPH, MDPI, vol. 16(17), pages 1-15, August.
    13. Maznah Ismail & Abdulsamad Alsalahi & Huzwah Khaza’ai & Mustapha Umar Imam & Der Jiun Ooi & Mad Nasir Samsudin & Zulkifli Idrus & Muhammed Ha’iz Mohd Sokhini & Musheer A. Aljaberi, 2020. "Correlation of Mortality Burdens of Cerebrovascular Disease and Diabetes Mellitus with Domestic Consumption of Soya and Palm Oils," IJERPH, MDPI, vol. 17(15), pages 1-15, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:121:y:2017:i:2:p:197-206. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.