Survey of General Practitioners Point of View about Family Physician and Referral System Policies in Urban Areas for 2013
Subject Areas : medical documentsansour Zahiri 1 , efat mohamadi 2 , ZhGila Najafpoor 3 , Mohamad reza Mobini zadeh 4 , Zahra Guodarzi 5
1 - Assistant Professor, Department of Health Service Management, Joundi ShapourAhvaz University of Medical Sciences, Ahvaz, Iran
2 - PhD Student of Health Policy, Tehran University of Medical Sciences, Tehran, Iran
3 - PhD Student of Health Service Management, Tehran University of Medical Sciences, Tehran, Iran
4 - Assistant Professor, National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
5 - PhD Student on Pharmacy Eeconomics, Tehran University of Medical Sciences, Tehran, Iran
Keywords: referral system, Family physician, policy analysis, instruction,
Abstract :
Introduction: The most important issues in the process of implementation is stakeholder analysis and identify their interests to effective implementation. This study intends to examine policy content of family physicians and referral system from the medical perspective as the main stakeholders the project. Methods: This cross-sectional descriptive-analytic study was conducted in 2013. Data collection using the questionnaire developed by the researchers based on version 02 family physician instructions that its validity and reliability were tested. Data were analyzed with SPSS software. Results: Over 60% of sample were female and aged less than 40 years. They also were under 5 years of experience and more than %50 of physicians were working in the line (health teams). Conclusions: Establishing referral system in the country is a huge revolution in the delivery of health services. To implementation of this, and access to health services costs associated with the management. Infrastructure and health reforms in other sectors including health information systems, and training of related human resource, improve culture of the society, guidelines related to the payment system and how service delivery is required.
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2- Goudarzi G, Azadi H. Determining of technical efficient on Iran universities hospital. Proceeding of 5th National Congress of Healthcare Administration Student, 2007; 9(12): 38.
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5- Family physician and referral system guideline in Iran, Ministry of Health and Medical Education and Ministry of Welfare, Version 2.
6- Family physician Instruction, Ministry of Health and Medical Education, Version 9, Sep 2009; pp: 4-102 Kersnik J. An evaluation of patient satisfaction
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10- Saber AA, Jafar-Sadegh T, Mohammad M, Mohammad NB, Amin D, Mohammad S. Nine years of publications on strengths and weaknesses of Family Physician Program in rural area of Iran: A systematic review.
11- Nasiripour AA, Motaghi M, Navvabi N. The performance of referral system from the perspective of family physicians of Kashan University of Medical Sciences: 2007-20012. JHPM, 2014; 3(3): 58-68.
12- Gol Alizade E, Mousazade M, Amir Esmaeli M, Ahangar N. The challenges of refferal second level in family physician program. Journal of Medical Council of Islamic Republic of Iran. 2011; 29(4): 309–21.
13- Rongwen L, Liu C, Li Y. Establishment of Three-level Medical System Based on Two-way Referral. Hospital Directors' Forum; 2011: 5.
14- Taghipour. P, Latif nezhad A. Study of job satisfaction of physicians working in family physician program, General seminar on the role of family physician in the health system; 2012.
15- Nasrollahpour Shirvani S, Ashrafian AH, Motlagh M, Kabir M, Maleki M, Shabestani Monfared A. Evaluation of the Function of Referral System in Family Physician Program in Northern Provinces of Iran: 2008. JBUMS, 2010; 11(6): 46-52.
16- Tavasoli E, Alidousti M, Khdivi R, Sharifirad GR, Hasanzadeh A. Relationship between knowledge and attitudes of rural people with information resources about family physicion program in Shahrekord; 2010.
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1- WHO. World Health Report 2008: Primary Health Care, Now More Than Ever. Geneva: World Health Organization 2008; Available from: http://www.who.int/whr/2008/whr08_en.pdf.
2- Goudarzi G, Azadi H. Determining of technical efficient on Iran universities hospital. Proceeding of 5th National Congress of Healthcare Administration Student, 2007; 9(12): 38.
3- Davoudi S. Health and its determinants, 1st ed, Tehran, Asare Mouaser; 2008: 140-2.
4- Davoudi S. Introduction to health Sector Reform, 1sted, Tehran, Asare Mouaser; 2006: 233-7.
5- Family physician and referral system guideline in Iran, Ministry of Health and Medical Education and Ministry of Welfare, Version 2.
6- Family physician Instruction, Ministry of Health and Medical Education, Version 9, Sep 2009; pp: 4-102 Kersnik J. An evaluation of patient satisfaction
7- with family practice care in Slovenia. Int J Qual Health Care, 2000; 12(2): 143-147.
8- Iran Ministry of Health. Administrative guide direction of family physician; 2005.
9- Asefzadeh S, Rezapour A. Health administration. Hadis Emroz press; 2005.
10- Saber AA, Jafar-Sadegh T, Mohammad M, Mohammad NB, Amin D, Mohammad S. Nine years of publications on strengths and weaknesses of Family Physician Program in rural area of Iran: A systematic review.
11- Nasiripour AA, Motaghi M, Navvabi N. The performance of referral system from the perspective of family physicians of Kashan University of Medical Sciences: 2007-20012. JHPM, 2014; 3(3): 58-68.
12- Gol Alizade E, Mousazade M, Amir Esmaeli M, Ahangar N. The challenges of refferal second level in family physician program. Journal of Medical Council of Islamic Republic of Iran. 2011; 29(4): 309–21.
13- Rongwen L, Liu C, Li Y. Establishment of Three-level Medical System Based on Two-way Referral. Hospital Directors' Forum; 2011: 5.
14- Taghipour. P, Latif nezhad A. Study of job satisfaction of physicians working in family physician program, General seminar on the role of family physician in the health system; 2012.
15- Nasrollahpour Shirvani S, Ashrafian AH, Motlagh M, Kabir M, Maleki M, Shabestani Monfared A. Evaluation of the Function of Referral System in Family Physician Program in Northern Provinces of Iran: 2008. JBUMS, 2010; 11(6): 46-52.
16- Tavasoli E, Alidousti M, Khdivi R, Sharifirad GR, Hasanzadeh A. Relationship between knowledge and attitudes of rural people with information resources about family physicion program in Shahrekord; 2010.