title

چالش های استقرار نظام ارجاع در بخش سلامت ایران (یک مطالعه کیفی)

ناصری اصل, منصور ، امینی, ابوالقاسم ، دشمنگیر, لیلا ، ادهم, داود ، جنتی, علی (1396) چالش های استقرار نظام ارجاع در بخش سلامت ایران (یک مطالعه کیفی). Acta Medica Mediterranea ــ 33 (s1). ص.ص.921-926. شاپا 0393-6384

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آدرس اینترنتی رسمی : http://www.actamedicamediterranea.com/archive/2017...


عنوان انگليسی

CHALLENGES OF ESTABLISHING SPECIALTY REFERRAL SYSTEM IN IRAN'S HEALTH SECTOR (A QUALITATIVE STUDY)

خلاصه انگلیسی

Introduction: The specialty referral process, as an essential part of primary health care, is fundamentally important for the provision of optimal health services. The goal of establishing a functional referral system has yet to be achieved in Iran. This study aimed to explore health expert’s viewpoints about challenges of developing and implementing referral system in rural Iran and towns with populations under 20,000. Material and methods: We conducted a qualitative study through five focus group discussions (FGDs), 27 face-to-face, semi- structured interviews at national, provincial, and local levels with family physicians (FPs), clinical specialist physicians, policy- makers, and managers of insurance organizations. Key informants were selected using purposive sampling. Themes were identified using the inductive-deductive framework analysis approach. The barriers and challenges of establishing functional referral system in Iran were identified in a form of six main themes as: service delivery, health workforce, health information systems, access to essential medicines, financing, and leadership/governance. Results: Better care for the patients is provided when health care providers and patients work as a team to allow for a smooth patient journey through the health care system. Conclusion: Therefore, a comprehensive reform in FP's roles and positions, health information system, as well as strengthening the health leadership and management infrastructure is recommended.

نوع سند :مقاله
زبان سند : انگلیسی
نویسنده اول :منصور ناصری اصل
نویسنده :داود ادهم
نویسنده مسئول :علی جنتی
ضریب تاثیر و نمایه مجلات:Impact Factor:0.751 Indexed in: ISI,Scopus, Google Scholar
کلیدواژه ها (انگلیسی):consultation, referral system, referral process, family physician, qualitative research
موضوعات :WA بهداشت عمومي
WA بهداشت عمومي

WA بهداشت عمومي > WA 18 آموزش بهداشت
WA بهداشت عمومي > WA 18 آموزش بهداشت
بخش های دانشگاهی :دانشکده بهداشت > مدیریت سلامت
کد شناسایی :9028
ارائه شده توسط : دکتر داود ادهم
ارائه شده در تاریخ :11 مرداد 1396 06:38
آخرین تغییر :16 بهمن 1400 14:13

فقط پرسنل کتابخانه صفحه کنترل اسناد

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