Referral System in Health Care

Bulut, Sinan; Uğurluoğlu, Özgür

doi:10.5336/healthsci.2018-64475

Cited by 3 publications

(3 citation statements)

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“…Especially since Health Transformation Programme in 2003–2012, some legislations have been carried out in order to implement the referral system in Türkiye. However, due to the health system and social factors, they are not implemented [ 49 ]. Considering both the high correlation coefficient and status of the referral system in Türkiye, it is convenient to use the bivariate probit model to estimate behavior of avoidances.…”

Section: Resultsmentioning

confidence: 99%

Receiving or not deemed necessary healthcare services

2023

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Background Avoiding deemed necessary healthcare needs may worsen prognosis and treatment options, and damage people’s ability to perform their roles in society. Our study investigates why people avoid healthcare services in an upper-middle-income country, Türkiye. Methods We apply TurkStat’s 2012 Health Survey Data that includes a comprehensive health and social-demographic information of 28,055 survey participants who were 15 + aged. We use bivariate probit model to analyze the avoidance behavior in inpatient level in accordance with outpatient level because of the observed significant correlation between people’s avoidance behavior under tertiary and lower level health care. Results The findings show that 2.6% of 15 + aged population avoided deemed necessary hospital services. Furthermore, we found that high cost (31%), organizational factors (21%) and fear (12%) are prominent reasons of avoiding tertiary care. Thereafter, in our bivariate probit model findings, we figure out that being covered by social security schemes decreases the probability of avoiding both outpatient and inpatient health services by 6.9%. Moreover, being female, living in rural area, having lower income increase the chance of being avoider in both stages of healthcare. Conclusion We conclude that social inequalities are the main underlying determinants of the avoiding behavior.

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Section: Resultsmentioning

confidence: 99%

Receiving or not deemed necessary healthcare services

2023

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“…Especially since Health Transformation Programme in 2003-2012, in order to implement the referral system in Turkey some legislations have been carried out. However, due to the health system and social factors, they were not implemented [40]. Considering both the high correlation coe cient and status of the referral system in Turkey, it is convenient to use the bivariate probit model to estimate behavior of avoidances.…”

Section: Cross Distribution Of Avoiding Behaviour Under Outpatient An...mentioning

confidence: 99%

Receiving or not Deemed Necessary Healthcare Services

Sülkü

Tokatlioglu

Coşar

2022

Preprint

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Background Avoiding deemed necessary healthcare needs may worsen prognosis and treatment options, and damage people’s ability to perform their roles in society. Our study investigates why people avoid healthcare services in an upper-middle-income country, Turkey. Methods We apply TurkStat’s 2012 Health Survey Data that includes a comprehensive health and social-demographic information of 28,055 survey participants who were 15 + aged. We prefer to use bivariate probit model to analyze the avoiding behaviour in inpatient level in accordance with outpatient level because of the observed significant correlation between people’s avoiding behaviour under tertiary and lower level of health care. Results According to our descriptive analysis, we see that 2.6% of 15 + aged population were avoiding deemed necessary hospital services. Furthermore, it is found that high cost (31%), organizational factors (21%) and fear (12%) are prominent reasons of avoiding tertiary care. Thereafter, in our bivariate probit model findings, we figure out that being covered by social security schemes decreases the probability of avoiding both outpatient and inpatient health services by 6.9%. Moreover, being female, living in rural area, having lower income increase the chance of being avoider in both stages of healthcare. Conclusions We conclude that social inequalities were main underlying determinants of the avoiding behavior. As health and effective provision of health care are vital for the smooth functioning of society, we suggest that improve health care protection of people from disadvantaged social groups and develop better organizational factors to prevent difficulty of having treatment at policlinics.

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“…Ancak Türkiye'de sevk zincirinin uygulanmaması nedeniyle hastalar dilediği basamaktaki sağlık kuruluşuna başvurmaktadır. (Bulut 2020;Bulut and Uğurluoğlu 2018;Eke and Ünal 2019;Güven and Aycan 2018;Oztek 2006).…”

Section: Introductionunclassified

Türkiye’de kişilerin sosyodemografik özellikleri ile sağlık hizmeti sunucusu tercihleri arasındaki ilişki

İncedere

2023

JLECON

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Türkiye’de sağlık hizmetlerine ihtiyaç duyulduğunda ilk başvurulan sağlık kuruluşlarının sosyodemografik ve ekonomik değişkenlerle nasıl şekillendiğini ve ilişkisini tanımlayıcı bulgularla ortaya koymayı amaçlayan bu çalışmada TÜİK’in 2019 yılına ait Yaşam memnuniyeti anketi verileri kullanılmıştır. Çalışmada, kişilerin tercih ettiği sağlık kuruluşlarının özel/kamu ve basamaklı sisteme göre sosyodemografik veriler ile ilişkisi analiz edilmiştir. Kişiler sağlık hizmetlerine ihtiyaç duyulduğunda ilk başvurulan sağlık kuruluşlarının sosyodemografik ve ekonomik değişkenlerle ilişkili olduğu ortaya konulmuştur.

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Referral System in Health Care

Cited by 3 publications

References 0 publications

Receiving or not deemed necessary healthcare services

Receiving or not deemed necessary healthcare services

Receiving or not Deemed Necessary Healthcare Services

Türkiye’de kişilerin sosyodemografik özellikleri ile sağlık hizmeti sunucusu tercihleri arasındaki ilişki

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