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    The ecology model and influencing factors in Adana province
    (2020) Korur, Asli; Gereklioglu, Cigdem; Bozdemir, Nafiz
    Aim: The relationship between the individuals and their health care attitudes is known as ‘The Ecology of Medical Care’. The present study aims at revealing the ecology of medical care in our province. Material and Methods: A questionnaire form was applied to 685 individuals from 396 houses between May 1st, 2009 and June 15th, 2009.Results: Mean age of 685 subjects was 36.6±13.8 years (18-83). Of them, 504 (73.57%) were females, 520(75.91%) were married; 212 (42.06%) of the females and 61 (33.70%) of the males were graduates of elementary school; 479 (69.92%) were migrated to Adana from another region; 577 (84.23%) had social insurance. When the participants had a health problem, 262 (38.24%) preferred primary care. Of the subjects, 540 (78.83%) reported a health problem and 296 (39.30%) admitted to the physician, received 333 diagnoses during the recent 30 days. Of 333 diagnoses, 133 (39.93%) were made at primary care. 264 (38.54%) subjectshad a chronic disease and 192 (49.70%) preferred secondary care for follow up.Conclusion: While individuals prefer primary care worldwide when they have a health problem, this was found to be secondary care in our study. Comprehensive and patient-centered services may increase the sense of trust and interest toward primary care.
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    Factors influencing vaccination status against influenza and pneumococcus in sickle cell anemia patients
    (2021) Korur, Asli; Asma, Suheyl; Gereklioglu, Cigdem; Boga, Can; Ozdogu, Hakan
    Aim: The aim of the present study is to investigate the factors which influence vaccination status against seasonal influenza and pneumococcus in patients with sickle cell anemia which is known to be the most common hereditary hematologic disease worldwide.Materials and Methods: This prospective, cross-sectional study was conducted with the volunteer patients above 18 years who were admitted to Hematology Clinic of Baskent University Adana Research and Training Center due to sickle cell anemia during 01 December – 31 December 2018.Results: Of 38 patients, 22 (57.9%) were females. Ratio of vaccination against pneumococcus was found to be higher among the patients who had vaccination cards (p0.05). Ratio of vaccination against pneumococcus and influenza was found to be higher among the patients who were coming for regular controls and the difference was statistically significant (p0.05). The reason for not getting vaccinated was detected to be “forgetting vaccination” (37.5%), “not believing the necessity of vaccination” (25%) and “not being recommended by health authorities” (25%).Conclusion: It was concluded that vaccination rates could be increased through using vaccination cards, inviting the patients for regular controls and health authorities’ recommending vaccination.