patient views for self-referral to specialists

نویسندگان

sa rasoulynejad

چکیده

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.

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عنوان ژورنال:
iranian journal of public health

جلد ۳۶، شماره ۱، صفحات ۶۲-۶۷

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