Use of Primary Healthcare Services and Associated Factors Among Psychiatric Outpatients in a University Hospital
Journal Title: Dokuz Eylul Universitesi Tip Fakultesi Dergisi - Year 2017, Vol 31, Issue 2
Abstract
Objective: It is the analyzeto use of primary health care (PHC) services and associated factors among psychiatric out patients in Dokuz Eylul University (DEU) Hospital. Material and method: This is a cross-sectional study. The dependent variable is PHC services utilization and the independent variables are gender, age, occupation, marital status, social insurance status, educational status, place of residence and income level. A questionnaire form was applied by face to face interviewing the patients who applied to the DEU Hospital psychiatry outpatient in the period of 1-31 January 2016. Chi-square test and Fisher's exact test were used. Results: Of the participants, 13.7% applied to the family health centres because of psychiatric problems. Of the patients who used the PHC services due to psychiatric problems (n=25), 40% was referred directly to the hospital, 32.0% was referred after being prescribed medication, 28.0% was prescribed medication. When the use of PHC services by the participants according to their socioeconomic characteristics was analyzed, the use of PHC services found to be significantly higher in unmarried participants compared to those who are married (p=0.043). There was no significant relationship between age, gender, occupation, social security, educational status, place of residence, income level and PHC utilization. Conclusion: The admission rate to the Family Health Centers due to psychiatric problems is very low. The reasons for this are as follows: perception that psychiatric problems can be treated only by psychiatrists, lack of trust in general practitioner and allocation of limited time. The community should be informed that PHC services also include mental health services.
Authors and Affiliations
Özden ÖZİLİCE, Reyhan UÇKU, Berna Binnur AKDEDE
Keywords
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