Özet:

Aim: In this study, it was aimed to evaluate the primary health care services in Şanlıurfa in a multidimensional way and to determine the factors associated with primary health care services. Method: The research was of cross-sectional type. The research sample was selected using the 30 cluster sampling method. A total of 300 people, 10 individuals in each cluster, were included in the study. Research data were collected using a structured socio-demographic status questionnaire and the Adult Primary Care Assessment Tool Extended Version. Results: The highest mean scores in sub and derived domains were seen in the extent of affiliation with a doctor, culturally competent, coordination (ınformation systems) and ongoing care were found 3.43±1.00, 2.89±0.74, 2.77±0.84 and 2.50±0.51, respectively. Only the mean score for the extent of affiliation with a doctor was above 3 points. First contact dimension was affected negatively by being a seasonal agricultural worker 1.9 times and having an individual without chronic diseases at home 2.7 times. Ongoing care dimension was adversely affected 1.8 times for women and 2.0 times for those who speak Turkish / Kurdish at home. Comprehensiveness dimension was negatively affected 2.8 times for women, 3.5 times for the presence of disabled individuals at home, and 7.0 times for individuals in the middle/lower social class. Coordination dimension was negatively affected 3.3 times more for those without health insurance and 2.4 times more for those with less than primary education level. Conclusion: This situation indicates that more efforts are needed to improve primary health care services.

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