Abstract:

Objectives: This study aimed at assessing the differences between the characteristics of patients who apply to hospital policlinics and educational family medicine center (EFMC) to improve the standards of education in residence. Materials and Methods: Patients' records who apply to an education and research hospital and EFMC between 02.08.2016-02.02.2017 are assessed retrospectively. Patients' ages, genders, and diagnoses were examined. Statistical analysis was performed. P <0.05 was accepted as significant. Results: 31,358 patients were involved, 15,275 of them applied to the hospital, 16,083 to EFMC. The percentage of the female patients was 51.20% for hospital and 63.30% for EFMC. The average age of the patients was 42±19.79 in hospital and 34±15.56 in EFMC. Attendance to EFMC among female patients was significantly higher (p<0.001). Distribution of the ages were as follows; 0-14 age group (31.40%), 15-64 age group (54.30%) and >65 years group (1.30%) in EFMC and 0-14 age group (0.70%), 15-64 age group (83.40%) and >65 year group(15.90%)in the hospital. Distribution of the attendance to hospital policlinics and EFMC were meaningful between age groups. Diagnoses of acute upper respiratory tract infections (25.90%), myalgia (10.10%) and routine child examination (9.10%) were significantly higher than hospital diagnoses (p<0.001). Diagnoses of endocrine disorders (19.40%), general adult medical examination (15%) and pre-employment examination (6%) were substantially higher in the hospital than in EFMC (p<0.001). Hypertension diagnoses were similar for both groups (p=0.810). Conclusion: There are major differences between the applications of the hospital and EFMC in terms of age, gender, and diagnosis. Both policlinics seem indispensable for family physician residence. Key words: family physician, residence, hospital, education

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