Movahed, Ehsan

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O1".5 *S*;f pglc olfujlrc;;l.ra.' o-lluiil.:MPH ehio a"U OL,_t"tol?Jfglc otf,iilc -ls oslgil,* es,irrr a"t, ;s €te;t f tlii cr{loc re,)ttftf JL.l.lc c.i.;e =f,if-r+9n.11*sl ,br,4r-9bl Lrt .r5. :tr;.a,lrsh-rl.rJ! tJ., ,ra*a 15r :r9LJ. sLi*lI f 1f- 1 l1f :,.r[a:u Jt*^r--Evaluation of the Referral System Situotion in FamilyPhysician Program in jiroft University of Medical Sciences.A Thesis Presented to the Graduate StudiesByEhsan MovahedIn partial fulfillment of the requirements forThe degree pf Mph in:Reforms Management Health SystemKerman University of Medical SciencesFebruaryt.1oYA----#h.-@.'-$ry"5".s+4-l't-;$,**z'*;ror$">p:y ,:Li Lr-,;) ,61 f .JLs. tb.,l ,+i_p ,,;otl )fu +;*V- c^plr" pU;.r.ti et- :u!.lo 9 4.Li.1l l, 'L-s JSIS c.sL-r) i;15rr: a;l)l- ,Jbl;)I .j,. Olr'C gl"rl fl.t;.rF,_," r1+l )V:;y c,L$,. +;r 6E1l pU; rr(.. G.)l )F, { 4Jlt al.r,-L; Lr" c._[b,J-il!, iVL? efu * e- u-,p .-r::-L.$.5 nl+l *,,*: *fuf pfs ol5;1r,,) .dl.:-r,, ,*.,r 9 o.:l9-iLi .(i; +"L,.a^Ny ,5r>.- ,Sly t-rtY. ,*f fLilI \Ytl JIIJL ro+ _r) al ory.r,ta,39;;l +Jtt :ltf"l.r I rlfsf* f ;" AA.if ;l f), \1 l'r.o-",c"s;-^- 6;t r* ol(;;lr d;;" d:.>.; G.tls a"* I orlyli .fi;a'+lrY e;qorlr;6.(;; tF;l ! I s;L*A L'Y-rii" f y * lr9eb,il ,"l.:";rL;'u)f ^.'>r9--url:iL,a,-'L-lr.r:;;irl; ty."e-)f Jirr, Si<-:*f.tLj.,r9o)9oc"sL.lrllYet-c,L-s;-r-cl9i *_tc, 9 Lt.:f .5ta*; dLrq Y &Li atL Oib." +"1:;:.*.;, b orlr.S.,li e-: ,lyl . x;srS )ll d-lll-.fu; vb;l ,Y et- { tFrt c-19. ,c;l,q,,- cL' rl gLrl L orl;8.fuy a, a,+lX,-l1p;l 3E;l pj:,ir rr19.9 c-)/.- olig;r 1) ol-cVtl c+ ,\ Ct- ar )J>c. aslr,slrt "- a5l;l .et- c,ts ti .Y eL.,*rS )rt +-ti rrr ,i ,_l!.! s e.ls_t 4J s)-\AYs.:2 6 ttt--i ,21 )):; FAY ,r.,rj .:Lri ;o1.1; { 4pf dt Y Ct- a, os 3L,,l ,,t: V. . ;l :Ll a;3lr-)p fro 7V) -yr.r:ib olr"a a, l, c;l-q7 .5to +;l-' jl tb.,l t,p .os t[,,l ,_.,1.,L* ) x-; Y2 *,r'b;l (r-tr ff )rt* YYA .gly \d^ a-d;d- rtfu,B .col ory orlg;t- ;l(;; oaid a, li (-r-rr Ai *.,Ll-lr .$;<j )\ Jt &- q aJ.srL* fPY ..r,_rrl &+i c..y- orig;1) . (lVt1rt"o \V. 9r et- ; -.py's olK;;lr .iiy c-^>J.rt{/h-*" ,,.: .:119. jl .# t) gF_,l pl.h -rcl9! ,-_l-"1 ;l;. .r;r9^; fi -}-(.(P<0/05)c;b r9e .sllr ,r;* -et;'c.sr,- -(-.-{ .r-r": .Jfn", ,)l- .r" )l+',-:r* .19 ::lt L -t' a'Jlt" ,,: .9t Ct- a.1 tFrt -:*9:65 a->-,,r;l-raa uYt6 rp." )--*-._t-L;J a,*.j1:-)tiL, sLyrLslbo")r^i.91 & uaa:)Jt:-:..)ry ft2"jl tb,,l fb 9 o:l9il-' .(;; a.br, j[ol L _.-. -;Lr: ,;;lq.'/r- ,"r19;l- .fu; .61+11 plt; :6.uK 6Ll :1',.AbstractBackground and Objectives: Health care system is organized at three levels in order to increaseefficacy and effectiveness and create justice and also people availability. Considering the three levelsof 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 wasperformed to evaluate the function of referral system and network system in jiroft University ofMedical Sciences.Methods: This analytic study was performed in in the first half year sf I f 1f .Thirty percent ofhealth centers ( \ lcenters from oA) which implement the family physician progrcm and ruralinsurance coverage by medical universities of Jiroft were randomly selected. In each center, A-Ypatients who were referred to level \by their family physician and received necessary services wereevaluated. They were at their homes at inquiry time.Results: FromV. . patients who received the level Yservices, f,Al" cases (%l l1 were females and I lI(%t I )were males. One hundred and eighty-Two cases (Y 1o7o; had referral form from health house.Only (Xorlt) Ylopersons referred to the centers because of diagnosis of family physician . f's1YfA(Y t%) of cases, the specialists wrote the results of their evaluation in feedback form. Of Yrv patientswho retumed to the first Level, the evaluation results of the 1V. patients (vl Z) was recorded in thehealth record Only I t1(%\ o,o) of patients returned to ttreir family physicians. Four hundred Sixty-Three of patients did not return to their family physician because.of lack of knowledge.XConclusion:The referral situation to the levell, in the present study were poor. Recommended, easeof access to specialized services levelt, and interventions in the field of education and healthcareworkers, people familiar with the objectives family physician program and Referral System.Keywords: Referral system, Familyphysician, Health care center.Yf

Evaluation of the referral system situation in family physician program in Jiroft University of medical siences

http://eprints.kmu.ac.ir/21442/1/5021.pdf

Evaluation of the referral system situation in family physician program in Jiroft University of medical siences

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