این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Iranian Journal of Public Health، جلد ۳۶، شماره ۱، صفحات ۶۲-۶۷
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Patient Views for Self-Referral to Specialists
چکیده انگلیسی مقاله Background: Except in emergency cases, all patients should be seen first by a primary healthcare physician who decides whether a referral to secondary care is necessary. The present study examined the reasons for patient self-referral to specialists. Methods: A random sample of 1036 individuals was selected from people attending public outpatient clinics and specialists’ offices in the private health sector. Of the sample, 40% were insured by the closed loop referral; 14% by the semi-closed-loop referral; and 46% were open referral. The data were analysed using χ 2 statistical test. Results: Of the closed-loop referral system patients, 6.8% were self-referred, as were 29.7% of semi-closed referral system patients and 75.5% of open referral system patients. There was a significant association between insurance type and patient self-referral to specialty care (χ 2 = 504; P< 0.0001). The main reasons patients gave for by-passing GPs and self-referring to specialists were: the specialist’s high degree of skill in the specific area of the health problem (54%); waste of time to see the GP for a referral (14.9%). Conclusion: The findings of this study demonstrate the high degree of difference in the rates of referral by GP and self-referral according to the healthcare delivery system.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله sa رسولی نژاد | sa rasoulynejad


نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/2136
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Articles
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات