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CÖBEK ÜNALAN, GÜLRU PEMRA

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CÖBEK ÜNALAN

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GÜLRU PEMRA

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2020 - 20223
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Now showing 1 - 3 of 3
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    PublicationOpen Access
    Job satisfaction of family physicians in European countries with different strengths of care coordination
    (2022-12-01) ÇİFÇİLİ, SALİHA SERAP; CÖBEK ÜNALAN, GÜLRU PEMRA; Şahin S., Çifçili S. S., Cöbek Ünalan G. P.
    Background. Job satisfaction of family physicians (FPs) is vitally important not only for the well-being of physicians but also for the quality of health services. Coordination of care is one of the core dimensions of strong primary care. However, studies focused on the association between care coordination and the job satisfaction of FPs is scarce. Objectives. To explore whether the factors influencing the job satisfaction of FPs differ in countries with different strengths of coordination. Material and methods. Across-sectional study was conducted among FPs in ten European countries which were divided into three groups in terms of care coordination. An online questionnaire was disseminated by e-mail to groups of FPs. Socio-demographic, working conditions and workload features were included as independent variables. Job satisfaction as the outcome variable was measured with one question. The Chi-square test was used for comparative analysis. Results. 278 FPs (72% of the targeted sample size) participated. The job satisfaction of FPs in strong and medium-level care coordination groups was higher than their counterparts in the weak-level care coordination group (p < 0.001). No association was found between the socio-demographics and workload features with job satisfaction. Only the non-existence of a gate-keeping system was associated with the increased job satisfaction of FPs in the medium-level care coordination group (p = 0.01). Conclusions. Primary health care is responsible for the coordination of care within the gigantic healthcare system, and FPs play a role in guiding patients. Studying the association between care coordination and the job satisfaction of FPs might help to build better healthcare systems. The gate-keeping system deserves special attention in this research area.
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    PublicationOpen Access
    Care burden and related factors among informal caregivers of patients with amyotrophic lateral sclerosis
    (2022-06-01) ÖZAYDIN, AYŞE NİLÜFER; CÖBEK ÜNALAN, GÜLRU PEMRA; Tülek Z., Özakgül A., Alankaya N., Dik A., Kaya A., Cöbek Ünalan G. P., Özaydın A. N., İdrisoğlu H. A.
    Objective: Amyotrophic lateral sclerosis (ALS) affects the life of the family caregiver as well as the patient. This study aimed to determine the care burden and related factors among family caregivers of Turkish ALS patients. Methods: This descriptive study was conducted with 108 ALS patients and their informal caregivers through face-to-face interviews at home. The data were collected using the ALS Functional Rating Scale, Zarit Burden Interview, European Quality of Life-Five Dimensions Questionnaire, Multidimensional Scale of Perceived Social Support, and the Hospital Anxiety and Depression Scale. Results: The mean age of the caregivers was 48.1 ± 13.4 years; the vast majority were female, and they were either spouses or children of the patients. While 49.1% reported moderate or severe burden, the quality of life was moderate (mean 70.4 ± 22.8). The caregiver burden was related to sex and the functional state of the patient, as well as caregiver factors such as the relation to the patient, sex, health status, time spent for care, and living in the same house with a limited environment. Walking ability, percutaneous endoscopic gastrostomy, tracheostomy, and communication problems were not associated with the burden. Furthermore, burden was associated with the caregiver’s quality of life, social support, anxiety, and depression. Conclusions: The present study draws attention to the fact that the care burden in family caregivers of ALS patients is high and their quality of life is impaired. Our findings reveal that not only ALS patients but also caregivers need to be supported with an organized and planned system.
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    PublicationOpen Access
    The relationship of somatization with fatigue and exhaustion as chief complaints
    (2020-09-01) CÖBEK ÜNALAN, GÜLRU PEMRA; Ayaz Z., ÜNALAN G. P.
    Background