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THE EVALUATION OF THE FAMILY MEDICINE PRACTICE EFFECTS ON HEALTH CARE EXPENDITURES IN TURKEY

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Author(s): Sinan AYTEKİN

Journal: Adıyaman University International Journal of Social Science
ISSN 1308-9196

Volume: 9;
Start page: 33;
Date: 2012;
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Keywords: Family Medicine Practice | Health Care Expenditures | Health Care Systems.

ABSTRACT
Family Medicine is an important practice in terms of producing preventive medicine sensation in individuals and following health care system. The pilot application was launched in Düzce/Türkiye in 2005. The purpose of the study is to examine whether there is a differences between the application numbers to the hospitals and health expenditures before and after the prevalence of the family medicine practice.Statistical data about health care and insurance are assembled for 2009 and 2010 based on Medula data published by Social Security Institution. Then, the number of prescriptions, prescribed amounts, the number of consultsto hospitals and the amount of invoice of consults to hospitals were compared for these years. First of all, the Shapiro-Wilk test was applied to the data. Normally distributed data were analyzed with paired t-test.Non-normal distributed data were analyzed with the Wilcoxon Signed sign test. As a result of the analysis, the difference between health care expenditures and the number of consultation to hospitals provedto be statistically significant before and after the prevalence of the family medicine practice. Reasons for these differences were examined with the help of the tables. After commissioning of patient referral application, health care expenditures are considered to decrease and to reach the real level.
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