Evaluating the performance of family physician in rural health centers, Bardaskan, 2013

Document Type : Original Article

Authors

1 ssiatant professor Mashhad University of Medical Sciences,Mashhad,Iran

2 Msc student Mashhad University of Medical Sciences, Mashhad,Iran

3 Msc student Mashhad University of Medical Sciences. Mashhad,Iran

Abstract

Introduction:The administration of family physician program is one of the leading health system corner stones with the aim of improving service delivery and achieving justice. The aim of present study is evaluation the performance of health team in implementation of family physician program in health centers of Bardaskan.
Methods & materials: In this cross-sectional study, 7 rural health centers which were affiliated with Bardaskan health center of Khorasan Razavi enrolled with census sampling method. The information are considered as visit of doctor and midwife, use of laboratory and radiology services, rates of referral and feedback which were collected through registration forms of patient information. In health center, using descriptive statistics, “chi-square” test and statistical analysis wereusedbySPSS 18.
Results:The average number of patients visited by physicians in the study was 11.1 and the average number of references to the laboratorywas 6.6. The different months of the year showed a non-significant relationship (p-value=0.2-p-value=0.3) with these factors. Average percentage of referral was 6.6;there wassignificant difference in different months.(p-value=0.003)
Conclusion:Currenttrends in family physician performance do not show much changein term of visited patients by physicians and using the laboratory services. This could be due to the lack of an active approach in screening and service delivery. The possible reason for downside steps can be due to presence of specialist physician and self-referring ofpatients directly to the city physicians in order to get health services.

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