Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility

Aim: In this study, the ethical conflicts faced by the nurses working in the secondary health care facility in Eskişehir were investigated with the Nursing Ethical Dilemma Test .Method: It was a descriptive study. 233 nurses working in a secondary health care facility in Eskişehir were reached. The data were evaluated in the SPSS-21.00 statistical program,Pearson correlation and descriptive statistical techniques were used in the analysis.Findings: The average age is 32,53 ± 6,23. Nurses' Principle Thinking average point (17,64 ± 11,34); Practical Thinking average point (6,16± 5,07) ; acquaintance average point (13,86± 3,91) was determined that found to be well below the average in every three types of points.Conclusion: When the obtained data were analyzed,it was determined that the nurses frequently encountered situations with ethical problems during their professional lives,but they were nor sufficient to take ethical principles into account when deciding an ethical issues,and the most basic reason was not at the level of prefence with environmental factors. Extended English summary is in the end of Full Text PDF (TURKISH) file.ÖzetAmaç: Bu araştırmada Eskişehir ilinde İkinci basamak sağlık kurumunda çalışan hemşirelerin karşı karşıya kaldıkları etik ikilemlerin, “Hemşirelik Etik İkilem Testi’ile düzeylerinin incelenmesi amaçlanmıştır.Metod: Araştırmanın tipi tanımlayıcıdır. Eskişehir’de İkinci basamak sağlık kurumunda çalışan 233 hemşireye ulaşılmıştır. Veriler SPSS-21.00 istatistik programında değerlendirilmiş, analizinde Pearson korelasyonu ve tanımlayıcı istatistik teknikleri kullanılmıştır.Bulgular: Hemşirelerin Yaş ortalaması 32,53 ± 6,23’dir. Hemşirelerin İlkesel Düşünme (İD) puan ortalaması (17,64 ± 11,34) ; Pratik Düşünme (PD) puan ortalaması (6,16 ± 5,07);Aşinalık puan ortalaması (13,86± 3,91) olarak[N1] belirlenmiş, her üç puan türünde de ortalamanın çok altında puan aldıkları tespit edilmiştir.Sonuç: Elde edilen veriler analiz edildiğinde, hemşirelerin mesleki yaşantıları süresince sıklıkla etik sorun içeren durumlarla karşılaşmış olduğu, fakat etik sorunlara yönelik karar verirken etik ilkeleri göz önünde bulundurma konusunda oldukça yetersiz oldukları, bunun en temel nedenin çevresel faktörler etkisi ile istendik düzeyde olmadığı belirlenmiştir.

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Factors affecting health care facility utilization in rural areas of Lucknow district

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181394 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1766

Author(s):

Vinita Shukla ◽

Pratibha Gupta

Keyword(s):

Public Health ◽

Health Care ◽

Health Facility ◽

Rural Areas ◽

Care Facility ◽

Health Care Facility ◽

Health Care Facilities ◽

Public Health Care ◽

Public And Private ◽

Background Population

Background: Population is increasing rapidly so with the limited resources government alone cannot cater the health of whole population. Private health sector is equally important for the improvement of health of the people. In view of these facts the present study was planned to assess the utilization of health care services (both public and private) and to assess the reasons for visiting that particular health facility (public or private).Methods: Study was cross sectional for 1 year period. Total sample size was 1024. In the present study only rural area was taken. By using multistage stratified random sampling 6 villages were selected and sample came out as 516. Data was analyzed by stata software version -12 for windows and chi square test.Results: 50% respondents visited public, 38% private and 10% visited others (charitable, pharmacies etc.). 62% respondents belonged to lower socio economic status preferred public health care facility. The main reason for visiting public health facility was free services and for private was got cure earlier from that heath facility. Majority of people visited any health facility for illness. (344 out of 516) and 50% of them visited for respiratory diseases. For chronic illness majority (60%) preferred public health care facility.Conclusions: Both public and private health care facilities should be made well equipped and affordable so that people can make choices and not forced to choose particular health facility.

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