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  Journal Paper

Paper Title :
Determining Patient’s Reference System Status In Mehrizcity Rural Family Physician Plan

Author :Mahmood Dehghanzadeh Baghdadabadi, Mohammad Javad Akbarian Bafghi, Abbas Yazdanpanah

Article Citation :Mahmood Dehghanzadeh Baghdadabadi ,Mohammad Javad Akbarian Bafghi ,Abbas Yazdanpanah , (2016 ) " Determining Patient’s Reference System Status In Mehrizcity Rural Family Physician Plan " , International Journal of Management and Applied Science (IJMAS) , pp. 1-6, Volume-2,Issue-8

Abstract : Easy and low-coast access of patients to centers providing treatment services is among advantages of developed countries and one of goals of health system modification. Countries for reaching this position have made many efforts and attention to family physician plan and reference system is among these measurements. Then, the present study was conducted with the aim of determining the patients' reference system status in Mehriz city rural family physician plan. The study was an applied study and of descriptive-analytical type which was conducted in cross-sectional method. Also, in respect of administration, this study was performed by survey method. The study setting was healthcare center of Khormiz village which was one of executors of family physician national plan in city level and study population included all health records and documents of referred patients in 2015. The present records were 458 records that based on organ table 243 records were examined with accessible sampling method. For collecting data, scholar -made checklists derived from private aims were used. The obtained data were analyzed using applied – analytical software SPSS V.20. Findings showed that in 85% of studied records, reference was necessary and the patient referral was due to the patient request and in 15% of records, reference was not necessary. In 85% of records, the way of selecting specialist physician has been by the physician and in 15% it has been by the patient. In respect of referred specialization, the highest frequency was related to internal diseases, orthopedic and gynecology. 93.8% of records didn’t have any feedback and just 6.2% had feedback. 93.8% of records didn’t have illness follow-up by physician and his aid and only 6.2% had follow-up. In 87% of records, all required contents were completed and recorded and in 13% of them contents were incomplete and imperfect. In respect of the patients' age, the highest frequency was in age group of 31 to 40 years old. 46.5% of patients were men and 53.5% were women. The highest frequency of patients (61.7%) was from lower Khormiz region. Therefore, by suitable and optimal implementing of reference system and family physician plan, replication increase, access and coverage of services, cost reduction, priority of health looking services, formation of health record, services quality control and satisfaction of services receivers and providers are realized through recognizing people status in home, family and society. And then, removing shortages of this health system has a high significance and requires administrative measurements. Keywords- Health System, Reference System, Rural Family Physician Plan, Mehriz

Type : Research paper

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