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          VOLUME 38 / ISSUE 4


The Journal is Indexed in


3 - Beneficial effect of instituting an ideal physician-patient relationship in a primary health care facility on the number of patients to be referred to hospital

Ahmet M. Şengül

Objectives: This study was designed to introduce an occupational health center serving as a primary health care facility and to address beneficial effects of instituting an ideal physician-patient relationship on the number of patients to be referred to hospital and other specific policlinics.

Study Design: This descriptive study investigated the patient population of a primary health center of Gümüşsüyü Soldier Hospital Etiler outpatient clinic in three consecutive years, 1998, 1999 and 2000. Throughout this period there had been no changes in the technical and physical circumstances of the health center. In 1998 routine health services were provided, whereas during 1999 and 2000, all health services were implemented on the basis of a specific protocol designed to institute and maintain an ideal physician-patient relationship. Patient referral rates within each year were compared

. Results: As a result of practicing an ideal physician-patient relationship, and compared with that found in 1998, patient referral rates to hospital and other specific policlinics decreased significantly by 10.8% (p<0.01) and 11.3% (p<0.01) in 1999 and 2000, respectively.

Conclusion: Institution of an ideal physician-patient relationship in primary health care centers may reduce the referral rates of patients to hospital and other specific policlinic, thus decreasing the workload of these hospitals, which in turn will contribute to improved health care services in these centers.

Keywords: Attitude of health personnel; patient participation; patient satisfaction; physician-patient relations.

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