Vahit GUL, Sabahattin DESTEK, Şahin KAYMAK

Hizmet Hastanesi Mi ? İleri Uç Cerrahi Hastanesi Mi ? : Bir Aylık Geçici Görevlendirme Deneyimi

AAbstractObjective: As a general surgeon who was assigned for a temporary period of time, we aimed to carry out the scientific analysis of the patients who were admitted and underwent surgery and received medical observation service during our one-month temporary service in the General Surgery Clinic of Hakkari State Hospital. Materials and methods: General surgery admissions evaluated by the emergency department and general surgery clinic in Hakkari State Hospital between 31 December 2017 - 31 January 2018 were retrospectively evaluated. Results: Of the 521 patients admitted to the general surgery outpatient clinic directly as an outpatient or through the consultation request by the emergency department, 63.15% were the patients requiring emergency surgery and 44.73% were diagnosed with surgical acute abdomen. Two patients (5.26%) with an indication for surgery did not accept surgical treatment. On a patient presented with firearm injury, damage control surgery was performed for liver and colon injury. One patient who had intra-vehicle traffic accident was monitored in our hospital until transferred to an advanced center for observation and medical treatment due to grade I hepatic injury. Conclusion: We are of the opinion that the presented data analysis of the simultaneous provision of surgical services to both catastrophic firearm injury cases and elective - emergency surgery cases for citizens during this mission, which involved the organization of advanced end surgical hospital, as well as the hospital providing healthcare services, will be a sample pilot study and will shed light in terms of the problems that inexperienced personnel to be assigned for such a mission may face with before the assignment and in terms of the case profile and being prepared for these.

Anahtar Kelimeler:

gezici cerrahi, hastane cerrahi bölümü, kırsal hastaneler

A Service Hospital? Advanced End Surgery Hospital? : One Month Temporary Assignment Experience.

Keywords:

mobile surgery, hospital surgery departman, Rural Hospitals,

PDF

___

1. Ergüder T, Esin S, Kutlu L, Kanyılmaz D. Birinci Basamak Sağlık Hizmet Sunumunda Aile Hekimliği Genel Pratisyenlik. Amme İdaresi Dergisi 2000; 33(4): 103-111.
2. Tekin F. Türkiye’de Sağlık Hizmetleri Ve Finansmanı Sorunu. Türkiye Maliye Eğitimi Sempozyumu, Gebze 1987, 56-85 3. Adrese Dayalı Nüfus Kayıt Sistemi Sonuçları, 2017. (2017,Aralık)
4. Altay B, Gönener D, Demirkıran C. Bir üniversite hastanesinde çalışan hemşirelerin tükenmişlik düzeyleri ve aile desteğinin etkisi. Fırat Tıp Dergisi 2010; 15: 10-16 .
5. Terzi C, Okman U, Eryılmaz M. Türkiye’de Genel Cerrahi İnsan Gücü İş gücü-İş Yükü Raporu. Türk Cerrahi Derneği Yayınları-Ağustos 2009
6. Işık A. Cerrahi Ekibin Vazgeçilmezi Cerrahi El Aletleri: Bilinmesi Gerekenler. Sağlık Bilimleri ve Meslekleri Dergisi 2014; 2: 91-99.
7. Cirhinlioğlu, Z. Sağlık sosyolojisi. Ankara: Nobel Yayınları ; 2001 . 8. Sarı Ö, Atılgan K. G. Sağlık sosyolojisi: Hastalık ve Sağlığa ilişkin Kavramsal Tartışmalar. Konya: Karatay Akademi Yayınları; 2000.
9. Morrell DC, Evans ME, Morris RW, Roland MO. The five minute consultation: effect of time constraint on clinical content and patient satisfaction. Br. Med. J.Clin.1986; 292(3): 870–873.
10. Roland MO, Bartholomew J, Courtenay MJ, Morris RW, Morrell DC. The five minute consultation:effect of time constraint onverbal communication. Br. Med. J.Clin.1986; 292(3):874–876.
11. Landau D, Bachner YG, Elishkewitz K, Goldstein L, Barneboim E. Patients views on optimal visit length in primary care. J. Med. Pract. Manage, 2007; 23: 12–15.
12. Wilson A, McDonald P, Hayes L, Cooney J. Health promotion in the general practice consultation: a minute makes a difference. BMJ 1992; 304(1): 227–230.
13.‘Her Branşta Ilk 100 Hastane’ 2017 Yili Ocak-Ekim Dönemi Poliklinik, Yatiş, Yoğun Bakim Ve Acil Servis Istatistikleri.Ankara TC Sağlık Bakanlığı Kamu Hastaneleri Genel Müdürlüğü;Aralık 2017
14. Pekdemir M, Cete Y, Eray O, Atilla R, Cevik AA,Topuzoglu A. Determination of the epidemiological characteristics of the trauma patients. Ulusal Travma Dergisi 2000; 64: 250-254.
15. Gül M. Epidemiological analysis of trauma cases applying to emergency department, Selçuk Üniversitesi Tıp Fakültesi Dergisi 2003;119:33-36
16. Püsküllüoğlu S ,Açıkalın A ,Ay MO ,Kozacı N Avcı A ,Gülen M , İçme F , Satar S. Analysis of Adult Trauma Patients Admitted to Emergency Department. Cukurova Medical Journal 2015;40(3):569-579.