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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
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    References listed on IDEAS

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    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.
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    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.

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