Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
COVID-19 Pandemisinin Sağlık Hizmetleri Erişimine Etkisinin Değerlendirilmesi: Kesitsel Bir Araştırma
Evaluation of the Impact of the COVID-19 Pandemic on Health Services Access: A Cross-Sectional Study
Emine ÇETİN ASLANa
aİzmir Bakırçay Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, İzmir, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(2):534-43
doi: 10.5336/healthsci.2021-84653
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırmanın amacı, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] ile mücadelede, sağlık sektörü içerisinde ve dışında alınan önlemlerin, toplumun sağlık hizmetlerine erişimine etkisini değerlendirmektedir. Ayrıca bazı tanımlayıcı değişkenlerin, salgın dönemindeki sağlık hizmeti alımına etkisi incelenmiştir. Gereç ve Yöntemler: Bu çalışma, kesitsel bir saha araştırmasıdır. Araştırma verileri, anket aracığıyla toplanmış. Araştırmaya, Türkiye genelinde 1.148 gönüllü katılmıştır. Verilerin analizinde tanımlayıcı analizler ve ki-kare testi kullanılmıştır. Bulgular: COVID-19 pandemi döneminde 767 (%66,8) kişi herhangi bir neden ile sağlık hizmeti almaktan vazgeçmiştir ya da talebi ertelemiştir. Herhangi bir kronik hastalığı olanlar, tansiyon, diyabet ve astım hastaları, 65 ve üzeri yaştakiler ile kadınlar, karşıt gruplarına göre sağlık hizmeti alımlarını istatistiksel olarak anlamlı oranda daha fazla ertelemişlerdir. Hizmet talebini erteleme nedenleri içinde en sık belirtilen iki neden: Hastalığa yakalanma korkusu ve randevu bulamamaktır. En fazla ertelenen sağlık hizmeti türleri; poliklinik hizmetleri ile ağız ve diş sağlığı hizmetleridir. Katılımcıların %11,7'si COVID-19 geçirmiş ve %22,6'sı temaslı olmuştur. Hastalığı geçirenlerin ve temaslıların sağlık hizmeti almakta en sık yaşadığı sorun, test yaptırmak olmuştur. Sonuç: Araştırmada, COVID19 pandemisinin, dünya genelinde ve diğer salgınlarda da olduğu gibi sağlık hizmetlerine erişimi olumsuz etkilediği sonucuna varılmıştır. Pandeminin sağlık hizmetleri erişimi üzerine etkisi, sağlık hizmeti türüne göre değişmekte olup; hem arz hem de talep kaynaklı nedenleri bulunmaktadır.

Anahtar Kelimeler: COVID-19; ertelenen sağlık hizmeti talebi; sağlık hizmetlerine erişim; pandemi
ABSTRACT
 Objective: The aim of the study is to evaluate the impact of the measures that taken inside and outside the health sector on the public's access to health services to combat coronavirus disease2019 (COVID-19). In addition, the effect of some descriptive variables on healthcare usage during the epidemic period was examined. Material and Methods: This study is a cross-sectional field research. The research data were collected through a questionnaire. 1,148 volunteers participated in the study across Turkey. Descriptive analysis and chisquare tests were used in the analysis of the data. Results: 767 (66.8%) people gave up using the health service for any reason during the COVID-19 pandemic. The person with any chronic diseases, hypertension, diabetes, asthma, and those aged 65 and over, and women were more frequently postponed their healthcare needs than the counterparts (statistically significantly). The two most common reasons for not using the services are the fear of COVID-19 and not being able to find an appointment. The most postponed health services are outpatient visits and dental health services. 11.7% of the participants have had COVID-19 and 22.6% of participants have suspected illness. The most common problem of the persons that experienced during COVID-19 and being suspect of illness were getting a test. Conclusion: The study concluded that the COVID-19 pandemic negatively affected access to healthcare services, as in the world and other epidemics. The amount of impact on demand for healthcare services varies according to the health service, and there are both supply and demand-based reasons. The impact of the pandemic on access to health services varies according to the type of health service and has both supply and demand-based causes.

Keywords: COVID-19; delayed healthcare demand; access to healthcare; pandemic
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