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Evaluation of the function of referral system in family physician program in northern provinces of Iran: 2008

Nasrollahpour Shirvani, D. and Ashrafian Amiri, H. and Motlagh, M.E. and Kabir, M.J. and Maleki, M.R. and Shabestani Monfared, A. and Alizadeh, R. (2010) Evaluation of the function of referral system in family physician program in northern provinces of Iran: 2008. Journal of Babol University of Medical Sciences, 11 (6). pp. 46-52. ISSN 15614107 (ISSN)

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Abstract

BACKGROUND AND OBJECTIVE: Health care system is organized at three levels in order to increase efficacy and effectiveness and create justice and also people availability. Considering three levels of primary health care, access of people to specialized services through referral system is possible. With regard to the importance of referral system in family physician program, this study was performed to evaluate the function of referral system and network system of medical universities in Northern provinces of Iran. METHODS: This analytic study was performed in Autumn of 2008. Twenty percent of health centers (108 centers from 521) which implement the family physician program and rural insurance coverage by medical Universities of Golestan, Mazandaran, Babol and Guilan were randomly selected. In each center 5-7 patients who were referred to level 2 by their family physician and received necessary services were evaluated. They were at their homes at inquiry time. FINDINGS: From 675 patients who received the level 2 services, 440 cases (65%) were female and 235 (35%) were male. Two hundred and seventy cases (40.5%) had referral form from health house. Only 311 (46%) persons referred because of diagnosis of family physician and in 212 (32.9%) of cases, the family physician had a role to choose a specialist of level 2. For 189 (28.1%) of cases, the specialists wrote the results of their evaluation in feedback form. Only 163 (24.5%) of patients returned to their family physicians. Three hundred ninety-four (79.6%) of patients didn't return to their family physician because of lack of knowledge. CONCLUSION: The results of this study showed that many principles for referral system from level 1 to higher levels and vice versa are not considered that require education, reformation and intervention in this field.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - Arabic [Field not mapped to EPrints] J2 - J. Babol Univ. Med. Sci. [Field not mapped to EPrints] AD - Babol University of Medical Sciences, Babol, Iran [Field not mapped to EPrints] AD - Iran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Jondi Shapour University of Medical Sciences, Ahwaz, Iran [Field not mapped to EPrints] AD - Golestan University of Medical Sciences, Gorgan, Iran [Field not mapped to EPrints] AD - Health Services Management Department, Iran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Biophysics and Biochemistry Department, Babol University of Medical Sciences, Babol, Iran [Field not mapped to EPrints] AD - Mazandaran University of Medical Sciences, Sari, Iran [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Family physician, Health care center, Health levels, Referral system, article, attitude to health, controlled study, feedback system, female, general practitioner, health care system, health insurance, health program, health service, home care, human, Iran, knowledge, major clinical study, male, medical specialist, patient referral, rural area, university hospital
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 19 Apr 2015 04:26
Last Modified: 01 Jun 2015 15:48
URI: http://eprints.goums.ac.ir/id/eprint/2226

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