Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
COVID-19 Pandemi Döneminde Sağlık Hizmetleri Kullanımının Değerlendirilmesi
Assessment of Healthcare Utilization During the COVID-19 Pandemic Period
Ahmet YILDIZa, Sinan BULUTb
aBatman Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, Batman, TÜRKİYE
bÇankırı Karatekin Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, Çankırı, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2021;6(4):928-38
doi: 10.5336/healthsci.2020-79427
Article Language: TR
Full Text
ÖZET
 Amaç: Salgın dönemlerinde sağlık hizmeti kullanımındaki değişimin bilinmesi, hizmet kullanımıyla ilgili alınacak önlemlerin doğru planlanması bakımından önemlidir. Bu çalışma, koronavirüs hastalığı2019 pandemi döneminde sağlık hizmeti kullanımındaki değişimi ortaya koymak amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma retrospektif tipte ve tanımlayıcı bir araştırmadır. Araştırmada, izin alınabilen ve verilerini paylaşan 3 özel ve 1 kamu hastanesinden alınan veriler kullanılmıştır. Araştırmada 2020 yılı Mart, Nisan ve Mayıs aylarındaki sağlık hizmeti kullanımı (polikliniklere başvuru, acil servise başvuru, branş bazında yapılan ameliyat sayısı, servis ve yoğun bakımlara yapılan yatışlar ve yapılan tetkikler) bir önceki yılın aynı dönemi (2019 yılı Mart, Nisan ve Mayıs ayları) ile karşılaştırılarak, sağlık hizmeti kullanımındaki değişim değerlendirilmiştir. Bulgular: Araştırmada 2020 Mart, Nisan ve Mayıs aylarında bir önceki yılın aynı dönemine göre acil servise başvuru sayısında %52,3; polikliniklere başvuru sayısında %54,5; yapılan ameliyat sayısında %51,9; servislere yapılan yatış sayısında %33,4; yoğun bakımlara yapılan yatış sayısında %12,3 ve yapılan tetkik sayısında %51,3 oranında bir azalma olduğu görülmüştür. Nisan ve mayıs aylarındaki azalma, mart ayına göre daha fazladır. Kamu hastanesinde hizmet kullanımındaki değişim (azalma), özel hastanelere göre daha fazladır. Sonuç: Araştırma sonucunda kamuda daha fazla olmak üzere hem özel hem de kamuda sağlık hizmeti kullanımında önemli bir düşüş yaşandığı görülmüştür.

Anahtar Kelimeler: Sağlık planlaması; kullanım yönetimi; COVID-19; pandemi
ABSTRACT
 Objective: Knowing the change in health service use during epidemic periods is important for the correct planning of measures to be taken regarding service use.This study was conducted to reveal the change in healthcare utilizationduring the coronavirus disease-2019 pandemic period. Material and Methods: The research is a retrospective and descriptive study. In the study, data from three private and one public hospital, from which permission can be obtained and shared their data, were used. In the study, the use of healthcare services in March, April and May 2020 (applications to polyclinics, emergency room applications, number of surgeries performed on the basis of branches, hospitalizations to services and intensive care units and examinations) in the same period of the previous year (March, April and May 2019), the change in health service use was evaluated. Results: In the study, it was observed that there was a decrease 52.3% of the number of applications to the emergency service; 54.5% in the number of applications to polyclinics; 51.9% of the number of operations performed; 33.4% of hospitalizations to services; 12.3% of hospitalizations in intensive care units; and a 51.3% reduction in the number of examinations performed in March, april and may 2020 compared to the same period of the previous year. The decrease in April and may is higher than in march. The change (decrease) in service utilization in public hospitals is more than in private hospitals. Conclusion: As a result of the study, it has been observed that there is a significant decrease in healthcare use in both private and public, especially in public.

Keywords: Health planning; utilization management; COVID-19; pandemic
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