Özet:

This study has been designed to introduce an Occupational Health Center which have been giving support to Primary Health Services. And also, it was designed to find out the effect of the ideal doctor-patient relationship to the number of the patients who have been sent to hospitals (Secondary Health Units). This research has been designed as a descriptive study. Data were collected from Ali of the patients who had come to the policlinics of İzmir Security Department Health Center in 1993, 1994 and 1995. In these years, the re have been no change in the technical and physical conditions of this health center. In 1994 and 1995, health services were given by means of an ideal doctor-patient relationship which had been designed by the help of a specific protocol. In 1993, routine health services were given without an ideal doctorpatient relationship. Statistical analyses of this study were made by using "T test". Health services provided by the occupational health units should be at the comtemporary level. Even alone, application of ideal doctor-patient relationship at these units, will reduce the number of patients who are sent to secondary health units (hospitals). This faet has been proved by means of this study which has been designed and performed at Health Center of İzmir Security Department. In 1994 and 1995 the re have been statistically significant reductions in the number of patients who have been sent to hospitals when compared to 1993. In 1994, the reduction was 5.5 percent (965.5) when compared with 1993 (t = 15,27) (p < 0,01). In 1995, the reduction was 5.0 percent (% 5.0 ) when compared with 1993 (t = 15,15) (p < 0,01).

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