Özet:

Access to the level of well-being in social life is a well-known fact that it is closely related to the continuous improvement of the general health conditions of the individuals who make the society. For a healthier society, it is aimed at ensuring equality in health, giving life meaning and health, and prolonging life. These objectives can be achieved, byining the health conditions of individuals, and can be provided by the health services gathered under the name of the first step. Our country’s health system is based on the stage system in the supply of health services; the organization is in the form of the first, second and third stages. The primary function of first-level health institutions within a classified health system should be to provide protective health care for everyone. In primary protection, the individual is trying to prevent the infection of diseases. Secondary protection services are applied if primary protection services remain ineffective. However, many of the problems that can be solved in the first stage are transferred to the second stage, and the problems that can be solved in the second stage are also transferred to the third stage health institutions. This situation leads to unnecessary accumulations in institutions, affects the efficiency of employees and reduces the quality of service and patient satisfaction. Unfortunately, the steep system implemented to prevent the formation of this situation is not enough to serve its purpose. Although it is known that the effective use of first-stage health services is an important place holding, the studies conducted highlight that family doctor's core qualifications do not meet the patient's expectations. It is also important to ensure the participation and follow-up of scans implemented by the first stage and free of charge. Taking into the services carried out within the framework of family medicine in chronic diseases that can be managed in the first stage is considered important both in terms of public health and cost. The more active use of family medicine and especially first-level services will both improve the quality of healthcare and create the basis for the formation of a healthy and prosperous community. In this regard, the responsibilities and responsibilities of family doctors and public health nurses are also important for policy makers.

Anahtar Kelimeler: