Executive Challenges of Electronic Referral System in the Health Centers and Hospitals in Golestan Province: A Qualitative Study

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KABIR MOHAMMAD JAVAD; Haydari Alireza; HONARVAR MOHAMMAD REZA; Khatirnameni Zahra; BADAKHSHAN ABBAS; Rafiei Narges; Kazemi Sakine Beygom; SEDAGHAT SEYED MEHDI; Kamangari Mehrdad; GHOLAMI MASOUMEH; ERI MARYAM; LOTFI MANSOUREH

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Journal: JOURNAL OF SCHOOL OF PUBLIC HEALTH AND INSTITUTE OF PUBLIC HEALTH RESEARCH Year:2021 | Volume:19 | Issue:2 Page(s): 157-172

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Title

Executive Challenges of Electronic Referral System in the Health Centers and Hospitals in Golestan Province: A Qualitative Study

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Keywords

Executive Challenge

Electronic Referral System

Golestan Province

Family Hysicians

Referral System

Qualitative Study

Abstract

Background and Aim: The World Health Organization considers the implementation of the Referral System to be a key step in improving the quality of services in health care systems. The purpose of this study was to explain the Executive Challenges of the Referral System/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">Electronic Referral System in Golestan Province, Iran. Materials and Methods: A Qualitative Study was conducted in Golestan Province, Iran in 2019 with a content analysis approach. The participants were family physicians, specialists, university staff managers, responsible health officers in the Offices of Deputy Ministers of Health, the General Directorate of Health Insurance, Department of Information Technology, Rural Health Network managers, health network managers and patients selected purposefully. Data were collected through semi-structured interviews and analyzed using the content analysis method. Results: The main challenges of giving appointments to patients included the lack of time of family physicians, the irregular presence of specialists, difficulty in getting an appointment, and reverse referrals. As regards referrals and waiting times, the main challenges were found to be the lack of sufficient admissions following cancellation of the health insurance contract with the private sector, the delay of physicians in attending the health centers, long waiting times to be visited, and writing the feedback by the physicians. In addition, the main challenges of the visits and diagnosis included the short visiting times, the higher quality of the specialists' visits in the private sector, and the lack of clear guidelines. Finally, the main challenges as regards giving feedback were the reluctance and noncommitment of some specialists to provide feedback, as well as the low quality and lack of usability of the feedbacks given. Conclusion: Based on the findings of this study, the following actions and measures may help improve the current situation as regards the current Referral Systems: allocating sustainable resources; allocating financial credits; designing and implementing a reward and punishment system; reforming the queuing system; empowering medical students; and equipping specialists with electronic pens for giving written feedback.

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APA: Copy

KABIR, MOHAMMAD JAVAD, Haydari, Alireza, HONARVAR, MOHAMMAD REZA, Khatirnameni, Zahra, BADAKHSHAN, ABBAS, Rafiei, Narges, Kazemi, Sakine Beygom, SEDAGHAT, SEYED MEHDI, Kamangari, Mehrdad, GHOLAMI, MASOUMEH, ERI, MARYAM, & LOTFI, MANSOUREH. (2021). Executive Challenges of Electronic Referral System in the Health Centers and Hospitals in Golestan Province: A Qualitative Study. JOURNAL OF SCHOOL OF PUBLIC HEALTH AND INSTITUTE OF PUBLIC HEALTH RESEARCH, 19(2 ), 157-172. SID. https://sid.ir/paper/986172/en

Vancouver: Copy

KABIR MOHAMMAD JAVAD, Haydari Alireza, HONARVAR MOHAMMAD REZA, Khatirnameni Zahra, BADAKHSHAN ABBAS, Rafiei Narges, Kazemi Sakine Beygom, SEDAGHAT SEYED MEHDI, Kamangari Mehrdad, GHOLAMI MASOUMEH, ERI MARYAM, LOTFI MANSOUREH. Executive Challenges of Electronic Referral System in the Health Centers and Hospitals in Golestan Province: A Qualitative Study. JOURNAL OF SCHOOL OF PUBLIC HEALTH AND INSTITUTE OF PUBLIC HEALTH RESEARCH[Internet]. 2021;19(2 ):157-172. Available from: https://sid.ir/paper/986172/en

IEEE: Copy

MOHAMMAD JAVAD KABIR, Alireza Haydari, MOHAMMAD REZA HONARVAR, Zahra Khatirnameni, ABBAS BADAKHSHAN, Narges Rafiei, Sakine Beygom Kazemi, SEYED MEHDI SEDAGHAT, Mehrdad Kamangari, MASOUMEH GHOLAMI, MARYAM ERI, and MANSOUREH LOTFI, “Executive Challenges of Electronic Referral System in the Health Centers and Hospitals in Golestan Province: A Qualitative Study,” JOURNAL OF SCHOOL OF PUBLIC HEALTH AND INSTITUTE OF PUBLIC HEALTH RESEARCH, vol. 19, no. 2 , pp. 157–172, 2021, [Online]. Available: https://sid.ir/paper/986172/en

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