DIGITALIZATION OF PRIMARY HEALTH CARE SERVICES IN TÜRKIYE AND THE INTEGRATION PROCESS BETWEEN LEVELS OF CARE

Hüseyin Alperen GÜLDİKEN, Melih ÇAMCI, Ali Ramazan BENLI

Türkiye Aile Hekimliği Dergisi - 2026;30(2):156-164

Department of Public Health, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Türkiye

 

As part of ongoing efforts to make the healthcare system in Türkiye more effective, accessible and sustainable, the digitalization of primary healthcare services is gaining increasing importance. This study explores the contribution of digital health technologies to service delivery-particularly through family health centers-along with the integration policies developed between different levels of care. The widespread adoption of systems such as electronic health records, e-Nabız, the Central Physician Appointment System (MHRS), and the Public Health Management System (HSYS) has not only improved patient-service alignment but also facilitated better coordination among healthcare professionals. Following the implementation of the Health Transformation Programme, information management systems have enabled a more holistic approach to patient follow-up, guidance, and monitoring. In 2025, the "Integration between Healthcare Levels" initiative was introduced to streamline patient transitions from primary to secondary and tertiary care in a more systematic and efficient manner. Expanding the scope of the authority of family physicians, enhancing their access to laboratory and imaging services, and promoting reciprocal information sharing with specialist physicians are expected to support a more balanced distribution of the healthcare burden and alleviate patient congestion in hospitals. These initiatives aim to shorten the time citizens wait for care, improve referral accuracy, and increase access to preventive health services. In light of these developments, it is envisioned that the future of Türkiye's healthcare system will be built upon a more innovative and integrated model, underpinned by a strengthened digital infrastructure and enhanced digital competencies among physicians.