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Hakim 2017, 20(1): 9-16 |
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Mahmood Kazemian, Fatemeh Kavian Telouri. Assessment of Referral System in Rural Family Medicine Program Based on the Comprehensive Care Criterion. Hakim 2017; 20 (1) :9-16
URL: http://hakim.tums.ac.ir/article-1-1762-en.html
URL: http://hakim.tums.ac.ir/article-1-1762-en.html
1- , f.economist_83@yahoo.com
Abstract: (3916 Views)
Assessment of Referral System in Rural Family Medicine Program Based on the Comprehensive Care Criterion
Mahmood Kazemian (PhD)1, Fatemeh Kavian Telouri (MSc) 2*
1 Assistant Professor, Department of Health Economics,
Faculty of Medicine, Shahed University, Tehran, Iran
2 MSc in Health Economics, Health Management and Social Development Research Center,
Golestan University of Medical Sciences, Gorgan, Iran
Background: In the current study, the referral system in family medicine program was assessed based on the criterion of comprehensive health care services on data from 17 health centers in Gorgan city, Iran.
Methods: First, the indices of referral system failure and family medicine characteristics for comprehensive care were introduced. Then, the regression correlation between referral failure and explanatory variables of comprehensive care in a panel data model with error-correction framework was considered, using monthly records of the Gorgan health centers from 2011 to 2012. Based on the employed model, the difference between coefficients in a monthly (long-run) and less than a month (short-run) trends was detectable.
Results: In the monthly trend, 10% increase in the number of family physicians reduced referral failure by 4.3%. On the contrary, the effect of 10% increase in the number of nurses and midwives, and similarly medical laboratory services on the failure of the program was negligible, 0.2%, and 1.5%, respectively. The weight coefficient of physicians in monthly trend was more than other factors, 51%.
Conclusions: The difference between family medicine program and health network development program can be described in the comprehensive care prompted by family physicians and the associated team services. This difference indicated the priority of family medicine program over the health network services. The lower effects of physicians’ assistants, compared with family physician services, on the improvement of referral system could be considered as the difficulties of health system development in Iran.
Keywords: Referral System Failure; Rural Health Insurance; Team-Based Family PhysicianPlease cite this article as follows:
Kazemian M, Kavian Telouri F. Assessment of Referral System in Rural Family Medicine Program Based on the Comprehensive Care Criterion. Hakim Health Sys Res 2017; 20(1): 9-16*Corresponding Author: Central Building, Golestan University of Medical Sciences, Hircan Boulevard, Gorgan, Iran.Tel: +98-9114081122,
E-mail: f.economist_83@yahoo.com
E-mail: f.economist_83@yahoo.com
Type of Study: Original |
Subject:
General
Received: 2018/01/22 | Accepted: 2018/01/22 | Published: 2018/01/22
Received: 2018/01/22 | Accepted: 2018/01/22 | Published: 2018/01/22
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