The Role of Family Physician in Case Finding, Referral, and Insurance Coverage in the Rural Areas
Background: WHO suggest that family physician is the core in the world efforts for quality improvement, cost effectiveness, and equity in the health care systems. This study evaluates the impact of the program on accessibility of the services, case finding, patient referral, feedback process and in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2011-09-01
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| Series: | Iranian Journal of Public Health |
| Subjects: | |
| Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/3041 |
| _version_ | 1828950738069356544 |
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| author | F Khayyati M Esmaeil Motlagh MJ Kabir H Kazemeini F gharibi N Jafari |
| author_facet | F Khayyati M Esmaeil Motlagh MJ Kabir H Kazemeini F gharibi N Jafari |
| author_sort | F Khayyati |
| collection | DOAJ |
| description | Background: WHO suggest that family physician is the core in the world efforts for quality improvement, cost effectiveness, and equity in the health care systems. This study evaluates the impact of the program on accessibility of the services, case finding, patient referral, feedback process and insurance coverage in the rural health units.
Methods: This study was quasi experimental. It compared the function of four health centers and eight health houses in the last three months of year 2004 with 2008. Data extracted from the available documents in the health units. Descriptive and analytical analysis was performed by using SPSS software.
Results: The presence of physicians in health centers were 75 and 100 percent for 2004 and 2008 respectively, this rate for midwives were 50 and 100 percent for the same years respectively. The total referral cases to the hospitals were 2676, the feedback rate was recorded in 36% of the cases. In this case the follow up rate by physicians was 0% in 2004 and 3.17% in 2008. Insurance coverage rate was 27% and 97% for 2004 and 2008 respectively within a meaningful P value range at 95% CI.
Conclusion: The findings of this study show that the family physician program has the positive impact on function of health units in terms of availability of physicians and midwives and also insurance coverage at health centers in rural area, No impact on patient follow up and case referral rate was detected. |
| first_indexed | 2024-12-14T06:26:53Z |
| format | Article |
| id | doaj.art-32afde3f93a1469f979e7cfcdd28b6bb |
| institution | Directory Open Access Journal |
| issn | 2251-6085 2251-6093 |
| language | English |
| last_indexed | 2024-12-14T06:26:53Z |
| publishDate | 2011-09-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Public Health |
| spelling | doaj.art-32afde3f93a1469f979e7cfcdd28b6bb2022-12-21T23:13:38ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932011-09-01403The Role of Family Physician in Case Finding, Referral, and Insurance Coverage in the Rural AreasF Khayyati0M Esmaeil Motlagh1MJ Kabir2H Kazemeini3F gharibi4N Jafari5 Background: WHO suggest that family physician is the core in the world efforts for quality improvement, cost effectiveness, and equity in the health care systems. This study evaluates the impact of the program on accessibility of the services, case finding, patient referral, feedback process and insurance coverage in the rural health units. Methods: This study was quasi experimental. It compared the function of four health centers and eight health houses in the last three months of year 2004 with 2008. Data extracted from the available documents in the health units. Descriptive and analytical analysis was performed by using SPSS software. Results: The presence of physicians in health centers were 75 and 100 percent for 2004 and 2008 respectively, this rate for midwives were 50 and 100 percent for the same years respectively. The total referral cases to the hospitals were 2676, the feedback rate was recorded in 36% of the cases. In this case the follow up rate by physicians was 0% in 2004 and 3.17% in 2008. Insurance coverage rate was 27% and 97% for 2004 and 2008 respectively within a meaningful P value range at 95% CI. Conclusion: The findings of this study show that the family physician program has the positive impact on function of health units in terms of availability of physicians and midwives and also insurance coverage at health centers in rural area, No impact on patient follow up and case referral rate was detected.https://ijph.tums.ac.ir/index.php/ijph/article/view/3041Family physicianCase findingReferral systemIran |
| spellingShingle | F Khayyati M Esmaeil Motlagh MJ Kabir H Kazemeini F gharibi N Jafari The Role of Family Physician in Case Finding, Referral, and Insurance Coverage in the Rural Areas Iranian Journal of Public Health Family physician Case finding Referral system Iran |
| title | The Role of Family Physician in Case Finding, Referral, and Insurance Coverage in the Rural Areas |
| title_full | The Role of Family Physician in Case Finding, Referral, and Insurance Coverage in the Rural Areas |
| title_fullStr | The Role of Family Physician in Case Finding, Referral, and Insurance Coverage in the Rural Areas |
| title_full_unstemmed | The Role of Family Physician in Case Finding, Referral, and Insurance Coverage in the Rural Areas |
| title_short | The Role of Family Physician in Case Finding, Referral, and Insurance Coverage in the Rural Areas |
| title_sort | role of family physician in case finding referral and insurance coverage in the rural areas |
| topic | Family physician Case finding Referral system Iran |
| url | https://ijph.tums.ac.ir/index.php/ijph/article/view/3041 |
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