Barriers of referral system to health care provision in rural societies in iran.
Barriers of referral system to health care provision in rural societies in iran.
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DOI：
10.5681/jcs.2013.028
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发表时间：
2013-09-01
影响因子：
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通讯作者：
Borhani, Fariba
中科院分区：
文献类型：
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作者：
Eskandari, Manijeh;Abbaszadeh, Abbas;Borhani, Fariba
导言：农村地区的卫生保健提供系统在满足社区需求方面面临着许多挑战。本研究的目的是描述在农村societyinIran.METHODS：在这项定性研究中，26名参与者（21名农村卫生保健提供者和5名农村患者）通过立意抽样。这些数据是通过半结构化的个人访谈和小型焦点小组讨论收集的。采用定性内容分析法对数据进行分析。结果：发现1类“无效转诊制度”，5类“与理想转诊制度相距甚远”、“缺乏足够的政府转诊制度”、“各级转诊制度之间缺乏联系”、“自我参照和绕过转诊制度”、“对转诊制度认识不足”。结论：考虑到转诊制度的障碍，有必要改善其结构，以提高农村地区的保健质量。这种变化需要在转诊制度的三个层面之间进行协调，加强该制度的公共部门，提高公众对转诊制度的认识，并防止自我转诊。
INTRODUCTION: Health care delivery systems in rural areas face numerous challenges in meeting the community's needs. This study aimed to describe barriers of health care process in rural societies in Iran.METHODS: In this qualitative study, 26 participants (21 rural health care providers and five rural patients) were selected through purposive sampling. The data was collected via semi-structured individual interviews and small focus group discussions. Data was analyzed with qualitative content analysis.RESULTS: One category, "ineffective referral system", and five subcategories, i.e. being far from the ideal referral system, lack of adequate governmental referral system, lack of connection between different levels of the referral system, self-referential and bypassing the referral system, and insufficient knowledge about the referral system, were found.CONCLUSION: Considering the obstacles to the referral system, improvements in its structure are necessary to promote the quality of health care in rural areas. Such changes require coordination between the three levels of the referral system, strengthening the public sector of the system, increasing public awareness about the referral system, and prevention of self-referential.