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How do patients with a Turkish background evaluate their medical care in Germany? An observational study in primary care

机译:具有土耳其背景的患者如何评估在德国的医疗服务?初级保健的观察性研究

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Background: Patients’ evaluation of medical care is an essential dimension of quality of care and an important aspect of the feedback cycle for health care providers. The aim of this study was to document how patients with a Turkish background evaluate primary care in Germany and determine which aspects of care are associated with language abilities. Methods: The study was based on an observational design. Patients with a Turkish background from German primary care practices completed the EUROPEP (European Project on Patient Evaluation of General Practice Care) questionnaire consisting of 23?items. Seventeen primary care practices were involved with either German (n=8) or Turkish (n=9) general practitioners (GPs). Results: A convenience sample of 472 patients with a Turkish background from 17 practices participated in the study (response rate 39.9%). Practices with a German GP had a lower response rate (19.6%) than those with a Turkish GP (57.5%). Items evaluated the highest were “keeping data confidential” (73.4%) and “quick services for urgent health problems” (69.9%). Subgroup analysis showed lower evaluation scores from patients with good or excellent German language abilities. Patients who consulted a Turkish GP had higher evaluation scores. Conclusion: The evaluation from patients with a Turkish background living in Germany with either Turkish or German GPs showed lower scores than patients in other studies in Europe using EUROPEP. However, our results had higher evaluation scores than those of Turkish patients evaluating GPs in Turkey. Therefore, different explanation models for these findings should be explored in future studies.
机译:背景:患者对医疗保健的评估是医疗质量的重要方面,也是医疗保健提供者反馈周期的重要方面。这项研究的目的是记录具有土耳其背景的患者如何评估德国的初级保健,并确定哪些方面的护理与语言能力有关。方法:本研究基于观察设计。具有德国基础护理实践土耳其背景的患者填写了EUROPEP(欧洲全科护理患者评估项目)问卷,共23个项目。德国(n = 8)或土耳其(n = 9)全科医生(GPs)参与了17种初级保健实践。结果:来自17个诊所的472名土耳其背景患者的便利性样本参加了研究(响应率39.9%)。德国全科医生的做法的回应率(19.6%)比土耳其全科医生的做法(57.5%)低。评估最高的项目是“对数据保密”(73.4%)和“针对紧急健康问题的快速服务”(69.9%)。亚组分析显示,具有良好或优秀德语能力的患者的评估得分较低。咨询土耳其全科医生的患者具有较高的评估分数。结论:来自居住在德国的土耳其背景或土耳其GP的土耳其背景患者的评估显示,得分低于欧洲其他使用EUROPEP研究的患者。但是,我们的结果具有比土耳其在土耳其评估GP的土耳其患者更高的评估分数。因此,在以后的研究中应探索这些发现的不同解释模型。

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