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Ayşe Nur Usturalı Mut 1 , Zeliha Öcek 1 , Meltem Çiçeklioğlu 1 , Ummahan Yücel 2

EVALUAT I ON OF A SCALE FOR THE COORD I NAT I ON FUNCT I ON OF FAM I LY PHYS I C I ANS REGARD I NG ANTENATAL CARE. Ayşe Nur Usturalı Mut 1 , Zeliha Öcek 1 , Meltem Çiçeklioğlu 1 , Ummahan Yücel 2 1 Department of Public Health, Ege University Faculty of Medicine , Turkey

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Ayşe Nur Usturalı Mut 1 , Zeliha Öcek 1 , Meltem Çiçeklioğlu 1 , Ummahan Yücel 2

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  1. EVALUATION OF A SCALE FOR THE COORDINATION FUNCTION OF FAMILY PHYSICIANS REGARDING ANTENATAL CARE Ayşe NurUsturalıMut1, ZelihaÖcek1, MeltemÇiçeklioğlu1, UmmahanYücel2 1 Department of Public Health, Ege University Faculty of Medicine, Turkey 2Department of Midwifery, Ege University Izmir Atatürk School of Health, Turkey

  2. Antenatalcare in Turkey • Primarycareservices • FamilyPhysician(FP) • General practitioner or family medicine specialist • Patientlist (~3500 patients) • FamilyHealthWorker(FHW) • Midwife / nurse / emergency medicine technician • Secondarycareservices • Obstetricianspublicandprivatehospitals Pregnantwoman • Tertiarycareservices • Obstetricians in universityandtraininghospitals How effectively FPs are able to coordinate services?

  3. Aim Methods • A scale was developed in this study • In order to assess the level of coordination of antenatal care services by FPsin Turkey • The aim of this presentation • To evaluate the reliability and validity of the scale • The scale was developedin fivesteps • Generation of an item pool • Expert panel • Questionnairedevelopment • 30 items, LikertScale (1= totallydisagreee; 5= totallyagree) • Pilot study • Factoranalysis, the scale was administered to 178 women • given birth in the last three months • lived in three suburbs of Izmir • 23.3% isn’tgraduatedprimaryschool • 36.1% has lowermonthlyhouseholdincomethan minimum wage

  4. Results • 30 items→ 2 itemswereremoved→ 28 items, 6 factors • The factors explained 66 % of the total variance • The Cronbach alpha value: 0.903 • MSA< 0,5, factorloading< 0,4 • KMO: 0,836, Bartlett's Test of Sphericitychisquare: 3106,47, Sd: 378, p: 0.000

  5. Conclusion • Incountrieshavingmulti-headantenatalcaresystems • Instruments evaluatingcoordination of carehavespecialimportance • Thisscale is an attempttomeetthedeficitrelatedtoevaluatingcoordination • A reliable and valid tool which can be used in the assessment of the coordination function of FPs regarding antenatal care services

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