OBJECTIVE: To perform a quantitative assessment of services and registered population in Manisa province in 2011; compare with regional and country data; investigate workload according to registered services and determine the necessary number of family physicians by considering ideal time necessary to perform each service.
METHODS: The research is a crossectional study performed in 2012.Data on family physicians and their services were collected from Manisa-AHBS;php-oracle media were used for counting and decision making.Annual workload and shortage of labor were computed considering average time for each service determined by Ministry of Health or by the researcher and annual actual working hours.SPSS for Windows 16.0 was used for analysis. Chi-square test and independent samples t test was used to analyze the data.
RESULTS: Of family physicians,74,9%(n=378) were men, average age was 44,5±5,7.Fifty three point two percent of Family Health Centers(n=154) and %28.8 of family physicians were in rural areas.Fifty one point nine percent of family physicians deliver services for mobile population(n=242.402) making up 18,4% of total population.FPs average for total population was 3486,6±465,9;number of infants 47,1±18,2;15-49 year old women 915,4±176,4;65 year and older people 324,2±116,6.Of all services delivered by family physicians in 2011(n=6.272.831),56,1% were physical examination,24,0% laboratory+physical examination,7,1% vaccination and 12,8% follow-ups.Family physicians daily average of physical examination was 60,2,vaccination 5,4,infant, child,antenatal,women/family planning,postpartum and obesity follow-ups were 1,4;1,6;1,3;3,8;0,4 and 0,7 respectively.In Manisa, average number of follow-ups for pregnant women was 5,1,for infants 6,9,1-5 year old children 1,5,postpartum 1,6, 15-49 year old women 1,0.Annual average number of polyclinic was 4,2.Seventy eight point one percent of population used policlinic services and 74,5% of them got these services 1-5 times.Average use of policlinics for under age one, 1-5 years, 6-14 years, 15-49 years, 50-64 years, 65 years and older were 2,6; 3,5; 2,2; 2,6; 5,1; 7,3 respectively.According to the delivered services, necessary number of FPs was determined as 446.
CONCLUSION: Outpatient services constitute 80% of the workload of family physicians. This rate was 76.8% in Decision Support System(DSS) 2011 Turkey and 70% of United Kingdom 2006/2007 survey data, the workload is high. In Manisa family physicians to examine the daily average is 60 person, the United Kingdom, the number is 35. Family physicians in the planning of the registered population, the groups most in need of service should be taken into account. For operational researchs of family health personnel including specific workload and performance were both classified employees are needed.
Family physician, workload, physical examination, follow-up, vaccination.
Article Language: Turkish English