Background: One of the most important steps of the health transformation program involves the application of electronic prescriptions (e-prescriptions) in health services. Information technologies are highly important in generating e-prescriptions, which can be described as a document produced by authorized personnel electronically, containing written information and instructions regarding a patient’s medication and its usage. E-prescribing has become increasingly applied in recent years as a contributing application to prescribers and patients. The aim of this study was to determine the level of satisfaction of family physicians providing primary care in Turkey regarding the application of e-prescriptions, and reveal the related positive effects and problems encountered in the first months of implementation of e-prescribing. Methods: A questionnaire with eight questions was sent to e-mails of all family physicians working in Turkey in May 2013. A total of 1564 family physicians filled in the questionnaire form and sent it back by e-mail. The responses to openended questions were evaluated by content analysis. Results: It was observed that the most frequently indicated advantages of the application of e-prescriptions were speeding up the prescription process and saving time (36.6%). The most commonly reported problems regarding the application of e-prescriptions were found to be system-induced problems (26.5%) and internet problems (19.9%). In addition, the mean score of satisfaction of the family physicians who did not report problems with the application of e-prescriptions was higher than that of those who reported having problems with it. In the study, 77.8% of the family physicians were satisfied with the application of e-prescriptions. Conclusion: Although some problems were reported regarding the application of e-prescriptions in the first months of the application, family physicians participated in the study were found to be satisfied with the application of e-prescriptions, and identified positive effects on their work and processes.
Tarihte pek çok salgın yaşandığı ve bu salgınların önemli etkilerinin olduğu bilinmektedir. Jüstinyen Vebası, Kara Ölüm, Kolera, Çiçek hastalığı, İspanyol gribi, Hong Kong gribi, HIV/AIDS, şiddetli akut so-lunum sendromu [severe acute respiratory syndrome (SARS)], Domuz gribi ve Ebola önemli etkileri olan salgınlar arasında gösterilmektedir. 1 Son olarak Aralık 2019 tarihinde, Çin'in Hubei eyaletine bağlı
The aim of this study was to determine the level of job satisfaction and some related factors for family physicians in Turkey. Materials and Methods: The study was conducted with all the family physicians who participated in the trainings for family physicians in Ankara between March 2015 and March 2016. Face-to-face interviews and a questionnaire form with the physicians who took part in 15 organized trainings were fulfilled. In the study, questions were prepared by the researchers in accordance with the relevant literature review and the short form of the Minnesota Job Satisfaction Questionnaire containing 20 expressions were used. Results: When comparing average scores of general job satisfaction, internal job satisfaction, and external job satisfaction regarding the working regions of the family physicians, a statistically significant difference was found among the scores of interregional external job satisfaction. While the average score of general job satisfaction showed no statistically significant difference in terms of age, gender, marital status, child ownership and smoking status; a statistically significant difference was found between the mean scores of the general job satisfaction regarding the periods in which the physicians performed family medicine. While 622 (79.53%) of the family physicians who participated in the study had moderate job satisfaction, the proportion of family physicians having high job satisfaction was only 20.20%. Conclusion: In this study, family physicians' general job satisfaction scores were determined to be moderate. Factors responsible for this situation should be identified and developed. Factors could be either internal or external. The steps that would be taken to identify and develop these factors would increase both the efficiency of the family physicians and their level of satisfaction in primary health care services.
ÖZETSözleşmeli Aile Hekimliği Uzmanlık Eğitimi, Sağlık Bakanlığı tarafından aile hekimliği hizmetlerinin aile hekimliği uzmanlarınca verilmesini sağlamak ve bu kapsamda uzman sayısını artırmak amacıyla, sözleşmeli olarak aile hekimliği yapan hekimlere yönelik 2014 yılı itibarı ile başlatılmıştır. 2014 yılı ilkbahar dönemi yerleştirmesi ile başlayan ve 2020 yılına kadar devam etmesi planlanan eğitimde, birtakım temel sorunlar ile karşılaşılmıştır. Bu sorunların başında, aile hekimlerince eğitime olan talebin düşüklüğü ve eğitimin yaygınlaştırılamaması gelmektedir. Eğitime yönelik bu temel sorunların ve karşılaşılan diğer problemlerin çözümünde Sağlık Bakanlığı ve Türkiye Halk Sağlığı Kurumunun attığı adımların yanı sıra aile hekimliği anabilim dallarının katkıları da belirleyici olacaktır.Anahtar kelimeler: Aile hekimliği, uzmanlık eğitimi, birinci basamak sağlık hizmetleri, aile hekimi ABSTRACT Training of Contracted Family Physicians was initiated in 2014 by the Ministry of Health intended for family doctors inorder to ensure that the family medicine services are provided by the family medicine specialists and to increase the number of experts in this scope. During the training which started with job placement in the spring of 2014 and was planned to continue until 2020, some basic problems were encountered. The most common problems are the low demand for education by family physicians, and the inability to disseminate education. In addition to the steps taken by the Ministry of Health and Public Health Institution of Turkey in solving these basic education problems and other problems, the contribution of family medicine education branches will also be decisive.
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