Opinions of primary care physicians results from Edirne, Turkey

1

Opinions of primary care physicians

results from Edirne, Turkey

SAHIN EM, DAGDEVIREN N, AKTURK Z, OZER C

TRAKYA UNIVERSITY

FACULTY OF MEDICINE

DEPARTMENT OF FAMILY PRACTICE

2

Continious medical educationThere is not an organization for the CME of the practitioners in primary care system of Turkey. Turkish Association of Physicians have been certificating all the CME meetings if the organizers ask for it. But this is not enough to encourage the physicians to participate.

3

Continious medical education

Primary health care is a unique part of the medicine and has unique educational needs. Other specialties cannot outline the specific knowledge essential for primary care on behalf of primary care physicians.

4

Continious medical education

The specialty of primary care in Turkey is family practice. We, the family physicians, are trying to maintain CME that includes specific knowledge and skills essential for primary care to the physicians working in primary care.

5

Our CME course

“recent advances in primary health care” May 2000 adverted to practitioners in Edirne

municipality region they were asked to fill our questionnaire

6

Our CME course1. Preventive health services and periodic

health examinations2. Communication skills3. Sexual health care4. New communication technologies and

internet5. Problem oriented medical diagnosis and

records

7

Our CME course6. Health care of the elderly

7. Practicing biopsychosocial medicine

8. Home care

9. Adolescent health care

8

Our CME course The questionnaire consisted of 23

questions 3 of them were about primary care others were related to the topics of

CME answers were collected with a likert scale

9

Our CME course 25 participants as planned questionnaire was answered by 48

practitioners

The results that will be discussed here could not be generalized for all practitioners in Turkey but present some valuable information in certain issues

10

Are you happy to work in primary care?

9

2024

15

33

0

5

10

15

20

25

30

35

%

stronglyagree

agree undecided disagree stronglydisagree

11

Did you feel yourself sufficient in your practice just after graduation?

11

28

2217

22

0

5

10

15

20

25

30

%

stronglyagree

agree undecided disagree stronglydisagree

12

Do you think postgraduate education is needed to work in primary care?

50

35

82 4

0

10

20

30

40

50

%

stronglyagree

agree undecided disagree stronglydisagree

13

Do you think your preventive health care services are sufficient?

7

46

1926

20

10

20

30

40

50

%

stronglyagree

agree undecided disagree stronglydisagree

14

Do you know health care needs of your population?

17

67

5 7 50

1020304050

6070

%

stronglyagree

agree undecided disagree stronglydisagree

15

Do you provide periodic health examinations?

11

28

4

26

32

0

510

1520

2530

35

%

stronglyagree

agree undecided disagree stronglydisagree

16

Do you feel sufficient in communication with your patient?

45,8 45,8

6,32,1 0

0

10

20

30

40

50

%

stronglyagree

agree undecided disagree stronglydisagree

17

Do you think communication with the patient can be promoted by education?

57

38

2 2 00

10

20

30

40

50

60

%

stronglyagree

agree undecided disagree stronglydisagree

18

Do you think sexual functions of all patients should be questioned?

8,3

31,333,3

20,8

6,3

0

5

10

15

20

25

30

35

%

Strongly agree Agree Undecided Disagree Strongly disagree

19

Do you provide preconceptional care?

16

33

9

31

11

0

510152025

3035

%

stronglyagree

agree undecided disagree stronglydisagree

20

Do you use internet?

32

38

2

21

6

0

10

20

30

40

%

stronglyagree

agree undecided disagree stronglydisagree

21

Do you think internet will change your practice?

60

34

4 2 00

10

20

30

40

50

60

%

stronglyagree

agree undecided disagree stronglydisagree

22

Do you think medical record system is essential for primary care?

81

152 2 0

0

20

40

60

80

100

%

stronglyagree

agree undecided disagree stronglydisagree

23

Do you use a record system for your patients?

9

38

2

2724

0

10

20

30

40

%

stronglyagree

agree undecided disagree stronglydisagree

24

Do you think euthanasia sould be legal?

19

24

30

8

19

0

5

10

15

20

25

30

%

stronglyagree

agree undecided disagree stronglydisagree

25

Do you tell the diagnosis to your patients when they have a terminal illness?

13

29

35

21

20

10

20

30

40

%

stronglyagree

agree undecided disagree stronglydisagree

26

Do you think biopsychosocial approach will effect your practice?

20

65

94 2

010203040506070

%

stronglyagree

agree undecided disagree stronglydisagree

27

Do you try to solve the problem when you think there is an underlying psychological or social parts of it?

30

53

9 62

0

10

20

30

40

50

60

%

stronglyagree

agree undecided disagree stronglydisagree

28

Do you think home care is physicians duty?

2

38

19 1922

0

10

20

30

40

%

stronglyagree

agree undecided disagree stronglydisagree

29

Dose your practice include home care?

11

26

15

2623

0

5

10

15

20

25

30

%

strongly

agree

agree undecided disagree strongly

disagree

30

Do you think adolescent health problems can be solved in primary care?

7

43

22 24

4

0

10

20

30

40

50

%

stronglyagree

agree undecided disagree stronglydisagree

31

Do you provide adolescent health care?

0 2

14

4539

0

10

20

30

40

50

%

stronglyagree

agree undecided disagree stronglydisagree

32

Conclusion

primary care in our country is far from its target. Our doctors are young and dynamic but they need appropriate knowledge and skills specific for primary care conditions

33

Opinions of primary care physicians

results from Edirne, Turkey

SAHIN EM, DAGDEVIREN N, AKTURK Z, OZER C

TRAKYA UNIVERSITY

FACULTY OF MEDICINE

DEPARTMENT OF FAMILY PRACTICE