The Determination Of The Factors And Expectations Which Affect The Utilization of Health Services In Women: A Qualitative Research

Arman İ. H. , Okumuş E., Lay N. Y. , Topçu K., Sarıkaya Ö. , Cöbek Ünalan G. P.

Turkish Journal of Family Medicine and Primary Care, cilt.14, sa.1, ss.23-32, 2020 (Diğer Kurumların Hakemli Dergileri)

  • Cilt numarası: 14 Konu: 1
  • Basım Tarihi: 2020
  • Doi Numarası: 10.21763/tjfmpc.693036
  • Dergi Adı: Turkish Journal of Family Medicine and Primary Care
  • Sayfa Sayıları: ss.23-32


Aim: To determine the behaviors, expectations and experiences about health-sickness of women from society, to evaluate the socio-cultural characteristics of these behaviors. Method: This research is qualitative, planned as “case study”. The research is sampled as goal-oriented maximum variation and 31 women included who are between 17-77 with different socio-cultural characteristics. Four focused interviews were conducted. Before the study, participants were informed and a questionnaire was used to question socio-demographic characteristics. The interviews were made at participants’ houses. One interviewer and two observers was ready in each session. The voice recordings and observers’ notes were trasncripted. No names have been transcribed. Each of the interviews were analyzed thematically, were commonised to reach research findings. Results: According to the analysis, there are five theme topics. 1. Physician (professionalism) characteristics affecting the choice of doctor (skills, attitude, gender, knowledge). 2. Expectations and behaviours about services related to women's health (afraid of the examination style, expectations of confidentiality and sympathy, prejudices). 3. Reasons for choosing health institutions (attitude of health workers, gender of doctor, hospital facilities, accessibility, prejudices, queue waiting). 4. Unmet health needs and thoughts about the causes (fear of malpractice, shyness, financial impossibilities, advanced appointments). 5. Attitudes on Family Health Centers (reasons for not using: lack of equipment, crowd, existing habits, doctor’s attitude, distrust to doctor's knowledge). The participants repeated that dental health services are the most difficult to obtain. Conclusion: Socio-cultural characteristics, health services presentation and attitude of health workers influences expectations of individuals about utilization of health services. Therefore, when planning trainings of health workers, the applicants' health perceptions affected by the socio-cultural characteristics, learning methods which allows the development of a positive attitude and improves communication skills should be considered. Also, in the organization of health services, taking into account the factors affecting applicants' utilization of health services will be effective for the elimination the unmet needs