Mustafa ERDOĞAN, Harun KIRILMAZ

10659

Hasta Merkezlilik ve Hasta Merkezli Bakım

20. yüzyılda hekim ve hastalık merkezli yaklaşımlardan uzaklaşılarak hasta merkezlilikyaklaşımına geçiş başlamıştır. Hasta merkezli yaklaşımının benimsenmesi ile sağlıkta kaliteninartacağı ve bu yaklaşımın sağlığın gelişimine de katkı sağlayacağı kabul edilmektedir. Bu sayedehastalar, tedavi ve bakım süreçlerinde kararlara dâhil edilmekte ve oluşturulan bu ortak kararalma ortamı ile hasta memnuniyetinin de artırılacağı, tedavi ve bakım süreçlerinde ortayaçıkan gereksiz tanı ve testlerin ortadan kaldırılarak maliyetlerin düşürüleceği ve toplumdasağlık okuryazarlığının artarak sağlığın gelişimine katkı sağlanacağı öngörülmektedir.Literatür incelendiğinde klinik uygulamalar ve hastalık türleri gibi spesifik özelliklere göreve özellikle hasta tedavi ve bakım süreçlerinde çalışan sağlık profesyonelleri üzerinde nicelaraştırma yöntemleri kullanılarak hasta merkezli bakım araştırmaları yapılmıştır. Söz konusuaraştırmalar da konu ile ilgili öngörüleri destekler niteliktedir. Türkçe alan yazında ise hastamerkezli bakım konusunda sınırlı sayıda çalışma yer almakta olup, bu çalışmalar daha ziyadebirinci basamak sağlık hizmetlerinde hekim ve hasta ilişkisi üzerinde odaklanmaktadır. Buaraştırmada hasta merkezlilik ve hasta merkezli bakım kavramlarına, modellerine, hastamerkezli bakımın önündeki engeller ile olumlu ve olumsuz yönlerine yer verilmektedir. Buçalışma ile hasta merkezlilik ve hasta merkezli bakım yaklaşımları için kavramsal bir çalışmaile alan yazına katkı sunulması amaçlanmaktadır.
Anahtar Kelimeler:

Hasta merkezlilik, Hasta merkezli bakım, Sağlıkta kalite

Patient Centeredness and Patient-Centered Care

In the 20th century, the shift from physician and disease-centered approaches topatient-centered approach began. It is accepted that the quality of health will increase with theadoption of patient-centered approach and this approach will contribute to the development ofhealth. In this way, patients are included in the decisions in the treatment and care processes.It is foreseen that patient satisfaction will be increased with this common decision-makingenvironment, the unnecessary diagnoses and tests in the treatment and care processes will beeliminated, costs will be reduced and health literacy in society will contribute to the developmentof health. When the literature was examined, patient-centered care researches were conductedby using quantitative research methods according to specific characteristics such as clinicalapplications and disease types and especially health professionals working in patient treatmentand care processes. These studies support the projections on the subject. In the Turkish literature,there are a limited number of studies on patient-centered care and these studies focus on therelationship between physician and patient in primary health care. In this research, patientcenteredand patient-centered care concepts, models, barriers to patient-centered care and theirpositive and negative aspects are included. This study aims to contribute to the field literaturewith a conceptual study for patient-centered and patient-centered care approaches.
Keywords:

Patient centeredness, Patient centred care, Health quality,

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İnsan ve İnsan-Cover
  • Yayın Aralığı: Yılda 2 Sayı
  • Başlangıç: 2014
  • Yayıncı: Okur Yazar Derneği
Arşiv
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