Akademik Veri Yönetim Sistemi
Turkish Journal of Family Medicine and Primary Care, cilt.14, sa.2, ss.236-245, 2020 (Hakemli Dergi)
Aim: To evaluate the effect of healthcare expenditure of the patients who have chronic disease on chronic disease care satisfaction.Method: This cross sectional design study was conducted at four primary care clinics in Antakya, the central city of Hatay. The adultpatients with a chronic disease at least for one year who visit the primary care centers from June to October 2017 were included in thestudy. A questionnaire including questions about the chronic disease, the healthcare they receive, and the factors that effect theirhealthcare expenditure were applied to the subjects. Also the subjects filled a chronic disease care evaluation scale- patient form(modified PACIC) to evaluate the healthcare they receive. P value<0,05 is considered as significant. Results: Of the 790 patients 400(50,6%) were female, while 390 (49,4%) were male. The average age of the participants was 47,1 ±15,2. Average Modified PACICscore was calculated as 3,29 ±0,7. It was observed that healthcare intake was affected as the income level of the patients increased(Cramer’s V = 0,263; p = 0,001). In patients with atherosclerotic heart disease, the chronic disease satisfaction score was found to belower with 3.0 ± 0.6 compared to other diseases (p = 0.005). There was no difference between the chronic disease care satisfactionscores according to the income level categories of the patients (p = 0.853). Conclusion: Modified PACIC subscale scores of thepatients who stated that their out-of-pocket health spending did not affect their service purchases were generally higher. In addition, itwas concluded that the income level of the patients affected chronic disease care.