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Aile hekimliği çekirdek yeterlilikleri hastaların beklentileri ile uyuşmakta mıdır?

Do the core competencies of family medicine relevant to patients' expectations?

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Abstract (2. Language): 
Objective: The aim of the study is to determine patients' expectations from primary health care services and their family doctors; and the congruency of these expectations with the core compe¬tencies of family physicians. Methods: A qualitative research is designed in grounded theory model. Typical case sampling is used for selecting participants. Data is collected by focus groups. NVivo 8 software is used for content analysis based on grounded theory method. Results: Good doctor patient relationship, comprehensive and continuous care, easy access to the physician regardless from the symptom or disease, empathy and guidance for medical decisions are the basic expectations of patients from their family physicians. They also expect their physicians to have relevant and sufficient medical knowledge and to provide them whenever it is necessary. Conclusions: The expectations of participants were matching up with the core competencies of family medicine.
Abstract (Original Language): 
Amaç: Bu niteliksel çalışmada birinci basamak sağlık hizmetleri konusunda hasta beklentilerinin ne olduğu, bu beklentilerin, aile hekiminin özellikleri ve tanımlanmış temel yeterlilikleri ile ne kadar örtüştüğünün araştırılması amaçlanmıştır. Yöntem: Nitel araştırma olarak planlanan bu araştırmada, teori geliştirme modeli kullanılmıştır. Örneklem seçimi tipik olgu örnekleme yöntemiyle yapılmıştır. Veriler odak grup görüşmeleri ile toplanmış, içerik analizinde teori geliştirme metodu kullanılmış, NVivo 8 paket programından yararlanılmıştır. Bulgular: iyi bir hasta hekim iletişimi, kapsamlı ve sürekli bakım, yakınma ve hastalık ayırımı yapmaksızın kolayca ulaşabilecekleri bir he¬kim, kendileri ile empati yapılması ve tıbbi kararlarda kendilerine reh¬berlik edilmesi hastaların birinci basamakta çalışan aile hekimlerinden temel beklentilerini oluşturmaktadır. Aile hekimlerinin tıbbi bil¬gilerinin bu taleplerine yanıt verecek düzeyde olmasını, gerekli du¬rumlarda bakımı kendileri adına koordine etmesini istemektedirler. Sonuç: Araştırmaya katılanların aile hekimlerinden beklentileri tanımlanmış aile hekimliği çekirdek yeterlilikleri ile örtüşmektedir.
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