Türk aile hekimliğinde görevler arası zaman dağıtımı modellemesi

Turkey went through a major change in its primary health care system and implementedfamily practice between 2005 and 2010. In this study, we provide a generaloverview of Turkish family practice through the lens of a survey conducted amongfamily doctors. We analyze a specic case to explore behavior of patient arrivals overtime in presence of preventive services.Further, we model the time allocation problem of a family doctor as a non-linearoptimization problem. Two approaches are explored. First, preventive service andacute care services are assumed to be provided in isolation. Patients who demandthese services wait in parallel queues where we assumed all demand has to be satised.Optimal percent of time allocated to preventive services is characterized. Second, allpatients wait in a single line with a need of acute care service. Family doctor decideswhether or not to oer a preventive service as an add-on for each patient, wherethere is no obligation to satisfy the demand for prevention service. Conditions toobtain boundary solutions, where all patients receive the same type of service, arecharacterized. For both models, a feedback eect of that preventive activity on theacute care demand is taken into consideration and numerical examples are provided.Finally, we looked at how we can model feedback eect on arrivals by a Markov chainapproach.