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Amaç: Çalışmamızda, kronik hastalığı bulunan bireylerin sağlık harcamalarının, kronik hastalık bakım memnuniyetine etkisinin değerlendirilmesi amaçlanmıştır. Yöntem: Kesitsel tanımlayıcı tasarıma sahip bu çalışma, Haziran 2017–Ekim 2017 ayları arasında, Hatay’da (Antakya) dört aile sağlığı merkezinde yürütülmüştür. Belirlenen aile sağlığı merkezlerine başvuran 18 yaş ve üzeri, en az bir yıldır kronik hastalığı bulunan bireyler dahil edilmiştir. Kronik hastalığa sahip bireylerin sosyodemografik özelliklerini, hastalıklarının özelliklerini, aldıkları sağlık hizmetlerini, yaptığı sağlık harcamalarını etkileyen faktörleri kapsayan bir anket uygulanmıştır. Ayrıca hastalara, aldıkları bakımı kendilerinin değerlendirmesine olanak veren Kronik Hastalık Bakımını Değerlendirme Ölçeği-Hasta formu (Modifiye PACIC) çalışma yürütücüsü tarafından uygulanmıştır. Bulgular: Anketi değerlendirmeye alınan 47,11 ± 15,20 yaş ortalamasına sahip 790 katılımcının 400 (%50,6)’ü kadın, 390 (%49,4)’si erkek hastaydı. Katılımcılarımızın, Modifiye PACIC puan ortalaması toplam ölçek için 3,29 ± 0,7 olarak hesaplanmıştır. Hastaların gelir düzeyi arttıkça, sağlık hizmet alımının etkilendiği görülmüştür(Cramer’s V=0,263 p=0,001). Aterosklerotik kalp hastalığı olanlarda, kronik hastalık memnuniyet puan ortalaması 3,0±0,6 ile diğer hastalıklara göre daha düşük bulunmuştur (p=0,005). Hastaların gelir düzeyi kategorilerine göre kronik hastalık bakım memnuniyet puanları arasında fark görülmemiştir (p=0,853).Sonuç: Cepten yapılan sağlık harcamalarının, hizmet alımını etkilemediğini belirten hastaların Modifiye PACIC alt ölçek skorları genel olarak daha yüksek bulunmuştur. Ayrıca hastaların gelir düzeyinin kronik hastalık bakımlarını etkilediği sonucuna ulaşılmıştır.
Purpose: Our study aims to assess the impact of the health expenses of individuals with chronic illness on the satisfaction of chronic illness care. Method: This study, with a cutting-edge design, was carried out between June 2017 and October 2017 in four family health centers in Hatay (Antakya). Individuals aged 18 years and older who have had chronic illness for a few years have been included in the specified family health centers. A survey of individuals with chronic illness has been carried out covering the socio-demographic characteristics, the characteristics of their illnesses, the health care they receive, and the factors affecting their health expenditure. It has also been applied to patients by the study executive of the Scale-Patient Form of Chronic Disease Care (Modified PACIC) which allows them to evaluate their care they receive. Results: of the 790 participants with an average of 47.11 ± 15.20 years of age, 400 (50.6%) were women and 390 (49.4) were male patients. Our participants, Modified PACIC score average is calculated as 3.29 ± 0.7 for the total scale. As the patient’s income rate increases, health care procurement has been affected (Cramer’s V = 0,263; p = 0,001). In people with aterosclerotic heart disease, the average satisfaction score of chronic disease was 3,0 ± 0,6 lower than in other diseases (p=0,005). There is no difference between the patient’s income level categories in terms of chronic disease care satisfaction points (p=0,853).Result: The patient’s health expenditure from the wallet indicates that it does not affect the purchase of services has been found higher in general by the Modified PACIC low scale score. It has also been concluded that the patient's income level affects chronic disease care.
Aim: To evaluate the effect of healthcare expenditure of the patients who have chronic disease on chronic disease care satisfaction. Method: This cross sectional design study was conducted at four primary care clinics in Antakya, the central city of Hatay. The adult patients with a chronic disease at least for one year who visit the primary care centers from June to October 2017 were included in the study. A questionnaire including questions about the chronic disease, the healthcare they receive, and the factors that effect their healthcare expenditure were applied to the subjects. Also the subjects filled a chronic disease care evaluation scale- patient form (modified PACIC) to evaluate the healthcare they receive. P value<0,05 is considered as significant. Results: Of the 790 patients 400 (50,6%) were female, while 390 (49,4%) were male. The average age of the participants was 47,1 ±15,2. Average Modified PACIC score was calculated as 3,29 ±0,7. It was observed that healthcare intake was affected as the income level of the patients increased (Cramer’s V = 0,263; p = 0,001). In patients with atherosclerotic heart disease, the chronic disease satisfaction score was found to be lower with 3.0 ± 0.6 compared to other diseases (p = 0.005). There was no difference between the chronic disease care satisfaction scores according to the income level categories of the patients (p = 0.853). Conclusion: Modified PACIC subscale scores of the patients who stated that their out-of-pocket health spending did not affect their service purchases were generally higher. In addition, it was concluded that the income level of the patients affected chronic disease care.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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