Türkiye'deki üçüncü basamak bakım kurumlarından hizmet alan hastaların sağlık sistemine güven düzeyleri

Amaç: Bu çalışmada üçüncü basamak sağlık kurumlarından hizmet alan hastaların Türk sağlık sistemine duydukları güven düzeyini ve etkileyen sosyodemografik faktörleri incelemek amaçlanmıştır.Gereç ve Yöntem: Bu tanımlayıcı çalışma, Ankara il merkezinde bulunan üçüncü basamak sağlık hizmeti sunan altı hastanenin (üç eğitim araştırma, üç üniversite hastanesi) yatan hasta birimlerinde 493 hasta üzerinde yürütülmüştür. Veriler sosyodemografik form ve Sağlık Hizmetleri Sistemi Çok Boyutlu Güven Ölçeği ile toplanmıştır.Bulgular: Katılımcıların yaş ortalamasının 47.7±13.1, &50.1’inin kadın, %38.3’ünün lise mezunu, %58.2’sinin işsiz, %70’inin orta düzeyde gelire sahip olduğu, %64.7’sinin kırsal bölgede yaşadığı ve %63.5’inin sağlık hizmetlerinden memnun olduğu belirlenmiştir. Sağlık Hizmetleri Sistemi Çok Boyutlu Güven Ölçeği toplam puan ortalaması 61.5±8.2, sağlık profesyonellerine duyulan güven alt boyutu için 38.1±5.2, sağlık hizmetinin maliyetini karşılayan kurumlara duyulan güven alt boyutu için 12.9±3.7 ve sağlık kurumlarına duyulan güven alt boyutu için 10.6±1.9’dur. Sağlık sistemine duyulan güven ile yaş, eğitim düzeyi, çalışma durumu, gelir düzeyi, evde yaşayan bireylerin varlığı, yaşanılan yer ve sağlık hizmetinden memnuniyet düzeyi arasında anlamlı ilişki bulunmuştur.Sonuç: Çalışmanın bulguları doğrultusunda altmış yaşından büyük, düşük eğitimli, işsiz, düşük gelirli ve kırsal bölgede yaşayanların sağlık sistemine güvenlerinin yüksek olduğu sonucuna ulaşılmıştır. Belirtilen profil özelliklerine sahip popülasyondaki bireylerin tıbbi bilgiye daha fazla ihtiyaç duydukları ve ekonomik güçlük yaşadıkları için sağlık hizmetine görece daha fazla ihtiyaç duydukları düşünülmekte; bu durum sağlık hizmetine daha fazla güvendikleri şeklinde yorumlanmaktadır.

Trust levels in the healthcare system of the patients receiving services from tertiary care institutions in Turkey

Purpose: This study aimed to examine trust levels in the Turkish healthcare system of the patients receiving services from tertiary care institutions and the influencing sociodemographic factors.Materials and Methods: they conducted This descriptive study in inpatient units of six tertiary care hospitals (three training&research hospitals, three university hospitals) located in the center of Ankara among 493 inpatients. Data was collected with a sociodemographic form and Multidimensional Trust in Healthcare Systems Scale.Results: Participants’ mean age was 47.7±13.1; 50.1% were female, 38.3% were graduated from high school, 58.2% were unemployed, 70% had moderate income, 64.7 % were dwelling in rural, and 63.5% were satisfied with the healthcare services. The mean score for the scale was 61.5±8.2, and for healthcare providers, payers, and institutions subscales were as 38.1±5.2, 12.9±3.7, and 10.6±1.9, respectively. Trust in healthcare system was found significantly associated with age, educational level, employment, income, existence of household, residency area, and satisfaction from healthcare services.Conclusion: It is noted that older than sixty-years-old, low-educated, unemployed, low-income, and rural individuals had higher trust in the healthcare system. Because their need for medical information is greater, they are experiencing economic weaknesses, and they are relatively more in need of healthcare services, which increases their trust in the system.

Keywords:

trust healthcare, health system,

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