Referral chain will reduce density in hospitals

The Ministry of Health acted to reduce the excess patient burden, one of the biggest problems in state hospitals. The Ministry has initiated work to encourage the patient not to go to the hospital without consulting the family physician, except for emergencies or chronic illnesses. In this context, a citizen with a complaint first appears to the family physician, if the doctor sees, if the patient leads to the patient will not pay the share of patient participation. With this method, both the hospitals will work more efficiently and the costs of health expenditures will be reduced. On the other hand, 4 pilot provinces were identified for this application. First, Bart, Malatya, regardless of Edirne and Istanbul's Silivri district in edilecek.başarıl testing will be implemented in all of Turkey.

"EFFECTIVENESS OF PROTECTIVE HEALTH SERVICES MUST BE INCREASED"

The Ministry of Health announced that in the course of the past few days we will launch a pilot implementation of the family medicine referral chain to reduce the intensity of state hospitals.

Health-Der Konya Provincial Vice-President Dr Muhammet Sait Yalçın expressed his views on the implementation of referral chain and family medicine to my journal. Vice-Chairman Dr. Yalçın informed that there are a number of determinations and proposals for the solution of the problem with the field studies and observations made by Health-Der in order to reduce the density in the state hospitals and to increase patient satisfaction at the same time. Dr. Yalcin "The effectiveness of preventive health services should be increased within the health services; approximately the total number of patients served1. 40% of the level of health services, and 60% of the second and third level health services. In terms of reducing the intensity of the hospitals and offering a quality service, at least the first level health units should meet 60% and the second level health units should receive 40%. "

"HOSPITALITY FIRST CLASSIC FAMILY PHYSICIAN"

Dr Muhammet Sait Yalcin, who stated that the clinic should be determined by the family doctor in case of referral, said, "This will reduce the number of wrong branch selection and unnecessary examination, analysis and imaging. In the present case, the workload of the healthcare personnel is increasing unevenly. Due to the intensity of the work, the patients with health problems who are experiencing lack of motivation may be exposed to violence. At the same time, it is difficult to provide quality health care services, and the cost of treatment is often too high. The referral chain, which will be piloted by the Ministry of Health, we do not need to be compelling and motivating. Compelling applications increase the workload and costs of influencing the referral chain in the negative direction. It would be more meaningful to question the effectiveness of the application rather than sticking to it. We think that it is the right method to leave the patient with the choice between going to the hospital directly by paying the participation fee or being referred after the family physician is examined. However, it should not be ignored that this preference may bring with it a problem like forcing family physician, our society should improve health literacy about the subject. "

"THE PERSONNEL PERFORMANCE SHOULD BE DELIVERED"

Vice Chairman Yalcin said, "Negative performance concerns should be addressed to healthcare professionals who will bring out the new situation to support the practice. The number of family physicians should be increased and the number of patients per family physician should be reduced. As Health-Der Konya Provincial Presidency, we support the implementation of the family medicine referral chain, which will be implemented by the Ministry of Health in Silivri province of Bartın, Malatya, Edirne and Istanbul in order to reduce the intensity in the hospitals ".

(Today in Anatolia: Newspaper Gamze Erdogan Special Report 19.06.2018)

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