Aile sağlığı hemşireliği: sağlık hizmetlerindeki özelleştirmenin hemşirelik mesleğindeki görünümü
Küçük Resim Yok
Tarih
2007
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Çalışmanın amacı, birinci basamak sağlık hizmetlerinde aile hekimliği sistemi içinde yer alan aile sağlığı hemşireliğine geçmiş ya da geçmeye çalışan ülkelerdeki durumu incelemek; toplum ve hemşirelik açısından olası tehlikelerine işaret etmektir. Bunun için, aile hekimliği sistemi ve aile sağlığı hemşireliğini uygulayan ABD, Kanada, Almanya ve Küba yanında, aile sağlığı hemşireliği ile ilgili Dünya Sağlık Örgütü’nün pilot uygulama kapsamında yürüttüğü 18 ülkedeki mevcut durum incelenmiştir. Aile hekimliği sistemi Küba dışında özelleştirmeci sağlık uygulamalarının bir ürünüdür ve çağdaş sağlık hizmetleri ilkelerinden tümüyle uzaktır. Bu sistem içerisindeki aile sağlığı hemşireleri ise, muayenehane hemşireleri olup, tedavi ağırlıklı, sözleşmeler ile istihdam olan, rutin ve teknik beceri gerektiren hemşirelik işlevlerini yürütmektedir. İşlevler; edilgen, bağımlı ve hekime yardımcılık ile sınırlıdır. Topluma ulaşmak yerine, özel sigortası bulunan ve kendisine başvuran ya da kayıtlı olan hastalara paralı hemşirelik hizmeti sunmaktadır. Bu sonuçlar, ülkemizde de aile hekimliği sistemine geçildiği takdirde, toplumun büyük bir bölümünün nitelikli sağlık ve hemşirelik hizmetinden yoksun kalacağına işaret etmektedir.
The aim of the study is to determine the situation in the countries which either has implemented or trying to implement the family health nursing practices to be involved in family doctor system in the primary health care services. Moreover, its aim is to point out the possible dangerous with respect to community and nursing. For this reason, it has been investigated the situation in the eighteen countries where family health nursing has been implemented as a pilot practice by WHO addition to the countries such as USA, Canada, Germany and Cuba implementing the family doctor system and family health nursing. Family doctor system is a product of privatization health practice except in Cuba and completely far from contemporary health services principles. The family health nurses are nurses who are working at doctor’s office, involving in medical treatment, employing with contract and have implemented routine and nursing functions requiring technical skills. The functions are passive, dependent and limited with assistance to doctor. Instead of reaching to community, they has given free of charge to patients who have private insurance and applied to nurse or who are registered. These results have pointed out that the majority of community will deprive of quality health services and nursing care in the event that family doctor system is practiced in our country too.
The aim of the study is to determine the situation in the countries which either has implemented or trying to implement the family health nursing practices to be involved in family doctor system in the primary health care services. Moreover, its aim is to point out the possible dangerous with respect to community and nursing. For this reason, it has been investigated the situation in the eighteen countries where family health nursing has been implemented as a pilot practice by WHO addition to the countries such as USA, Canada, Germany and Cuba implementing the family doctor system and family health nursing. Family doctor system is a product of privatization health practice except in Cuba and completely far from contemporary health services principles. The family health nurses are nurses who are working at doctor’s office, involving in medical treatment, employing with contract and have implemented routine and nursing functions requiring technical skills. The functions are passive, dependent and limited with assistance to doctor. Instead of reaching to community, they has given free of charge to patients who have private insurance and applied to nurse or who are registered. These results have pointed out that the majority of community will deprive of quality health services and nursing care in the event that family doctor system is practiced in our country too.
Açıklama
Anahtar Kelimeler
Sağlık Bilimleri ve Hizmetleri, Temel Sağlık Hizmetleri, Sağlık Politikaları ve Hizmetleri
Kaynak
Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
4
