نظام ارجاع در مناطق روستایی ایران: پیشنهادات تکمیلی

ناصری اصل, منصور and جنتی, علی and امینی, ابوالقاسم and ادهم, داود (1397) نظام ارجاع در مناطق روستایی ایران: پیشنهادات تکمیلی. Cadernos de Saude Publica ــ 34 (3). pp. 1-12. شاپا 0102-311X


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Referral system in rural Iran: improvement proposals

English Abstract

Because of insufficient communication between primary health care providers and specialists, which leads to inefficiencies and ineffectiveness in rural population health outcomes, to implement a well-functioning referral system is one of the most important tasks for some countries. Using purposive and snowballing sampling methods, we included health experts, policy-makers, family physicians, clinical specialists, and experts from health insurance organizations in this study according to pre-determined criteria. We recorded all interviews, transcribed and analyzed their content using qualitative methods. We extracted 1,522 individual codes initially. We also collected supplementary data through document review. From reviews and summarizations, four main themes, ten subthemes, and 24 issues emerged from the data. The solutions developed were: care system reform, education system reform, payment system reform, and improves in culture-building and public education. Given the executive experience, the full familiarity, the occupational and geographical diversity of participants, the solutions proposed in this study could positively affect the implementation and improvement of the referral system in Iran. The suggested solutions are complementary to each other and have less interchangeability.

Item Type:Article
زبان سند : انگلیسی
نویسنده مسئول :منصور ناصری اصل
نویسنده :علی جنتی
نویسنده :ابوالقاسم امینی
نویسنده :داود ادهم
Additional Information:Impact Factor: 1.17 Indexed in: ISI, PubMed/Medline/Index Medicus, Scopus
کلیدواژه ها (انگلیسی):Referral and Consultation; Primary Health Care; Family Physicians; Rural Population.
Subjects:WA Public Health
WA Public Health

WA Public Health > Public Health Education WA.18
WA Public Health > Public Health Education WA.18
Divisions:Faculty of Health > Health Management
ID Code:9992
Deposited By: Dr Davoud Adham
Deposited On:30 Feb 1397 13:02
Last Modified:16 Nov 1400 14:11

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