Izmir Provincial Health Directorate

İzmir, Turkey

Izmir Provincial Health Directorate

İzmir, Turkey
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Sariyer G.,Yaşar University | Ataman M.G.,Cigli Region Education and Research Hospital | Sofuoglu T.,Tepecik Education and Research Hospital | Sofuoglu Z.,Izmir Provincial Health Directorate
Journal of Public Health (Germany) | Year: 2017

Objective: Emergency Medical Services (EMS) play an important role in health care systems, especially when well planned and well managed. The goal of this research was to characterize ambulance utilization rates and investigate associated factors. Such an analysis could make a contribution to operational planning of these services. Materials and methods: The data for this study were taken from the Izmir emergency ambulance service, known as the 112 service because of its call number. Total emergency demand made during 2013 was analyzed, and the data were categorized according to four sub-categories: gender, age, rural-urban, and reason for the call. For each category, an analysis was made in terms of the absolute number of calls and a relative measure. Hypothesis testing and correlation analysis were used to investigate the differences between the demand for each category and to compare demand across categories. Results: Although demand rates from males and females were very similar, a significant difference was observed in the daily utilization of these services by gender. The absolute number of calls from rural regions was less than for urban regions, but the rural regions had a higher proportion of calls (i.e., calls per 1000 people). Similarly, the absolute number of calls generated by the elderly was less than that generated by the young, but the elderly had a higher value in terms of relative measures. A medical condition was the most frequent reason for calls. A significant and positive relation was observed between male-female and elderly-young citizens, and there was a significant but negative relation between rural-urban demand. Conclusion: This study confirms that gender, age, and rural-urban distinctions are major factors that affect demand for these services and should therefore to be taken into consideration in operations management. It also highlights the need for a specific focus on rural regions and elderly citizens. © 2017, Springer-Verlag Berlin Heidelberg.


Sankaranarayanan R.,International Agency for Research on Cancer | Swaminathan R.,Cancer Institute WIA | Brenner H.,German Cancer Research Center | Chen K.,Tianjin Medical University | And 25 more authors.
The Lancet Oncology | Year: 2010

Background: Population-based cancer survival data, a key indicator for monitoring progress against cancer, are not widely available from countries in Africa, Asia, and Central America. The aim of this study is to describe and discuss cancer survival in these regions. Methods: Survival analysis was done for 341 658 patients diagnosed with various cancers from 1990 to 2001 and followed up to 2003, from 25 population-based cancer registries in 12 countries in sub-Saharan Africa (The Gambia, Uganda), Central America (Costa Rica), and Asia (China, India, Pakistan, Philippines, Saudi Arabia, Singapore, South Korea, Thailand, Turkey). 5-year age-standardised relative survival (ASRS) and observed survival by clinical extent of disease were determined. Findings: For cancers in which prognosis depends on stage at diagnosis, survival was highest in China, South Korea, Singapore, and Turkey and lowest in Uganda and The Gambia. 5-year ASRS ranged from 76-82% for breast cancer, 63-79% for cervical cancer, 71-78% for bladder cancer, and 44-60% for large-bowel cancers in China, Singapore, South Korea, and Turkey. Survival did not exceed 22% for any cancer site in The Gambia; in Uganda, survival did not exceed 13% for any cancer site except breast (46%). Variations in survival correlated with early detection initiatives and level of development of health services. Interpretation: The wide variation in cancer survival between regions emphasises the need for urgent investments in improving awareness, population-based cancer registration, early detection programmes, health-services infrastructure, and human resources. Funding: Association for International Cancer Research (AICR; St Andrews, UK), Association pour la Recherche sur le Cancer (ARC, Villejuif, France), and the Bill & Melinda Gates Foundation (Seattle, USA). © 2010 Elsevier Ltd. All rights reserved.


Eser S.,Izmir Provincial Health Directorate
IARC scientific publications | Year: 2011

The Izmir cancer registry, the first population-based cancer registry in Turkey, was established in 1992. Cancer registration is now done by active methods. The registry contributed data on survival for 12 cancer sites or types registered in 1995-1997. Follow-up was predominantly done by active methods with median follow-up ranging between 17-72 months for different cancers. The proportion with histologically verified diagnosis for various cancers ranged between 84-100%; there were no death certificate only (DCO) cases; 98-100% of total registered cases were included for the survival analysis. Complete follow-up at five years ranged from 79-98% for different cancers. Five-year age-standardized relative survival rates of common cancers were breast (77%), urinary bladder (70%), Larynx (69%), colon (53%), rectum (52%), non-Hodgkin Lymphoma (50%) and cervix (58%). Five-year relative survival by age group portrayed decreasing survival with increasing age at diagnosis for cancer of the cervix, and was fluctuating for other cancers. Decreasing survival with increasing clinical extent of disease was also noted.


Keskinoglu P.,Izmir Provincial Health Directorate | Sofuoglu T.,Izmir Provincial Health Directorate | Ozmen O.,Izmir Provincial Health Directorate | Gunduz M.,Izmir Provincial Health Directorate | Ozkan M.,Izmir Provincial Health Directorate
Archives of Gerontology and Geriatrics | Year: 2010

The aim of this study is to determine the use of pre-hospital emergency medical services (EMS) in elderly people aged 65 years and over in Izmir, Turkey. In this descriptive study, older patients admitted to pre-hospital EMS of Izmir Province Health Directorate between 2004 and 2005 years was evaluated through the review of Emergency Call Registry Forms. The study data included socioeconomic characteristics, reasons of calling, distribution of calling times in the day, distribution of ambulance callers and preclinical diagnosis. A total of 34% of the subjects admitted to pre-hospital EMS were 65 years old and over. The rate of the use of ambulance services was 68.9/1000 population/year. The rate of pre-hospital EMS use for older persons living in urban areas was significantly higher than that of those living in rural areas. The most frequent pre-hospital EMS caller were persons in family (70.7%), and utilization of ambulance services was the highest in winter. Medically related incidents accounted for 89.1% of all emergency ambulance calls and cardiovascular diseases accounted for most common cause (32.6%) of calls. The utilization rate of pre-hospital EMS among older persons was approximately four times higher than that of the younger age groups. © 2009 Elsevier Ireland Ltd. All rights reserved.


PubMed | Izmir Provincial Health Directorate
Type: Journal Article | Journal: Archives of gerontology and geriatrics | Year: 2010

The aim of this study is to determine the use of pre-hospital emergency medical services (EMS) in elderly people aged 65 years and over in Izmir, Turkey. In this descriptive study, older patients admitted to pre-hospital EMS of Izmir Province Health Directorate between 2004 and 2005 years was evaluated through the review of Emergency Call Registry Forms. The study data included socioeconomic characteristics, reasons of calling, distribution of calling times in the day, distribution of ambulance callers and preclinical diagnosis. A total of 34% of the subjects admitted to pre-hospital EMS were 65 years old and over. The rate of the use of ambulance services was 68.9/1000 population/year. The rate of pre-hospital EMS use for older persons living in urban areas was significantly higher than that of those living in rural areas. The most frequent pre-hospital EMS caller were persons in family (70.7%), and utilization of ambulance services was the highest in winter. Medically related incidents accounted for 89.1% of all emergency ambulance calls and cardiovascular diseases accounted for most common cause (32.6%) of calls. The utilization rate of pre-hospital EMS among older persons was approximately four times higher than that of the younger age groups.

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