Investigating the causes of individual, professional and organizational factors affected by electronic referral in tabriz university of medical sciences

Abstract

Health systems have organized the important task of providing health services to all people in the first, second and third levels, and the referral mechanism is the interface between these levels. In Iran, forty years after the launch of health care networks, an electronic referral system covering all levels was launched. This study was designed and conducted with the aim of investigating the factors related to the electronic referral system. Material & Method: This retrospective study is a count of all patients registered in the electronic referral system, the details of all physicians working in the first level of university services, all admitted patients registered in 27 medical centers of level 2 and 2 polyclinic, kidney Analyzed the feedback recorded in the system along with the data obtained from 3 hospitals in Tabriz in 1998. Data were extracted from Siam and Sib systems and various HIS at the university, vice chancellor and hospital levels. Data were analyzed by SPSS software version 23. The results were presented with descriptive statistics and analyzed by correlation tests and comparison of means Result: The results showed that from May to February 1998, on average, 2.86. 1.6% of the province's population had received the code in the electronic referral system. No correlation was observed between referral rate and geographical distance of the city and the population of the city. The highest number of referrals was made to internal medicine and then to orthopedic specialists and in the third place to cardiology. On the other hand, the lowest number of referrals was related to gastroenterology, urology and endocrinology. No correlation was observed between physicians' personal and professional characteristics and referral rate. And the feedback rate was 31%. In terms of employment status (11.69%) were formal employment, (4%) were contract employment and (39.6%) and (44.61%) were also planning forces