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Referral system in rural Iran

Improvement Proposals

Bibliographic Data

ID5167634
AuthorsMansour Naseriasl (0000-0003-0998-036X, Ardabil University of Medical Sciences, Iran), Ali Janati (0000-0003-2600-2234, Tabriz University of Medical Sciences, Iran), Abolgasem Amini (Tabriz University of Medical Sciences, Iran), Davoud Adham (0000-0002-9764-6363, Ardabil University of Medical Sciences, Iran)
Year2018
Volume34
Issue3
Pagese00198516-e00198516
Publication date2018-03-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00198516
PMID29513863
OpenAlexW2792609658
SCIELO_PIDS0102-311X2018000305004
LanguageEN
References cited20

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

Affect (linguistics) · Business · Diversity (politics) · Economic growth · Environmental health · Family medicine · Health care · Medical education · Nonprobability sampling · Payment · Political science · Population · Qualitative research · Referral · Sociology · Healthcare Systems and Technology · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Psychology

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    Open Access•Trisha Greenhalgh, Rob Stones et al.•Social Science & Medicine•2014

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