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Projektom „Klinika za ženske bolesti i porode„ planirana je rekonstrukcija postojeće izgradnje i izgradnja nove „Klinike za ženske bolesti i porode“ namijenjene za dijganostiku, obradu te prihvat perinatoloških i ginekoloških pacijentica i urediti neophodnu infrastrukturu za dovođenje zgrade i okolnih parcela u funkciju. Urbanističko rješenje Klinike za ženske bolesti i porode čini krug zgrada Opće bolnice Virovitica koji obuhvaća pet postojećih građevina i visoko prizemlje objedinjenih poliklinika s dvije nove zgrade uprave te ginekologije. Urbanističko uređenje u formi je kruga bolničkog kompleksa s okolnom cestom te tangirajućim dodatnim sadržajima bolnice na njezinom obodu. Predmetno idejno rješenje odnosi se na objekt visokog prizemlja s pripadajućim lamelama, međusobno funkcionalno povezanih no konstrukcijski odvojene dilatacijom., The project „ Clinic for Women's Diseases and Childbirth “ is planned to reconstruct the existing building and build a new„ Clinic for Women's Diseases and Childbirth“ intended for the diagnosis, treatment, and reception of perinatological and gynecological patients and arrange the necessary infrastructure to bring the building and surrounding plots into operation. The urban design of the clinic is a circle of buildings of the Virovitica General Hospital, which includes five existing buildings and the upper ground floor of the unified polyclinics with two new administration and gynecology buildings. The urban design is in the form of a circle of the hospital complex with the surrounding road and tangential additional facilities of the hospital on its perimeter. The conceptual solution in question refers to a high ground floor building with associated slats, functionally connected to each other but structurally separated by expansion.

Projektom „Klinika za ženske bolesti i porode„ planirana je rekonstrukcija postojeće izgradnje i izgradnja nove „Klinike za ženske bolesti i porode“ namijenjene za dijganostiku, obradu te prihvat perinatoloških i ginekoloških pacijentica i urediti neophodnu infrastrukturu za dovođenje zgrade i okolnih parcela u funkciju. Urbanističko rješenje Klinike za ženske bolesti i porode čini krug zgrada Opće bolnice Virovitica koji obuhvaća pet postojećih građevina i visoko prizemlje objedinjenih poliklinika s dvije nove zgrade uprave te ginekologije. Urbanističko uređenje u formi je kruga bolničkog kompleksa s okolnom cestom te tangirajućim dodatnim sadržajima bolnice na njezinom obodu. Predmetno idejno rješenje odnosi se na objekt visokog prizemlja s pripadajućim lamelama, međusobno funkcionalno povezanih no konstrukcijski odvojene dilatacijom. The project „ Clinic for Women's Diseases and Childbirth “ is planned to reconstruct the existing building and build a new„ Clinic for Women's Diseases and Childbirth“ intended for the diagnosis, treatment, and reception of perinatological and gynecological patients and arrange the necessary infrastructure to bring the building and surrounding plots into operation. The urban design of the clinic is a circle of buildings of the Virovitica General Hospital, which includes five existing buildings and the upper ground floor of the unified polyclinics with two new administration and gynecology buildings. The urban design is in the form of a circle of the hospital complex with the surrounding road and tangential additional facilities of the hospital on its perimeter. The conceptual solution in question refers to a high ground floor building with associated slats, functionally connected to each other but structurally separated by expansion.

Cilj ovog rada je predstaviti prednosti i analizirati nedostatke Hrvatske kao destinacije za zdravstveni turizam. Republika Hrvatska je popularna turistička destinacija i turizam kao takav čini značajan udio u bruto domaćem proizvodu Republike Hrvatske, istovremeno zdravstveni turizam je nedovoljno zastupljen u ukupnom postotku turizma i kao takav pruža mogućnost razvoja pa time utječe i na razvoj Hrvatske kao turističke destinacije kroz cijelu godinu. Nastavno, zdravstveni turizam bilježi godišnji rast od 15 do 20% diljem svijeta i time se postavlja kao novi trend na tržištu koji proizlazi iz potrebe (a ne želje), što je izrazita prednost i snaga spram proizvoda, u ovom slučaju turizma, koji proizlazi iz želje za posjetom određenoj destinaciji. Zdravstveni turizam temelji se na prirodnim lječilištima, preventivnim, medicinskim i rehabilitacijskim programima te raznim vrstama wellness ponuda. Zdravstveni turizam u Hrvatskoj ima prirodne predispozicije, dugu tradiciju te temeljnu infrastrukturu koja zahtjeva unaprjeđenje i kontinuriano ulaganje. Trenutna situacija u Hrvatskoj u pogledu zdravstvenog turizma nije obećavajuća jer velike javne zdravstvene ustanove, poput kliničkih bolničkih centara, opće bolnice ili poliklinike, ne pokazuju interes za zdravstveni turizam. Zdravstveni turizam u Hrvatskoj još uvijek je sporadičan, nedovoljno diverzificiran, relativno nesređen i slabo prepoznatljiv. Najniža razina zadovoljstva među gostima iskazana je u odnosu na inovativnost ponude i prilagođenost wellness centra osobama s posebnim potrebama. Potrebno je ulagati u kapacitete hotelske i zdravstvene suprastrukture prateći zahtjeve suvremene svjetske turističke potražnje, što uključuje i obrazovanje osoblja i povećanje konkurentnosti na međunarodnom tržištu. Provedeno je istraživanje i rezultati prikazani grafički. Na temelju istraživanja može se zaključiti da Hrvatska ima preduvjete za razvoj zdravstvenog turizma, posebice grane medicinskog turizma. U samom radu se predstavlja razvoj istoga, te prednosti i nedostaci Hrvatske kao destinacije za zdravstveni turizam. The aim of this paper is to present the advantages and analyze the disadvantages of Croatia as a destination for health tourism. The Republic of Croatia is a popular tourist destination and as such tourism makes up a significant share of the gross domestic product of the Republic of Croatia, at the same time health tourism is underrepresented in the total percentage of tourism and as such provides the opportunity for development and thereby affects the development of Croatia as a tourist destination throughout the year. Furthermore, health tourism records an annual growth of 15 to 20% worldwide and thus sets itself up as a new trend in the market arising from need (and not desire), which is a distinct advantage and strength compared to the product, in this case tourism, which arises from wishes to visit a certain destination. Health tourism is based on natural spas, preventative, medical and rehabilitation programs and various types of wellness offers. Health tourism in Croatia has natural predispositions, a long tradition and basic infrastructure that requires improvement and continuous investment. The current situation in Croatia regarding health tourism is not promising because large public health institutions, such as clinical hospital centers, general hospitals or polyclinics, do not show interest in health tourism. Health tourism in Croatia is still sporadic, insufficiently diversified, relatively unsettled and poorly recognizable. The lowest level of satisfaction among guests was expressed in relation to the innovativeness of the offer and the suitability of the wellness center for people with special needs. It is necessary to invest in the capacities of the hotel and health superstructure following the requirements of contemporary world tourism demand, which includes staff education and increasing competitiveness on the international market. The research was conducted and the results are presented graphically. Based on the research, it can be concluded that Croatia has the prerequisites for the development of health tourism, especially the branch of medical tourism. The paper itself presents the development of the same, as well as the advantages and disadvantages of Croatia as a destination for health tourism.

У статті подано аналіз ефективності застосування комплексної методики фізичної реабілітації дітей зі сколіозом в умовах поліклініки. У дослідженні взяли участь 174 дитини дошкільного віку зі сколіозом І ступеня. До плану лікувально-відновлювальних заходів були включені: цілодобове дотримання ортопедичного режиму, щоденні заняття лікувальною гімнастикою (спеціальні симетричні, асиметричні та деторсійні вправи), лікувальний масаж з елементами точкового масажу, лікувальне плавання, електростимуляція м’язів, лікувальна хореографія, коригуюча гімнастика після денного сну (виконання ігрових вправ у початковому положенні лежачи з метою підготовки м’язів до активної та ефективної роботи у вертикальному положенні). Завдяки проведенню комплексу реабілітаційних заходів вдалося нормалізувати функціональні можливості хребта у 24,1 % дітей, досягнути покращення постави в 42,6 % хворих та стабілізувати сколіотичний процес у 28,7 % пацієнтів.

Background: Infertility is an inability of a spouse to get pregnant within twelve months seeking pregnancy without using any contraception. The duration of infertility affects the chance to get pregnant. Objective: To identify the factors causing infertility patient came late to Polyclinic Merpati RSUP Dr. Kariadi Methods: This study was an observational descriptive with a cross-sectional design. The data were obtained from medical records and questionnaires. Twenty-six respondents were infertility patients who met the inclusion and exclusion criteria and came to Polyclinic Merpati RSUP Dr. Kariadi in September 2020. Results: The number of infertility patients in September 2020 was 76 patients, 72,4% of them came to Polyclinic Merpati late. Most people came after being referred from the previous doctors. Three factors causing infertility patients came late were economic factors, a social factor, and another difficulty. Conclusion: Factors causing the late coming of infertility patients were economic factors, a social factor, and another difficulty

in its writing, inclusion of information, improper prescription, and even incorrect prescription. The impact of these errors can lead to several factors that can be detrimental, ranging from the inaccuracy of drugs given to certain individuals, errors in measuring the dose given, or incompatibility of drugs with certain patients so that it can result in disability or death. This study aims to determine the completeness of outpatient prescriptions according to prescribing SOP compliance served in the internal disease polyclinic of MM Indramayu Hospital. This study used a descriptive method which was carried out retrospectively using activity data for the period January - December 2020. Sampling was carried out using the Slovin formula and obtained 380 recipes. Based on the data collection and analysis carried out in this evaluation, it can be seen that the administrative completeness of prescriptions that meet the requirements are (74.73%), while the administrative completeness of prescriptions that do not meet the requirements are (25.26%). Administrative documents that meet the criteria are Signature, Incryptio, Invocation, Patient Name and Age (100%), while other administrations are Praescriptio/Ordonatio (28.68%), Subscriptio (45.26%), and Address (75.78%). From this evaluation, it can be concluded that many outpatient prescriptions meet the completeness aspect of the prescription SOP at MM Indramayu Hospital. However, improvements in prescribing need to be done so that there are no prescriptions that do not meet the requirements. This can be done by reviewing doctors to be more thorough and clear in prescription writing, communication between pharmacists and doctors or medical audits of prescription writing

INTRODUCTION Patients with chronic diseases face difficulties when navigating the healthcare system. Using the Healthcare System Hassles Questionnaire (HSHQ) developed by Parchman et al, this study aimed to explore the degree of hassles faced by patients in primary care in Singapore and identify the characteristics associated with greater hassles. METHODS A cross-sectional study was conducted on patients with chronic diseases at Hougang Polyclinic, Singapore, using the interviewer-administered HSHQ. The mean HSHQ score was compared with that reported by Parchman et al. The associations between the number of chronic diseases, demographic variables and healthcare hassles were assessed using multivariate linear logistic regression analysis. RESULTS In total, 217 outpatients aged 21 years and above were enrolled. Their overall mean HSHQ score (4.77 ± 6.18) was significantly lower than that of patients in the study by Parchman et al (15.94 ± 14.23, p < 0.001). Patients with five or more chronic diseases scored 3.38 (95% confidence interval [CI] 0.11–6.65, p = 0.043) points higher than those with one chronic disease did. With each increasing year of age, the mean HSHQ score decreased by 0.17 (95% CI −0.26 to −0.08, p = 0.001) points. Patients with polytechnic/diploma/university education and higher scored 2.65 (95% CI 0.19–5.11, p = 0.035) points higher than those with primary education and lower did. CONCLUSION Patients in our population reported less hassles than those in the study by Parchman et al did. Increasing age and lower education level were associated with less hassles. Further analysis of the types of chronic diseases may yield new information about the association of healthcare hassles with the number and types of chronic diseases.

Introduction. The article considers an approach to organization of research activity using medical information system. Materials and methods. Authors carried out retrospective analytical cohort study of adults with temporary incapacity to work based on the data from the State Medical Institution Galichskaya District Hospital (Kostroma Region of the Russian Federation) for a period 2014–2019. Sampling was done using the medical information system. Results. As the medical information system has been operating for many years and is designed in the way that the key information gaps should be filled, we consider the results of our study on research activity in a polyclinic using medical information system successful. Discussion. The organization of research activity is discussed using results of an epidemiological study aimed at identifying the correlation between the incidence of acute respiratory diseases and further development of circulatory system diseases carried out in Galichskaya District Hospital. For citation: Papicheva MA, Yakushina II. Organization of research activity in a polyclinic using medical information system. City Healthсare. 2021; 2(3):24-34. doi: 10.47619/2713-2617.zm.2021.v2i3;24-34

The results of the joint work of a panel of experts from Rospotrebnadzor and healthcare professionals of the Republic of Uzbekistan on organizing activities to counter the spread of the SARS-CoV-2 virus are described in the paper.The goal of the study was to determine the main driving forces of COVID-19 spread in the Republic of Uzbekistan and develop an action plan to reduce the incidence of coronavirus infection caused by the SARS-CoV-2 virus.Materials and methods. The organization of work in 14 health care institutions in Tashkent and Samarkand, as well as in Tashkent and Samarkand Regions, was analyzed: in 7 laboratories, 6 hospitals and 1 polyclinic. The routes for the movement of personnel, the demarcation of green and red zones, the features of disinfection and the use of personal protective equipment were studied. Attention is drawn to the diagnosis of COVID-19, the use of therapy aimed at reducing the period of virus shedding, the criteria for lifting quarantine restrictions for patients.Results and discussion. The main factors in the organization of work of institutions that contribute to the spread of COVID-19 among medical personnel and the population have been identifed: the lack of equipped gateways between the red and green zones with the accessibility of adequate disinfection, the wrong choice of personal protective equipment, monitoring of contact persons for 10 days, discharge from hospitals based on clinical improvement. The incorrect use of antiviral therapy, the lack of differentiated approaches to the selection of optimal regimens have been noted. Proposals are formulated for organizing the work of healthcare institutions, taking into account the requirements of biological safety. The introduction of targeted measures in addition to those previously adopted has led to a signifcant improvement in the epidemic situation: the total number of active cases in the Republic of Uzbekistan, despite the increase in testing volumes, decreased from 3,686 people on August 23 to 2335 on October 27. Towards December 20, 2020, 97 % of patients recovered completely. All diagnostic triage centers in the Republic of Uzbekistan are closed due to the absence of patients with COVID-19, most of the country’s medical institutions previously re-profled for patients with coronavirus infection have returned to the routine operations.

The Eagle's syndrome is a disease is caused by irritation of the nervous, vascular and muscular structures the surround the subcutaneous process of the temporal bone. A syndrome manifested by chronic pain at the deep part of the lateral region of the face, which irradiates in to the root of the tongue, pharynx and ear, dysphagia, symptoms of disorders of the circulation of the brain. Symptoms of Eagle’s syndrome are founding various otolaryngological, dental, neurological diseases. Aim: due to the lack of information on the development and course of the stylohyoid syndrome, conservative treatment and the complexity of diagnosis, the anatomical features of the hypertrophied styloid process, their length and angles of deviation and the need for local impact on the process, the stylohyoid ligament and the neurovascular bundle, to varying degrees presenting to the styloid process, it becomes necessary to develop the most effective and simple method for diagnosis a hypertrophied styloid process and to optimize the need for CT examination with contrasting of the great vessels of the neck and performing functional tests. Materials and methods: Over the past 9 years, we examined and treated 184 patients. The appeals were random, with no specific focus. Of these, there were 133 women (72.3%), men – 51 (27.7%); age – from 25 to 70 years old: 25-30 years old – 15 people (8.1%), 30-45 years old – 116 (63%), 45-60 years old – 38 (20.6%), 60-70 years old – 15 (8.1%); the duration of the disease is from 1 to 10-15 years. Our work was aimed at improving and simplifying the diagnosis of the hypertrophied styloid process during the initial treatment of the patient in an outpatient and polyclinic conditions using functional tests, determining the need to refer patients to CT examination to visualize the relationship of the elongated styloid process with the main vessels of the neck, the possibility of pressure of the append age on the vessels and nerves of the neck, both at rest and in the movement of the head and neck, the development of impaired blood circulation in the brain due to impaired blood flow through the arteries and impaired out flow through the veins, and the development of corresponding symptoms in addition to those described in the literature. Due to the difficulty of diagnosing hypertrophy of the styloid process of the temporal bone in an outpatient and polyclinic conditions and the lack of awareness of practical otolaryngologists about this problem, we proposed a scheme for examining patients with suspicion of this problem.

Health is one of the indicators of community welfare, so the community needs quality health services to meet their basic needs. To improve services and increase patient satisfaction, hospitals need to apply the Covid-19 policy in screening and service flows which are predicted to affect patient satisfaction. The aim of this study was to determine the effect of service quality on patient satisfaction during the COVID-19 pandemic. The research method in this study used a cross-sectional approach. The population was outpatients at the obstetrics and gynaecology polyclinic. The sample was determined using the accidental sampling technique with a total of 360 patients. The data were analyzed to determine the most dominant factor by using a logistic regression test. Based on the results of multivariate analysis, the variables with the greatest influence on patient satisfaction are the assurance variable (95% CI 1.50-6.06 with a p-value of 0.012), empathy (95% CI 1.38-4.65 with a p-value of 0.006), and tangible (95% CI 1.04- 4.08 with a p-value of 0.001). Based on the results, it can be concluded that there is a relationship between the dimensions of service quality and patient satisfaction. The quality of service during the Covid-19 pandemic is considered good but needs to be optimized on the dimensions of assurance, empathy, and tangible. Abstrak: Kesehatan adalah indikator kesejahteraan masyarakat yangpaling utama, dan untuk memenuhi kebutuhan dasarnya masyarakat membutuhkan pelayanan yang bermutu . Rumah sakit berusaha meningkatkan pelayanan dan kepuasan pasien perlu adanya kebijakan mengatasi penularan Covid-19 berupa prosedur pelayanan, keharusan screening, serta alur proses pelayanan yang berubah diduga juga berpengaruh terhadap kepuasan pasien dan mutu pelayanan. Tujuan penelitian ini bertujuan untuk mengetahui pengaruh mutu pelayanan terhadap kepuasan pasien dalam masa pandemic covid-19. Metode Penelitian menggunakan pendekatan cross sectional . Populasi penelitian adalah pasien rawat jalan di poliklinik kebidanan dan kandungan, Prosedur sampel Accidental Sampling sebanyak n=360. data hasil survey di analysis untuk mengetahui factor yang paling dominan dengan menggunakan uji regresi logistic. Berdasarkan hasil analisis multivariate variabel yang paling besar pengaruhnya terhadap kepuasan pasien adalah variabel Assurance dengan nilai 95%CI 1.50-6.06 dan p =0.012, Emphaty 95%CI 1.38-4.65 p=value 0.006 dan Tangiable dengan nilai 95%CI 1.04-4.08 dan p=value 0.001. Berdasarkan hasil pada penelitian ini dikatakan bahwa terdapat hubungan pada dimensi mutu pelayanan dengan kepuasan pasien. Mutu pelayanan yang terjadi selama masa pandemi Covid-19 dinilai mulai sudah baik, akan tetapi harus di tingkatkan da dioptimalkan pada dimensi jaminan, emphaty dan tangibles.

PROFILE OF CONDYLOMA AKUMINATA PATIENTS IN THE SKIN AND SEX POLYCLINIC OF PERTAMINA BINTANG AMIN HOSPITAL FOR THE PERIOD OF JANUARY 2016 TO DECEMBER 2019. Introduction : Sexually transmitted infection (STI) is one of the diseases and causes of health, social and economic problems in many countries. According to WHO, more than 1 million sexually transmitted infections are acquired every day in various parts of the world and more than 290 million women have human papillomavirus infection. In America, data from the CDC shows new cases with more than 19.7 million sexually transmitted infections each year, and about 14.1 million cases are human papillomavirus infections. Objective : This study aims to find out information about the profile of condyloma acuminata sufferers at the Dermatology and Venereology Polyclinic at Pertamina Bintang Amin Hospital for the period January 2016 to December 2019. Methods: This study used quantitative descriptive analysis with the aim of knowing the profile of patients with condyloma acuminata. Sampling was done by using the total sampling method. The sample in this study were patients with condyloma acuminata who were treated at the Dermatology and Venereology Polyclinic at Pertamina Bintang Amin Hospital for the period January 2016 to December 2019 totaling 22 patient medical records. Results: It was found that patients with condyloma acuminata were more commonly found in the age group of 26 to 35 years (early adulthood), as many as 9 patients (40.9) in the female sex, namely 17 patients (77.3%) with married status. as many as 17 patients (77.3) while based on the management of patients more were given treatment using electric surgery, namely as many as 8 patients (36.4%). Conclusion : Patients with condyloma acuminata in order to maintain their health condition, and avoid risk factors that can increase the occurrence of condyloma acuminata, it is hoped that health workers can hold health promotion activities about the prevention of sexually transmitted diseases, especially condyloma acuminata and this research can be used as additional information to develop further research regarding the factors that have not been studied in this study Keywords: Condyloma acuminata, sexually transmitted infection, HPV

Introduction: Diabetic foot syndrome is one of the most common and devastating preventable complications of diabetes mellitus. Knowledge and awareness about the disease can have a positive influence on attitude and practices of patients. Objectives: We aimed to evaluate the knowledge, beliefs, and practices (KBPs) regarding diabetes and diabetic foot syndrome among Omani type 2 diabetic patients. Patients and Methods: We studied 150 participants from the diabetes clinic, Bausher Polyclinic, Muscat. A questionnaire was used to determine KBPs around diabetic foot care. Results: There were 90 females and 60 males, 67.9% were older than 50 years, 42.7% were illiterate, and 72% of them were not working or retired. Only 38% checked their feet regularly; 5.6% had diabetic foot syndrome. Over half of the respondents (55.3%) did not know the causes of diabetic foot syndrome and half of the respondents did not know symptoms of the same. Just over one-third (37.3%) thought that their doctor alone was responsible for foot examination. Only 32.7% thought that they should examine their own feet. The majority believed that walking barefoot and diabetic foot syndrome are “big” problems (84% and 80%, respectively). More than three-quarters (78%) reported checking water temperature before use, 38.7% use warm water for washing feet, and 39.3% reported drying their feet after washing. Only 38% check their feet regularly. Finally, only one-third confirmed checking their blood sugar regularly. Conclusions: The KBP triad must be interconnected in order to achieve successful preventive foot care.

Introduction: Down Syndrome is a common chromosome abnormality among infants. This condition is Present in 1 over 800 deliveries. Advanced maternal age is a risk factor for Down syndrome. Other miscellaneous factors are radiation, infection, autoimmune and paternal age. The Aim is to determine maternal age distribution of Down syndrome at pediatric growth and development polyclinic, Wahidin Sudirohusodo hospital. Methods: A Descriptive study. Study population was all outpatients at Pediatric Growth and Development polyclinic, Wahidin Sudirohusodo hospital in Makassar 2015-2019. Samples in this study were collected from total sampling of population data that met the criteria of new Down syndrome patients with complete medical records Results: This study found 237 new pediatric down syndrome patients admitted to growth and development polyclinic from January 2015 – December 2019, 95 complete medical records from 237. 52% (49) boys, 48 % (46) girls from 95 children. No gender difference was found in the presentation. Parental age of Down syndrome patients, the most advanced maternal age was >35, found 46 (48,42%), the most advanced paternal age was >35, found 63 (66,32%). Parity < 3rd, the most maternal age between 25-35 (23,16%), parity > 3rd, the most maternal age was >34, found 30 (31,57%). Conclusion. Advance maternal and/ or paternal age is a risk factor of Down Syndrome.

Bu çalışmanın amacı Türkiye geneli ve bölgesel olarak turizmin konut fiyatları üzerindeki etkisini belirlemektir. Ülkelerin turizmden beklenen ekonomik faydaları elde edebilmesi açısından etkin pazarlama ve tanıtım faaliyetleri ile uluslararası arenada tanınırlığını artırmak önemlidir. Bu tanınırlık ülkelerden gelen yabancı turist sayısında artışa neden olabilir. Ülkelere gelen yabancı turist sayısındaki artışlar ise doğal olarak söz konusu ülkelerin konut fiyatlarını etkileyebilir. Bu doğrultuda çalışmada uzun dönemde turizmin konut fiyatları üzerindeki etkisi 2010:01-2018:12 dönemine ait aylık verilerle Gecikmesi Dağıtılmış Otoregresif (ARDL) sınır testi yaklaşımı kullanılarak araştırılmıştır. Elde edilen bulgular, uzun dönemde Avrupa ve Ortadoğu’dan gelen yabancı turist sayısının Akdeniz bölgesi konut fiyatları üzerinde pozitif etki yaratırken, Asya ve Bağımsız Devletler Topluluğu ülkelerinden gelen yabancı turist sayısının negatif etki yarattığını göstermiştir. Ayrıca, uzun dönemde Avrupa ve Bağımsız Devletler Topluluğu ülkelerinden gelen yabancı turist sayısı Karadeniz bölgesi konut fiyatları üzerinde negatif etkiye sahipken, Asya’dan gelen yabancı turist sayısının Karadeniz bölgesi konut fiyatları üzerinde pozitif etki yarattığı belirlenmiştir. Asya’dan gelen yabancı turist sayısı da Marmara2 bölgesi konut fiyatları üzerinde uzun dönemde pozitif etki meydana getirmiştir., The goal of this study is to determine the effect of tourism on housing prices in Turkey both nationally and regionally. It is important for countries to increase their recognition in the international arena through efficient marketing and promotional activities in order to achieve the economic benefits that are expected from tourism. This recognition may cause an increase in the number of arriving foreign tourists. The increase in the number of incoming foreign tourists may affect the housing prices of the relevant countries naturally. In this context, the effect of tourism on housing prices in the long term has been researched by using the Autoregressive Distributed Lag (ARDL) bound testing approach through monthly data belonging to the 2010:01-2018:12 period. The findings acquired indicated that the number of foreign tourists coming from Europe and the Middle East created a positive effect on the housing prices of the Mediterranean region in the long term while the number of foreign tourists coming from Asia and Commonwealth Independent States created a negative effect on the housing prices in the Mediterranean region. Moreover, it has been determined that the number of foreign tourists coming from Europe and the Commonwealth Independent States had a negative effect on the housing prices in the Black Sea region in the long run, while the number of foreign tourists coming from Asia created a positive effect on the housing prices in the Black Sea region. The number of foreign tourists coming from Asia also created a positive effect on the housing prices in Marmara2 region in the long run.

The novel coronavirus disease (COVID-19) pandemic has become a strength test for the national healthcare systems and medical professional communities. The pandemic gave a revealing insight into the provision of resuscitation care, a shortage of personnel and protective equipment, and the lack of effective drugs to treat a novel, poorly studied infection. Objective. To identify the attitude towards immunoprophylaxis in general and against the coronavirus infection (COVID-19) in particular among medical students and pediatricians and to assess the dynamics of compliance to vaccination in these groups. Materials and methods. The survey was conducted among the 5-6-year students of the medical and pediatric faculties of the Ryazan State Medical University (RSMU) of the Ministry of Health of Russia in 2017 and 2021, the groups of students included 250 and 225 people, respectively. The children’s polyclinic pediatrician groups included 45 and 60 people in 2017 and 2021, respectively. The survey was conducted anonymously, face-to-face, and without compulsion. The identical questionnaires asked students 13 questions and pediatricians 10 questions with suggested response options. Results and discussion. The percentage of students who correctly named the number of vaccine preventable diseases in the National Immunisation Schedule has significantly decreased; the number of students who were not aware of the availability of the chickenpox vaccine has increased by 1.9 times. In 2021, the number of students giving priority to domestic vaccines decreased by 2.3 times, and the number of those choosing imported drugs as better and safer ones has increased by 1.5 times. In 2021, the number of senior students who were vaccinated against influenza doubled as compared to 2017. At the same time, the students agreed to recommend their patients to be vaccinated against influenza 1.4 times more often. During the 2021 pediatrician survey, the number of respondents, who preferred imported vaccines as better and safer ones, increased by 4 times, and the number of domestic vaccine advocates decreased by 1.8 times. In addition, the number of pediatricians who did not decide on this issue has increased by 9.8 times. Сonclusion. The results of the survey showed that there is still a lack of compliance to vaccine prophylaxis in certain groups of the professional medical community. The student cohort showed a decrease in knowledge and confidence in the vaccine prophylaxis. Among practitioners, there has been a positive trend towards an increase in the percentage of pediatricians, who considered it expedient to vaccinate children with chronic pathology.

Prefentive and currative efforts of COVID-19 in pesantren is a crucial points to be done in order to conduct conducive and safe learning situation. This community service aims to form, train and assist Santri Husada in carrying out its role in the health sector of Islamic boarding schools. This campus environmental service program offers many paradigm shifts for students by allowing them to participate in maintaining the health of pesantren residents who have previously appeared to disregard health protocols. It was carried out in three phases, namely education and outreach, training, and intensive mentoring from March to May 2021 at Darul Faqih Islamic Boarding School Malang. The survey results on students’ knowledge, attitudes and practices towards COVID-19 showed a good score with the correlation (R-square: P-Value) knowledge-attitude (0.167: 0.000), knowledge-practice (0.060: 0.000) and attitude-practice ( 0.051: 0.000). This community service program was carried out in collaboration with LP2M Universitas Negeri Malang, UPT Wagir Health Center, Polyclinic of Universitas Negeri Malang and the COVID-19 Task Force, Wagir District, Malang Regency. The Santri Husada Program has made a real contribution in suppressing the spread of COVID-19 in the Islamic boarding school environment and led it a tough Islamic boarding school area.

Background : Cervical cancer is one of the main problems in women's health in the world, including Indonesia. According to the 2018 Global Cancer Observatory from the World Health Organization (WHO), the most common cancer cases in Indonesia are breast cancer, which is 58,256 cases or 16.7% of the total 348,809 cancer cases. Cervical cancer (neck of the womb) is the second most common type of cancer in Indonesia, with 32,469 cases or 9.3% of the total cases. Objective: To determine the risk factors associated with early detection of cervical cancer using Visual Inspection with Acetic Acid (IVA) ) in women of childbearing age in the Work Area of the Ternate City Health Center for Siko Treatment. Methods: This research is a quantitative analytic study with a cross sectional design. Data collection was carried out from December 2020 to January 2021. The population was all patients who underwent examinations at the Maternal and Child Health Polyclinic (KIA) at the Siko Care Health Center in Ternate City as many as 227 patients and a sample of 145 female patients of childbearing age from January to September 2020. Techniques sampling is simple random sampling. Data analysis used univariate and bivariate with chi-square test. The research variable consists of the dependent variable, namely early detection of cervical cancer, while the independent variables are knowledge, husband's support, access to information and culture. Results: Shows that age (46.9%), knowledge of VIA (50.3%), attitude (55.2%), husband's support (52.4%), access to information (62.1%), culture (51.7%), Support Officer (48.3%), early detection of cervical cancer IVA method (55.2%), while the bivariate results include: Age (0.000, OR=19,011; CI=8.095-44,647), knowledge (0.001; OR=2.86; CI=1.563-18.367), attitude (0.000; OR=215.524 CI=53,456-868.955), husband's support (0.002; OR=1.448 CI=1.688-11.933), access to information (0.000; OR=2,294; CI=1,574-15,976), culture (0,003; OR=2,202 CI=1,648-10,717), health worker support (0,000; OR=27,111 CI;11,023-66,680). Conclusion: There is a relationship between knowledge, husband's support, access to information and culture with early detection of cervical cancer against the IVA method. Based on the results of the study, it is recommended that the relevant agencies, namely the Siko Health Center, always improve health education to the community, especially mothers and husbands regarding early detection of cervical cancer through various media tools including leaflets, posters, flipcharts and other media. Through this counseling, it is hoped that the community will be more interested and understand the material presented more quickly

The article describes the history of the creation of the Department of Family Medicine of the NWSMU named after I.I. Mechnikov, notes the role of international projects in its establishment and development of the main areas of activity. Examples of successful long-term cooperation are given, in particular, with the University of Iowa (USA). The main stages of the formation of teaching the specialty General Practice (Family Medicine) within the framework of professional retraining of primary health care doctors and residency are described. The importance of using various interactive technologies in the learning process is emphasized, including the development of skills in simulation conditions, which were introduced at the department long before their use in the process of accreditation of specialists. The features of teaching the discipline Polyclinic Therapy for the 6th year students of the medical faculty, as well as the experience of leading scientific research that was carried out by participants of the student scientific society are noted. The main directions of scientific research carried out at the department in recent years are described, aimed at a comprehensive study of the features of the management of elderly patients in general medical practice and the prevalence of chronic obstructive pulmonary disease (COPD) in St. Petersburg and Arkhangelsk. The role of international cooperation in the implementation of large-scale scientific projects, in particular with the Catholic University of Leuven (Belgium), is emphasized. The perspectives for the development of the Department of Family Medicine in the near future are outlined.

Hazardous and Toxic Waste/ (Hazardous and Toxic Materials) is the residue of a business and/or activity containing hazardous and toxic materials (B3). One of the B3 wastes is medical waste, which is an infectious waste generated from activities at health care facilities, in the form of solid or liquid waste. These medical wastes are generated from activities such as hospitals, community health centres, independent practice places, clinics, etc. Amenities. Medical waste is an infectious object or item that must be properly managed, starting from the time of collection, transportation, to the destruction process. Therefore, it is necessary to have legally binding regulations related to waste and its management. This research is descriptive in nature which will produce a regulatory description of B3 waste management, particularly medical waste with the protection of environmental health rights. The research approach used normative legal approach. The data collected is in the form of secondary data, while the method of analysis used is qualitative analysis methods. The results showed that the more human activity increased, the more waste was generated. Medical waste is one of the B3 wastes. Medical waste is waste that is directly generated from the diagnosis and medical treatment of patients in health care facilities, such as in polyclinic, nursing, surgical, obstetrics, autopsy and laboratory rooms. To avoid environmental risks, medical waste management must be carried out properly. Various laws and regulations for the management of B3 waste have been enacted, including Government Regulation No. 19/1994 (PP 19/1994) concerning Management of Hazardous and Toxic Wastes up to PP 101/2014. The provisions regarding B3 waste management are based on Law Number 32 the Year 2009 concerning Environmental Protection and Management (UUPLH). However, related to medical waste, it still needs to be synchronized with the regulations in Law Number 36 of 2009 concerning Health. Regulations on medical waste management aim to protect environmental health. Medical waste management can prevent environmental pollution and prevent disease transmission (infection) and prevent waste misuse.

Introduction. Human Immunodeficiency Virus (HIV) infection has been a concerning health problem worldwide. It causes reduction in body immune system and inflammation that can affect its clinical profile. Undergoing ARV therapy patients causes intestine microbiota dysbiosis and translocation that lead to imperfect absorbtion of fatty acid. One way to control microbiota dysbiosis is by controlling the nutritional factor, especially with omega-3. However, different regions upstands different custom in fish consumption especially those of which are rich in omega-3. The purpose of this research is to compare omega-3 serum level between HIV-AIDS patients and healthy population, as well as analyzing the correlation of omega-3 serum level with of HIV-AIDS patient clinical profile.Methods. The research will be applying observational analytic study using comparative study approach which will be performed in Tropical Infection Internal Medicine polyclinic and Medical Check-Up Polyclinic in RSMH Palembang starting from April 2020 until January 2021. Sample consisted of 32 HIV-AIDS patients from 20-58 years of age and 16 healthy population from 27-35 years of age on whom will be performed physical examination as well as clinical profile and omega-3 serum level examination. All data processing and analysis will be performed using SPSS v.25 for windows.Results. Out of 32 HIV-AIDS patients, we obtained low omega-3 serum level with median value at 3 (2-4) Umol/L, while in healthy population was 4 (3-6) Umol/L. Multivariate analysis inferred that the lower omega-3 serum level correlated with HIV-AIDS stage, duration of ARV therapy, blood pressure, and sex.Conclusion. Omega-3 serum levels in HIV-AIDS patients were lower than the healthy population. There was a correlation between omega-3 serum levels and their clinical profile of HIV-AIDS patients in Mohammad Hoesin General Hospital Palembang.

Aim. Assess the two-year survival rate of patients who have undergone acute cerebral circulation disorder, depending on their commitment to visiting the district polyclinic before and after discharge from the hospital.Material and methods. The outpatient part of the REGION-M register included 684 patients attached to the Moscow City Polyclinic №64, discharged from the Moscow City Clinical Hospital n.a. F.I. Inozemtsev of from 01.01.2012 to 04.30.2017 with a confirmed diagnosis of acute cerebral circulation disorder (cerebral stroke / transient ischemic attack).Results. Of the entire cohort, 83.2% of patients and 84.2% after hospital discharge attended the clinic during the year before the development of reference acute cerebral circulation disorder. Patients who attended the clinic before and after the reference stroke were older, more likely to have diabetes, comorbid disease and disability. For 22 months of follow-up, mortality was 28.8% (197 out of 684 people). Among those who applied and did not apply to the clinic before the reference acute cerebral circulation disorder, the difference in mortality tended to be reliable (27.4% versus 35.7%, p Conclusion. Lower mortality among those who visited the district polyclinic after undergoing stroke confirms the important role of medical observation in the posthospital period. At the same time, there is a reserve in improving the long-term prognosis of the lives of patients who have suffered a cerebral stroke or transient ischemic attack, due to greater coverage of patients with medical supervision in the clinic.

Introduction: Mental disorders are very dangerous for someone even though they do not directly cause death, if not handled properly, will cause intense suffering for the individual and family. The biggest problem faced by patients with mental disorders and their families is recurrence caused by non-compliance with medication, family and environmental factors. Objectives: The research objective was to determine the effect of social support, socioeconomic, knowledge, family support, and medication adherence on relapse in mental patients. Methods: The research method used quantitative descriptive with cross-sectional design. The study population was all patients with mental disorders who visited the Psychiatric Polyclinic of Santo Vincentius Hospital in January 2019, totaling 600 people. The research sample consisted of 110 patients with mental disorders who were taken using the purposive sampling technique. The research instrument used a questionnaire, the results of which were analyzed using multivariate data. Results: The results showed that social support (p-value 0.031, odds ratio 3.253), socioeconomic (p-value 0.012, odds ratio 3.557), knowledge (p-value 0.033, odds ratio 2.966), family support (p-value 0.015, odds ratio 7,845), and medication adherence (p-value 0.041, odds ratio 3.045) affected the recurrence of mental disorders patients at the Psychiatry Polyclinic of Santo Vincentius Hospital 2020. Conclusion: The variable that had the greatest influence on the recurrence of mental disorders was family support. It is hoped that the family always strives to increase their support for patients by motivating patients, especially in taking medication, trying to meet the needs of patients in their treatment, and improving communication with patients.

State Institution «V.P. Komisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine» (hereinafter — the Institute) is an advisory and hospital institution which provides care to adults and children with endocrine pathology. The Institute is also the leading scientific research base in Ukraine to prepare graduate students, clinical residents, defense of doctoral and candidate dissertations in the field of «endocrinology», to train specialists in internship and information courses. The goal is to analyze the results of the Institute’s work for 2020. Material and methods. The object was the report of the Institute for 2020, and the subject — scientific reports on topics and projects, statistics on science and clinic ones. Research methods include the selection, grouping and analysis of scientific reports and statistics. Results. Realization of 3 fundamental researches in the field of theoretical and clinical medicine was continued at the Institute in 2020. There were 10 applied and scientific, and technical developments, 1 international research program and 1 project for a grant of international organizations among them. 3 patents for utility models were obtained, 2 new technologies were created, 9 own and 6 innovations of other institutions were implemented into practice. Scientific and practical medical journal «Endocrinology/Endokrynologia» was included in the List of scientific professional publications of Ukraine (medical and biological sciences). There were 164 works, including 16 ones published abroad. 17 articles have been published in publications indexed by Web of Science, and/or Scopus scientometric bibliographic databases. One monograph (co-authored), 2 chapters in the textbook, state formulary, information letter and method recommendations were published. 2 doctoral and 1 candidate dissertations were defended at the meetings of the specialized scientific council in the specialty «endocrinology». 8 scientific-practical conferences «School of Endocrinologist» and 15 educational planned cycles were held in Department of Endocrinology. 3.143 patients were treated in the Institite hospital and 1.116 patients were operated in the Surgical Department, 28.862 patients were recepted in the polyclinic. According to the results of the state attestation the Institute is referred to the Ist qualification category and it is entered into the State Register of Scientific Institutions, which are provided with state support. 2 academicians of the National Academy of Medical Sciences of Ukraine and one corresponding member of the National Academy of Sciences of Ukraine, 11 professors, 22 doctors of sciences and 46 candidates of sciences, 7 honored workers of science and technology of Ukraine and 5 honored doctors of Ukraine work at the Institute. 10 researches of the Institute were awarded with the prize of the Cabinet of Ministers of Ukraine. Conclusion. The Institute occupies a leading position among the institutions of the National Academy of Medical Sciences of Ukraine.

Objective: to study the dynamics of risk factors for cardiovascular diseases in patients who are under dispensary observation for the main disease arterial hypertension and coronary heart disease; the frequency of visits to a medical organization, depending on the status of dispensary observation in a cohort of adults in 2015 and 2018. Materials and Methods: on the basis of the outpatient department of the Scientific Research Institute – Krasnodar Regional Hospital No. 1, we analyzed the incidence of CVD in the adult cohort (n = 1170), which passed of the clinical examination twice in 2015 and 2018. The analysis was carried out in groups depending on the status of the dispensary observation («not on dispensary observation», «total on dispensary observation» and «consisting on dispensary observation with CVD»). Results: a decrease in unhealthy diet by 32.21%, 28.78% and 28%, respectively, was shown in the groups «not on dispensary observation», «total on dispensary observation» and «consisting on dispensary observation with CVD» in 2015 and 2018, (χ2 = 80.45, p = 0.001, χ2 = 59.96, p = 0.001 and χ2 = 47.8; p = 0.001). In the groups «not on dispensary observation», «total on dispensary observation» and «consisting on dispensary observation with CVD» in 2015 and 2018, there was a decrease in low physical activity by 50.33%, 24.72% and 21.85%, respectively (χ2 = 79.16, p = 0.001, χ2 = 30.6, p = 0.001 and χ2 = 22.42; p = 0.001). Against the background of the ongoing preventive measures in 2015 – 2018. the cohort showed an increase in overweight and obesity by 19.2% in the «not on dispensary observation» group (χ2 = 4.84, p = 0.028); an increase in the frequency of elevated blood pressure by 48.33% in the «not on dispensary observation» group and a decrease in its frequency in the «consisting on dispensary observation with CVD» by 24% (χ2 = 19.77, p = 0.001, χ2 = 7.1; p = 0.008). Against the background of the ongoing preventive measures from 2015 to 2018, a tendency to reduce the frequency of FR CVD was revealed. A significant decrease in unhealthy diet (p = 0.001), low physical activity (p = 0.001), was registered in individuals who were on dispensary observation according to the main nosology of hypertension. In the group of individuals who were on dispensary observation according to the main nosology, there was a significant decrease in unhealthy diet (p = 0.006) and low physical activity (p = 0.023). In patients who are on dispensary observation with CVD, there was a favorable dynamics in terms of achieving the target values of the level of blood pressure and cholesterol. The revealed tendency to decrease the frequency of visits due to CVD in patients «consisting on dispensary observation» by 32.2%, including» consisting on dispensary observation with CVD» by 33.8% for the period 2015 – 2018. Conclusions: there was a tendency to decrease the frequency of risk factor CVD and the frequency of visits due to CVD in patients «consisting on dispensary observation», which indicates the effectiveness of measures carried out within the observation, regardless of the nosological group of patients.

Purpose. Increasing the importance and effectiveness of nicotine addiction treatment in patients with diabetes mellitus. Materials and methods . A study of nicotine addiction in patients with type II diabetes mellitus was carried out on the basis of the Department of Endocrinology of the Samara State Medical University Clinics in 2019. The psychological study included 60 men aged 45-60 who are undergoing planned treatment in the endocrinology department for type II diabetes mellitus. Psychological research included: conversation, study of the type of attitude towards illness (TOBOL), study of adherence to treatment (Moriska – Green Compliance Scale). Work with tobacco dependence was carried out according to the WHO recommendations according to the “5 A” principle [14]. Work with patients was carried out in the key of rational, behavioral and gestalt therapy. Results and discussion . In total, 24 group meetings were held – 12 group meetings in each polyclinic group of 26 people. The results obtained showed a decrease in the number of patients with a low level of physical wellbeing, psychological well-being, optimism, self-confidence, and readiness to quit smoking. Along with this, there was an increase in the number of patients with a high level of physical well-being, psychological well-being, optimism), readiness to quit smoking. As for compliance, the overall picture has also improved: there were 39 highly adherent patients among the studied (an increase from 10 % to 75 %), moderately adherent – 13 (a decrease from 73.3 % to 25 %), weakly adherent no (there were 16.7 %). Conclusions . Psychological support of nicotine-dependent patients with diabetes mellitus must necessarily include educational work with patients, work with increasing the level of self-control of the disease and adherence to treatment, with a psychoemotional state. It is optimal to include patients with diabetes mellitus in the group psychotherapeutic process in order to provide mutual assistance and receive effective support in the treatment of tobacco smoking and raise the consciousness of patients in relation to the prevention of complications of diabetes mellitus, and to the disease itself in general.

Background: Satisfactory and quality service will form patients/customers loyalty, and satisfaction is very closely related to word of mouth. The next effect will continue on the process of forming an improved image of health care agencies. The standard of patient satisfaction in health services is set nationally by the Ministry of Health at a minimum for patient satisfaction, which is above 95%. The purpose of this study is to find out the relationship between the quality of service in aspects of staff attitude, service facilities, and rates/fees with patient satisfaction in polyclinic acupuncture and herbal LKTM Palembang. Methods: This research is quantitative and uses an analytic survey with a cross sectional design. The sample in this study were all patients of the Palembang Community Traditional Health Workshop (LKTM) in 2020 who visited during the study period, numbering 85 people. Result: Based on the results of the study, 62.4% expressed satisfaction with the services in Polyclinic Acupuncture and Herbs (LKTM). The dimension that needs to be improved is the Assurance dimension in the officer's capability section. Based on the result of Chi-Square statistical test, the level of patients satisfaction to the service attitude of the officer, with a p-value of 0.000. Recommendation: for LKTM Palembang, it is expected to improve the quality of existing health workers and always play an active role in health services, maintain existing facilities, and review the costs set.

Objective: The Palliative Performance Scale version 2 (PPSv2) is a useful tool designed to assess the performance status of palliative care patients. The aim of this study was to translate the PPSv2 into Turkish and to test the validity and reliability of Turkish PPSv2 (PPS-TR) in cancer patients receiving palliative care. Methods: The translation of PPSv2 into Turkish was implemented using a forward–back forward procedure. The patients were allocated from inpatient palliative care unit, consultations from oncology services, palliative care polyclinic, and consultations from emergency unit. The inter-rater and intra-rater reliabilities were tested in a pilot study with 51 patients. The cross-sectional study consisted of 280 patients. The relationship between PPS-TR, Katz Index of Independence in Activities of Daily Living (Katz ADL), and Karnofsky Performance Scale (KPS) was also measured. Construct validity was assessed by observing the test capacity across patient groups based on the place of care. Results: Intraclass correlation coefficients (ICCs) at Time 1 and Time 2 were 0.982 (95% confidence interval [CI]: 0.972–0.989) and 0.991 (95% CI: 0.986–0.995). ICCs of intra-rater agreements were at least 0.956 (95% CI: 0.909–0.977) for three raters. KPS, Katz ADL, and PPS-TR scores of outpatients were significantly higher than those of inpatients and emergency. There was a perfect correlation between PPS-TR and KPS, while the correlation of PPS-TR with Katz ADL was almost perfect. Conclusions: The PPS-TR is a reliable and valid tool for assessment of performance status of cancer patients receiving palliative care.

Background: There are many applications to both emergency services and polyclinics in Turkey. Emergency services are the diagnosis and treatment units that meet a significant part of the patient population in Turkey. In our study, the number of patients admitted to and examined in our country's emergency services and hospital outpatient clinics, and the number of consultations requested during the diagnosis and treatment process were examined. The aim is to identify the applications to public hospitals in our country, to examine their changes over the years, and to show the change in emergency and polyclinic services in recent years.Material and Methods: In this study, which is planned as a retrospective descriptive study, data on the number of patients who applied to the 2nd and 3rd level 836 public hospital outpatient clinics and emergency services in Turkey between January 1, 2016 and January 1, 2022 were discussed. The data were recorded on the spreadsheet program and their percentage changes were calculated using the tabulation program statistical formulas.Results: While the population of our country was approximately 79.8 million in 2016, it increased to 84.6 million by the end of 2021. In this process, the number of patients examined in emergency services increased from 92.6 million in 2016 to 129.5 million by the end of 2021. In the same period, the number of examinations in polyclinics decreased from 199.5 million to 136.9 million. Between these years, the number of specialist physician consultations increased from 12.1 million patients in 2016 to 14.6 million patients at the end of 2021. Conclusions: Along with the positive developments in health services, there has been a serious increase in the demand for health services in recent years, with the increase in accessibility to services. The number of patients examined in the emergency services, which is the area most affected by these demands, and its share in all examination rates have increased greatly over the years. In the light of these statistics, it would be appropriate to plan both emergency services and polyclinic services according to the conditions of the day., Amaç: Türkiye’de gerek acil servislere gerekse polikliniklere çok sayıda başvuru mevcuttur. Acil servisler Türkiye’de hasta popülasyonunun önemli bir kısmını karşılayan tanı ve tedavi birimleridir. Çalışmamızda ülkemiz acil servislerine ve hastane polikliniklerine başvuran ve muayene edilen hasta sayıları ile tanı ve tedavi sürecinde istenen konsültasyon sayıları incelendi. Amaç ülkemiz kamu hastanelerine olan başvuruları saptamak, yıllara göre değişimlerini incelemek ve acil servis ile poliklinik hizmetlerinin son yıllardaki değişimini göstermektir.Materyal ve Metod: Retrospektif tanımlayıcı bir çalışma olarak planlanan bu çalışmada 1 Ocak 2016-1 Ocak 2022 tarihleri arasında Türkiye’de 2. ve 3. Basamak 836 kamu hastanesi polikliniklerine ve acil servislerine başvuran hasta sayılarına ait veriler ele alınmıştır. Veriler tablolama programı üzerine kaydedilmiş ve yüzdesel değişimleri tablolama programı istatistiksel formülleri üzerinden hesaplanmıştır.Bulgular: Ülkemizin nüfusu 2016’da yaklaşık 79,8 milyon iken 2021 yılı sonu itibariyle 84,6 milyona çıkmıştır. Bu süreçte acil servislerde muayene edilen hasta sayısı 2016’da 92,6 milyon kişi iken 2021 sonu itibariyle 129,5 milyona çıkmıştır. Aynı dönem içerisinde polikliniklerdeki muayene sayıları 199,5 milyondan 136,9 milyona düşmüştür. Bu yıllar arasında uzman hekim konsültasyon sayıları 2016’da 12,1 milyon hasta iken 2021 sonunda 14,6 milyon hastaya çıkmıştır.Sonuç: Sağlık hizmetlerinde yaşanan olumlu gelişmelerle birlikte hizmete erişebilirliğin de artmasıyla son yıllarda sağlık hizmeti alma talebinde ciddi artışlar yaşanmıştır. Bu taleplerden en çok etkilenen alan olan acil servislerde muayene edilen hasta sayısı ve tüm muayene oranları içerisindeki payı yıllar içerisinde büyük artış göstermiştir. Bu istatistikler ışığında gerek acil servis hizmetlerinin gerekse poliklinik hizmetlerinin günün şartlarına göre planlanması uygun olacaktır.