Alireza Jabari; Gholamreza Sharifirad; Azad Shokri; Najmeh Bahman Ziari; Ayan Kordi; Ahmad Rajab Zadeh
Volume 10, Issue 1 , May 2014, , Pages 1-2
Alireza Jabari; Gholamreza Sharifirad; Azad Shokri; Najmeh Bahman Ziari; Ayan Kordi
Volume 9, Issue 7 , December 2012, , Pages 1132-1145
Abstract
The ultimate goal of the health care system of any country is to promote public health. Reformingprograms were required because of failure to respond to the needs and expectations of health in recentdecades. Rural family physician was a part of these reforms of the health system, which was implementedin ...
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The ultimate goal of the health care system of any country is to promote public health. Reformingprograms were required because of failure to respond to the needs and expectations of health in recentdecades. Rural family physician was a part of these reforms of the health system, which was implementedin 2006. The aim of this study was to evaluate the performance of the rural family physician programsince it was started. This review was done by searching in Google, Google scholar, SID, Magiran,Iran-doc with the following keywords: Family physician, rural family physician, family medicine, ruralfamily medicine. 32 related articles were extracted and analyzed. The objectives of family physicianprogram were classified in several sub-goals series including referral system, accountability, access, cost,coverage, priority-based health services, formation of health record, control the quality of services,satisfaction and attitudes of health team staff and service recipients and the family physician performancein achieving this goals. Generally, after a few years of implementation, the program has performedrelatively well but the referral system and presenting feedback from specialists, patients follow-up andcompleting health record was not implemented properly. Access was improved and unnecessary costswere reduced although good holistic health insight has not institutionalized yet.
Saeed Karimi; Fatemeh Rezaei; Ayan Kordi
Volume 9, Issue 7 , December 2012, , Pages 1146-1151
Abstract
Introduction: The use of high-cost and high-tech magnetic resonance imaging (MRI) has expanded overthe past decade. A recently conducted research reported various causes with regard to their own countryand healthcare system included aging population and advances in diagnostic technologies which couldresult ...
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Introduction: The use of high-cost and high-tech magnetic resonance imaging (MRI) has expanded overthe past decade. A recently conducted research reported various causes with regard to their own countryand healthcare system included aging population and advances in diagnostic technologies which couldresult in diagnostic services to become more applicable in clinical arena. Increasing number ofradiologists, access to physicians and these types of services affect its use. This study aimed to determinethe level of magnetic resonance imaging service utilization in 2010-2011 for specialties, types of MRI andfund coverage.Methods: This was an analytical study. Information of various MRI types, prescribed MRI by eachspecialists and various fund of health insurance was extracted from the Isfahan Health Insurance, Irandatabase through census method during 2010 and 2011 midyears. Excel was used to analyze each group.Results: Over two midyears (2010-2011), total number of prescribed MRI increased about 177 MRIs.Neurologists and orthopedic specialists ordered the most scans (843 and 819 scans in 2011 and in 2012,respectively which was related to orthopedic specialists and then to neurologists) and were the mostfrequent users of CT/MRI scans. Abdominal scans (n = 1218) in 2010 and lumbar scans (n = 921) in 2011were the most ordered scans, respectively. The most prescribed MRI was related to governmentemployees fund (average number = 1472) and the lowest was related to self-employed insured fund(average number = 17).Conclusion: Increased number of performed MRI is rooted from different causes. Increased number ofMRI centers could cause an upward trend. Other effective factors in utilization these services would betime pressure for physical examination, professional uncertainty, patients' expectations to prescribe moredrugs and diagnostic services, lack of a proper payment system and inadequate payments to physicians