Differences between rural and urban primary care units in Turkey: Implications on residents′ training

Context: Family practice training takes place at primary care based training centers linked to Education and Research State Hospitals in Turkey. There is a discussion if these units are adequate to train primary care staff and if the patients of these units reflect the applicants of primary care. Ai...

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Main Authors: Hulya Yikilkan, Suleyman Gorpelioglu, Cenk Aypak, Zekai Uysal, Osman O Ariman
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=1;spage=15;epage=19;aulast=Yikilkan
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author Hulya Yikilkan
Suleyman Gorpelioglu
Cenk Aypak
Zekai Uysal
Osman O Ariman
author_facet Hulya Yikilkan
Suleyman Gorpelioglu
Cenk Aypak
Zekai Uysal
Osman O Ariman
author_sort Hulya Yikilkan
collection DOAJ
description Context: Family practice training takes place at primary care based training centers linked to Education and Research State Hospitals in Turkey. There is a discussion if these units are adequate to train primary care staff and if the patients of these units reflect the applicants of primary care. Aims: The aim of our study is to investigate the demographic characteristics, the effect of distance on primary care utilization, and most common diagnosis of the patients who applied to two different outpatient clinics: One urban and one rural. Settings and Design: Study was conducted from the electronic health records of the patients applied to outpatient clinics of Ankara Diskapi Yildirim Beyazit Training and Research Hospital Department of Family Medicine between 1 January and 31 December 2009. Results: Total number of patients applied to both of the outpatient clinics was 34,632 [urban clinic: 16.506 (47.7%), rural clinic: 18.126 (52.3%)]. Leading three diagnoses were upper respiratory tract infection (URTI), general medical examination (GME), and hypertension (HT) in the most common 10 diagnosis. Conclusion: In our study, the rural outpatient clinic is regarded as a primary care unit in the neighborhood of living area and the urban clinic as close to working environment. We found statistically meaningful differences in most common diagnosis, gender, age, and consultation time between the rural and urban clinics. According to our results, family practitioners′ field training should take place at different primary care units according to sociodemographic characteristics of each country.
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spelling doaj.art-09a3e136a2ca442a95a6e7353e0305f92022-12-22T02:56:42ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632013-01-0121151910.4103/2249-4863.109935Differences between rural and urban primary care units in Turkey: Implications on residents′ trainingHulya YikilkanSuleyman GorpeliogluCenk AypakZekai UysalOsman O ArimanContext: Family practice training takes place at primary care based training centers linked to Education and Research State Hospitals in Turkey. There is a discussion if these units are adequate to train primary care staff and if the patients of these units reflect the applicants of primary care. Aims: The aim of our study is to investigate the demographic characteristics, the effect of distance on primary care utilization, and most common diagnosis of the patients who applied to two different outpatient clinics: One urban and one rural. Settings and Design: Study was conducted from the electronic health records of the patients applied to outpatient clinics of Ankara Diskapi Yildirim Beyazit Training and Research Hospital Department of Family Medicine between 1 January and 31 December 2009. Results: Total number of patients applied to both of the outpatient clinics was 34,632 [urban clinic: 16.506 (47.7%), rural clinic: 18.126 (52.3%)]. Leading three diagnoses were upper respiratory tract infection (URTI), general medical examination (GME), and hypertension (HT) in the most common 10 diagnosis. Conclusion: In our study, the rural outpatient clinic is regarded as a primary care unit in the neighborhood of living area and the urban clinic as close to working environment. We found statistically meaningful differences in most common diagnosis, gender, age, and consultation time between the rural and urban clinics. According to our results, family practitioners′ field training should take place at different primary care units according to sociodemographic characteristics of each country.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=1;spage=15;epage=19;aulast=YikilkanFamily medicineprimary care settingresidentsruralurban
spellingShingle Hulya Yikilkan
Suleyman Gorpelioglu
Cenk Aypak
Zekai Uysal
Osman O Ariman
Differences between rural and urban primary care units in Turkey: Implications on residents′ training
Journal of Family Medicine and Primary Care
Family medicine
primary care setting
residents
rural
urban
title Differences between rural and urban primary care units in Turkey: Implications on residents′ training
title_full Differences between rural and urban primary care units in Turkey: Implications on residents′ training
title_fullStr Differences between rural and urban primary care units in Turkey: Implications on residents′ training
title_full_unstemmed Differences between rural and urban primary care units in Turkey: Implications on residents′ training
title_short Differences between rural and urban primary care units in Turkey: Implications on residents′ training
title_sort differences between rural and urban primary care units in turkey implications on residents training
topic Family medicine
primary care setting
residents
rural
urban
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=1;spage=15;epage=19;aulast=Yikilkan
work_keys_str_mv AT hulyayikilkan differencesbetweenruralandurbanprimarycareunitsinturkeyimplicationsonresidentstraining
AT suleymangorpelioglu differencesbetweenruralandurbanprimarycareunitsinturkeyimplicationsonresidentstraining
AT cenkaypak differencesbetweenruralandurbanprimarycareunitsinturkeyimplicationsonresidentstraining
AT zekaiuysal differencesbetweenruralandurbanprimarycareunitsinturkeyimplicationsonresidentstraining
AT osmanoariman differencesbetweenruralandurbanprimarycareunitsinturkeyimplicationsonresidentstraining