{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T09:55:32Z","timestamp":1779357332911,"version":"3.51.4"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T00:00:00Z","timestamp":1563926400000},"content-version":"unspecified","delay-in-days":204,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2019]]},"abstract":"Abstract<\/jats:title>\n\t \n\t Aim<\/jats:title>\n\t To investigate the changes in the provision of preventive health services in\n terms of woman and child health after reorganization of the primary health\n care services.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Background<\/jats:title>\n\t The primary care system in Turkey has undergone fundamental changes as a part\n of Health Transformation Program during last decade. But there was no\n community-based study to evaluate these changes.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Method<\/jats:title>\n\t This community-based and cross-sectional study was conducted in 2010, just\n before the reorganization of primary care services and in 2015, five year\n after the reforms. The 30\u00d77 cluster sampling method was used in\n Z\u00fcmr\u00fctevler quarter of Maltepe District. The socio-demographic\n characteristics of the participants, the presence of the physician who can\n be consulted for any health problem, the presence of smokers at home were\n questioned. The women aged 18 years or older and gave consent provided\n information about history of pregnancy and birth, the number of follow-ups\n during pregnancy, family planning method usage, cervical and breast cancer\n screening, breastfeeding duration, vaccinations, and prophylactic iron and\n vitamin D supplementation for their children.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Findings<\/jats:title>\n\t After the reorganization of primary care, more people stated that they had\n physicians to whom they could consult for all kinds of health problems (27.8\n versus 44.7%; P<\/jats:italic><0.001) and that physician was\n the primary care physician (30.2 versus 64.7%;\n P<\/jats:italic><0.001). The reported frequency of at least one\n smoker at home was decreased after reorganization of primary care (63.6\n versus 53.1%; P<\/jats:italic>=0.034). There were no\n significant differences in terms unplanned pregnancy, the use of family\n planning method, the number of pregnancy follow-ups and the frequency of Pap\n smears and mammography. There are no significant differences in terms of\n healthy children follow-ups, vaccination, vitamin D and iron supplementation\n (P<\/jats:italic>>0.05). It was found that the duration of\n total breastfeeding increased after reorganization of primary care\n (P<\/jats:italic><0.001).<\/jats:p>\n\t <\/jats:sec>","DOI":"10.1017\/s1463423619000069","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T09:15:22Z","timestamp":1563959722000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of preventive health service provision before and after\n reorganization of primary care in Turkey: a community-based\n study"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4786-6760","authenticated-orcid":false,"given":"\u00c7i\u011fdem Apayd\u0131n","family":"Kaya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Akman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pemra C\u00f6bek","family":"\u00dcnalan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serap","family":"\u00c7if\u00e7ili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arzu","family":"Uzuner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esra","family":"Akdeniz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,7,24]]},"reference":[{"key":"S1463423619000069_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61051-X"},{"key":"S1463423619000069_ref1","first-page":"27","article-title":"Field based study: family medicine implementation and views of family physicians","volume":"2","author":"Ak","year":"2013","journal-title":"Smyrna T\u0131p Dergisi"},{"key":"S1463423619000069_ref12","unstructured":"Hacettepe University Institute of Population Studies (2014) 2013 Turkey demographic and health survey. Hacettepe University Institute of Population Studies, T.R. Ministry of Development and T\u00dcB\u0130TAK, Ankara, Turkey. ISBN 978-975-491-389-7. Retrieved 15 January 2018 from http:\/\/www.hips.hacettepe.edu.tr\/eng\/TDHS_2013_main.report.pdf."},{"key":"S1463423619000069_ref16","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2015.1132887"},{"key":"S1463423619000069_ref7","first-page":"287","article-title":"Asymmetric causality analysis of relationship between health and development","volume":"31","author":"Arslan","year":"2016","journal-title":"Dokuz Eylul University Faculty of Economics and Administrative Sciences Journal"},{"key":"S1463423619000069_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2016.11.016"},{"key":"S1463423619000069_ref23","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2010.0092"},{"key":"S1463423619000069_ref11","first-page":"101","article-title":"The factors that affect breastfeeding in children over two years and followed by the Child Health Surveillance Clinic","volume":"46","author":"B\u00fclb\u00fcl","year":"2012","journal-title":"\u015e.E.E.A.H. T\u0131p B\u00fclteni"},{"key":"S1463423619000069_ref13","first-page":"253","article-title":"Cluster sampling to assess immunization coverage: a review of experience with a simplified sampling method","volume":"60","author":"Henderson","year":"1982","journal-title":"Bulletin of the World Health Organization"},{"key":"S1463423619000069_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2012.05.002"},{"key":"S1463423619000069_ref2","volume-title":"T\u00fcrkiye Sa\u011fl\u0131kta D\u00f6n\u00fc\u015f\u00fcm Program\u0131 ve Temel Sa\u011fl\u0131k Hizmetleri Kas\u0131m 2002\u20132008","author":"Akda\u011f","year":"2008"},{"key":"S1463423619000069_ref15"},{"key":"S1463423619000069_ref22","unstructured":"World Health Organization (2017) Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Retrieved 25 October 2017 from http:\/\/apps.who.int\/iris\/bitstream\/10665\/259386\/1\/9789241550086-eng.pdf?ua=1."},{"key":"S1463423619000069_ref9","first-page":"99","article-title":"The factors affecting the duration of breastfeeding: a cross-sectional study from Kayseri, Turkey","volume":"47","author":"Balc\u0131","year":"2012","journal-title":"Turkish Archives of Pediatrics"},{"key":"S1463423619000069_ref10","first-page":"1","article-title":"The changing effect of health transformation project on hospital services view of health professionals","volume":"7","author":"Bostan","year":"2016","journal-title":"SDU The Journal of Health Science"},{"key":"S1463423619000069_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"S1463423619000069_ref3","unstructured":"Akda\u011f R (2012) Turkey Health Transformation Program Evaluation Report (2003\u20132011). Ankara: Ministry of Health publications, 43-439. Retrieved 12 January 2018 from https:\/\/sbu.saglik.gov.tr\/Ekutuphane\/Yayin\/453."},{"key":"S1463423619000069_ref6","unstructured":"General Directorate of Mother and Child Health and Family Planning (2010) National Strategic Action Plan for Health Sector 2005\u20132015. Retrieved 12 January 2018 from https:\/\/sbu.saglik.gov.tr\/ekutuphane\/kitaplar\/a%c3%a7sap9.pdf."},{"key":"S1463423619000069_ref14","unstructured":"Republic of Turkey Ministry of Health (2012) Health statistics yearbook 2011. Ankara: Ministry of Health, Pub no. 885. Retrieved 6 January 2014 from http:\/\/sbu.saglik.gov.tr\/ekutuphane\/kitaplar\/siy_2011.pdf\/."},{"key":"S1463423619000069_ref17","doi-asserted-by":"publisher","DOI":"10.5455\/pmb.1-1337859309"},{"key":"S1463423619000069_ref18","unstructured":"TA\u00c7ESE (2018) Turkish Maternity, Child and Adolescent Health Institute. Retrieved 14 March 2018 from http:\/\/www.tuseb.gov.tr\/tacese\/ulkemizde-tutun-kontrol-calismalari."},{"key":"S1463423619000069_ref19","unstructured":"Turkey Statistical Institute (2017) Overall satisfaction with health services. Retrieved 15 January 2018 from https:\/\/biruni.tuik.gov.tr\/medas\/?kn=95&locale=tr."},{"key":"S1463423619000069_ref21","unstructured":"World Health Organization (2017) Developing sexual health programmes. Retrieved 25 October 2017 from http:\/\/apps.who.int\/iris\/bitstream\/10665\/70501\/1\/WHO_RHR_HRP_10.22_eng.pdf."}],"container-title":["Primary Health Care Research & Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423619000069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T09:18:07Z","timestamp":1563959887000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423619000069\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":23,"alternative-id":["S1463423619000069"],"URL":"https:\/\/doi.org\/10.1017\/s1463423619000069","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]},"assertion":[{"value":"\u00a9 The Author(s) 2019","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the\n Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits\n unrestricted re-use, distribution, and reproduction in any medium, provided\n the original work is properly cited","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}],"article-number":"e119"}}