Namık Kemal Tıp Dergisi (Aug 2017)
To Determine The Performance of Family Physicians Working In A District Of Tekirdağ Using Data Envelopment Analysis
Abstract
Aim:In our country, the 2000s was a period in which implementations of reform in the health field were brought to the agenda. The Health Transformation Program (HTP) developed in this process has firstly necessitated changes in the presentation of primary health care services. As a first for primary health care, family physicians (FP) were adopted, and there was an attempt to offer a personalized preventive and curative health service in this way. Performance evaluations of family physicians in the presentation of health care services are an assessment which has been spoken about quite frequently in the recent period and also overrated by the Ministry of Health.Material and Methods:Due to the importance and necessity of the subject this study proposed to determine the performance of family physicians working in a district of Tekirdağ using Data Envelopment Analysis (DEA) for the determination of areas of disruption and the development of recommendations for a development system in the health services provided by family physicians.Results:Nine FPs are working in the district but there is a lack of a physician in the roaming service area. Data were presented it did not contribute to the calculation of DEA. In the region, 8 of the FPs’ performance were 100%. In terms of accessible resources, it is observed that FP performance can change depending on geography, the population of urban and rural settlements, age, ethnic group and sociodemographic characteristics such as education. The population of the region where the study was carried out has a homogenous, limited and closed geography affected by similar demographic dynamics to a similar degree.Conclusion:In this area, family physicians have a population of similar characteristics. Hundred percent of the available performance may be associated with the reasons stated above. More large-scale analysis should be performed so that the whole province is evaluated or a few districts are evaluated with each other in order to achieve more accurate results.
