Paper Information

Journal:   RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)   2004 , Volume 9 , Number 2 (38); Page(s) 101 To 104.
 
Paper: 

TURFING REFERRAL SYSTEM FOR HAND TRAUMA PATIENTS IN TEHRAN CITY

 
 
Author(s):  HASAN POUR S., MOTAMED S., DAGHAGHELEH H., LOGHMANI SH.
 
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Abstract: 

Background: Regarding to importance of appropriate referral system in health system organization and Lack of data on pattern of referral of hand trauma in Iran, this study was planned to evaluate the effectiveness of referral system and pattern in hand trauma patiens.
Materials and methods: In a Prospective study, 190 consecutive samples of referrals to 15 Khordad plastic surgery centre in 2001- 2002 were considered. Data gathered from oral inter view and questionnaire- based survey.
Results: 90.5% of referrals were from Tehran state and 9.5% from the other states of Iran. 67.4% referred by orthopedic services, 22% by other plastic services, 10.6% by primary care centers. The mean number of orthopedic centers that the patients have gone before referral were 4.87 (range 0-12). Any care had been considered to 39% of patient before referral. 64.2% referred without any physician visit, 92% of referral had not any referral desire or request. 94.7% of patients referred without any communication by telephone or letter.
Conclusion: There is not an appropriate referral system and interprofessional relation-between different specialties especially, who responsible for hand trauma management in Tehran. This results more inappropriate referral, growing health care costs, time wasting and patient unsatisfaction. The authors suggest more research into the optimum methods of dissemination and implementation of referral guidelines.

 
Keyword(s): HAND TRAUMA, REFERRAL SYSTEM,TEHRAN
 
References: 
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