Investigation of the Manageability of The Reasons for Admission of Patients Who Applied to the Orthopedics and Traumatology Outpatient Clinic in Primary Health Care Services

Siraceddin Delice; Muhammet Raşit Aydın; Abdülkadir Aydın; Cengiz Han Kantar

Article Details

Investigation of the Manageability of The Reasons for Admission of Patients Who Applied to the Orthopedics and Traumatology Outpatient Clinic in Primary Health Care Services

Authors:

Siraceddin Delice | Muhammet Raşit Aydın | Abdülkadir Aydın | Cengiz Han Kantar

Publisher:

Sakarya University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Sakarya Tıp Dergisi Vol.13 Issue 4, pp.549-556

Document Type:

Article

Publication Date:

12/2023

Document Language:

Turkish

Document ID (Org No.):

2001305556

pISSN:

2146-409X

Keywords:

Abstract:

 Introduction and Aim: Some of the health problems faced by family physicians are diseases related to orthopedics and traumatology. It was aimed to determine the manageability of patients admitted to the orthopedics and traumatology outpatient clinic of a public hospital in primary care. Materials and Methods: A total of 473 patients who applied to the orthopedics and traumatology outpatient clinic of a secondary level state hospital between October 2022 and February 2023 were included in the study. The sociodemographic and clinical characteristics of the participants, their complaints, whether they consulted a family doctor for these complaints, and their use of family medicine were questioned. A 28-question survey created by the researchers as a data collection tool was applied using face-to-face interview technique. After the examination, the procedures applied to the patients and their manageability in primary care were evaluated. Results: The average age of the participants was 45.118.8 years, 55 were women and 45 were men. The most common complaints were knee pain 26.8, lower back pain 8, foot and ankle pain 7.9, and hand and arm trauma 6.3. 66.6 of the patients stated that they did not consult their family physician for their orthopedic complaints, 55.7 of the patients who applied to their family physician applied to the orthopedic clinic with the guidance of their family physician, and 46.5 stated that they did not consult their family physician when they had any complaints. When those who did not consult a family doctor were asked about their reasons for not applying; It was learned that 33.3 did not go to the family physician because there was no imaging method in family health centers and 31.4 wanted to be examined by a branch specialist physician. It was determined that 17.3 of the patients who applied to the orthopedics outpatient clinic could be diagnosed and managed in primary care, while 51.4 could not be managed because imaging could not be performed. The average age of patients who consulted their family physician before admission to the hospital was significantly higher than those who applied to the hospital p0.05. Conclusion: By implementing a compulsory referral system, increasing the equipment of family health centers and raising public awareness, the effectiveness of family medicine can be increased and thus the patient density in secondary and tertiary health institutions can be reduced.

 Introduction and Aim: Some of the health problems faced by family physicians are diseases related to orthopedics and traumatology. It was aimed to determine the manageability of patients admitted to the orthopedics and traumatology outpatient clinic of a public hospital in primary care. Materials and Methods: A total of 473 patients who applied to the orthopedics and traumatology outpatient clinic of a secondary level state hospital between October 2022 and February 2023 were included in the study. The sociodemographic and clinical characteristics of the participants, their complaints, whether they consulted a family doctor for these complaints, and their use of family medicine were questioned. A 28-question survey created by the researchers as a data collection tool was applied using face-to-face interview technique. After the examination, the procedures applied to the patients and their manageability in primary care were evaluated. Results: The average age of the participants was 45.118.8 years, 55 were women and 45 were men. The most common complaints were knee pain 26.8, lower back pain 8, foot and ankle pain 7.9, and hand and arm trauma 6.3. 66.6 of the patients stated that they did not consult their family physician for their orthopedic complaints, 55.7 of the patients who applied to their family physician applied to the orthopedic clinic with the guidance of their family physician, and 46.5 stated that they did not consult their family physician when they had any complaints. When those who did not consult a family doctor were asked about their reasons for not applying; It was learned that 33.3 did not go to the family physician because there was no imaging method in family health centers and 31.4 wanted to be examined by a branch specialist physician. It was determined that 17.3 of the patients who applied to the orthopedics outpatient clinic could be diagnosed and managed in primary care, while 51.4 could not be managed because imaging could not be performed. The average age of patients who consulted their family physician before admission to the hospital was significantly higher than those who applied to the hospital p0.05. Conclusion: By implementing a compulsory referral system, increasing the equipment of family health centers and raising public awareness, the effectiveness of family medicine can be increased and thus the patient density in secondary and tertiary health institutions can be reduced.

 Introduction and Aim: Some of the health problems faced by family physicians are diseases related to orthopedics and traumatology. It was aimed to determine the manageability of patients admitted to the orthopedics and traumatology outpatient clinic of a public hospital in primary care. Materials and Methods: A total of 473 patients who applied to the orthopedics and traumatology outpatient clinic of a secondary level state hospital between October 2022 and February 2023 were included in the study. The sociodemographic and clinical characteristics of the participants, their complaints, whether they consulted a family doctor for these complaints, and their use of family medicine were questioned. A 28-question survey created by the researchers as a data collection tool was applied using face-to-face interview technique. After the examination, the procedures applied to the patients and their manageability in primary care were evaluated. Results: The average age of the participants was 45.118.8 years, 55 were women and 45 were men. The most common complaints were knee pain 26.8, lower back pain 8, foot and ankle pain 7.9, and hand and arm trauma 6.3. 66.6 of the patients stated that they did not consult their family physician for their orthopedic complaints, 55.7 of the patients who applied to their family physician applied to the orthopedic clinic with the guidance of their family physician, and 46.5 stated that they did not consult their family physician when they had any complaints. When those who did not consult a family doctor were asked about their reasons for not applying; It was learned that 33.3 did not go to the family physician because there was no imaging method in family health centers and 31.4 wanted to be examined by a branch specialist physician. It was determined that 17.3 of the patients who applied to the orthopedics outpatient clinic could be diagnosed and managed in primary care, while 51.4 could not be managed because imaging could not be performed. The average age of patients who consulted their family physician before admission to the hospital was significantly higher than those who applied to the hospital p0.05. Conclusion: By implementing a compulsory referral system, increasing the equipment of family health centers and raising public awareness, the effectiveness of family medicine can be increased and thus the patient density in secondary and tertiary health institutions can be reduced.

 Amaç: Aile hekimlerinin karşılaştıkları sağlık sorunlarının bir bölümünü de ortopedi ve travmatoloji ile ilgili hastalıklar oluşturmaktadır. Bir devlet hastanesinin ortopedi ve travmatoloji polikliniğine başvuran hastaların birinci basamakta yönetilebilirliğini belirlemek amaçlandı. Gereç ve Yöntem: Çalışmaya Ekim 2022 - Şubat 2023 tarihleri arasında ikinci basamak bir devlet hastanesi ortopedi ve travmatoloji polikliniğine başvuran toplam 473 hasta dahil edildi. Katılımcıların sosyodemografik ve klinik özellikleri, başvuru şikayetleri, bu şikayetleri için aile hekimine başvurma durumları ile aile hekimliğini kullanma durumları sorgulandı. Veri toplama aracı olarak araştırmacılar tarafından oluşturulan 28 soruluk bir anket, yüz yüze görüşme tekniğiyle uygulandı. Muayene sonrasında hastalara uygulanan işlemler ve hastaların birinci basamakta yönetilebilirlikleri değerlendirildi. Bulgular: Katılımcıların yaş ortalaması 45,118,8 yıl olup 55i kadın, 45i erkekti. En sık başvuru şikâyetleri diz ağrısı 26,8, bel ağrısı 8, ayak ve ayak bileği ağrısı 7,9, el ve kol travması 6,3 idi. Hastaların 66,6sı ortopedi ile ilgili şikayetleri için aile hekimlerine başvurmadığını, aile hekimlerine başvuran hastaların 55,7si aile hekimlerinin yönlendirmesi ile ortopedi polikliniğine başvurduğunu, 46,5i herhangi bir yakınması olduğunda aile hekimlerine başvurmadığını belirtti. Aile hekimine başvurmayanların başvurmama sebepleri sorulduğunda; 33,3ünün aile sağlığı merkezlerinde ASM görüntüleme yöntemi olmadığı için, 31,4ünün branş uzman hekimine muayene olmak istediği için aile hekimine gitmediği öğrenildi. Ortopedi polikliniğine başvuran hastaların 17,3ünün birinci basamakta tanısı konulup yönetilebileceği belirlenirken 51,4ünün görüntüleme yapılamadığı için yönetilemeyeceği belirlendi. Hastane başvurusu öncesinde aile hekimine başvuran hastaların yaş ortalaması hastaneye başvuranlara göre anlamlı derecede daha yüksek olarak belirlendi p0,05. Sonuç: Zorunlu sevk sisteminin hayata geçirilmesi, ASMlerin donanım imkânlarının arttırılması ve toplumun bilinçlenmesi ile aile hekimliğinin etkinliği artırılabilir ve böylece ikinci ve üçüncü basamak sağlık kurumlarındaki hasta yoğunluğu azaltılabilir.

Article Details

Investigation of the Manageability of The Reasons for Admission of Patients Who Applied to the Orthopedics and Traumatology Outpatient Clinic in Primary Health Care Services

Authors:

Siraceddin Delice | Muhammet Raşit Aydın | Abdülkadir Aydın | Cengiz Han Kantar

Publisher:

Sakarya University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Sakarya Tıp Dergisi Vol.13 Issue 4, pp.549-556

Document Type:

Article

Publication Date:

12/2023

Document Language:

Turkish

Document ID (Org No.):

2001305556

pISSN:

2146-409X

Family Practice

orthopedics

traumatology

Health Services ResearchAile hekimliği

ortopedi

travmatoloji

Sağlık hizmetleri araştırması

Issues

Article Details

Authors: Siraceddin Delice | Muhammet Raşit Aydın | Abdülkadir Aydın | Cengiz Han Kantar

Publisher: Sakarya University

Main Topics: Sağlık Kurumları Yönetimi

Journal: Sakarya Tıp Dergisi Vol.13 Issue 4, pp.549-556

Document Type: Article

Publication Date: 12/2023

Document Language: Turkish

Document ID (Org No.): 2001305556

pISSN: 2146-409X

Issues

Authors:

Siraceddin Delice | Muhammet Raşit Aydın | Abdülkadir Aydın | Cengiz Han Kantar

Publisher:

Sakarya University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Sakarya Tıp Dergisi Vol.13 Issue 4, pp.549-556

Document Type:

Article

Publication Date:

12/2023

Document Language:

Turkish

Document ID (Org No.):

2001305556

pISSN:

2146-409X