بررسی میزان و عوامل مرتبط با اعزام بین بیمارستانی بیماران از بیمارستان های دانشگاه علوم پزشکی استان کهگیلویه و بویر احمد در یک دوره 5 ساله

Introduction: Many patients in deprived regions die or get irreversible lesions due to the lack of medical facilities and governmental hospitals or lack of emergency services. Managing  the inter hospital transition system not only helps reduce the dangers and costs, but also leads to modifying the health and medical systems in country. The present study aimed to investigate the factors related to transferring patients to university-run hospitals in Kohgiluyeh and Boyer-Ahmad province during 5 years. Materials and Methods: The present study is a retrospective descriptive study done by methods of process in which the research population , all of the inter hospital transitions of patients referring to  university-run hospitals in province , the number of  special care beds and physicians during 5 years were investigated. The sampling method was based on census, tools used for collecting data were registry and archival documents filled by the supervisor. Data were investigated by descriptive analysis and correlation coefficient statistical test. Results: Findings have shown that during 5 years from March 2009 to February 2013, totally 4635 transition cases were requested on behalf of physicians and among the hospitals in the province, Rajaee hospital had the most frequent transition with 1922 cases and Shahid Beheshti had the least frequent transition with 518 cases (α=0.05). There was a significant correlation between the number of transitions and the number of specialists and MDs (P= 0.001). The most common cause of transition is inadequacy of Thoracic, vascular and neurology and lack of special care beds and specialized sections. Conclusion: The results of this study suggested that increasing and implementing more specialists could not simply effect on decreasing transitions to the outside, but also planning  to provide the required specialists and fitting the number of physicians, hospital facilities and other specialized facilities with the needs of a region, acculturating to change the patients’ attitudes, increasing the  physical and improvement spaces of health centers  was strongly effective on the patients’ morale decreased their negative attitude toward the inability of health centers of the province in providing high quality services and also prevented from wasting human and economy forces of organizations and imposing the heavy costs and implications resulting from transitions.