|作者：||Naseriasl Mansour, Janati Ali, Amini Abolgasem, Adham Davoud|
1School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
2Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran.
3Medical Education Department, Tabriz University of Medical Sciences, Tabriz, Iran.
|刊名：||Cadernos de saude publica, 2018, Vol.34 (3), pp.e00198516|
|原始语种摘要：||Because of insufficient communication between primary health care providers and specialists, which leads to inefficiencies and ineffectiveness in rural population health outcomes, to implement a well-functioning referral system is one of the most important tasks for some countries. Using purposive and snowballing sampling methods, we included health experts, policy-makers, family physicians, clinical specialists, and experts from health insurance organizations in this study according to pre-determined criteria. We recorded all interviews, transcribed and analyzed their content using qualitative methods. We extracted 1,522 individual codes initially. We also collected supplementary data through document review. From reviews and summarizations, four main themes, ten subthemes, and 24 issues... emerged from the data. The solutions developed were: care system reform, education system reform, payment system reform, and improves in culture-building and public education. Given the executive experience, the full familiarity, the occupational and geographical diversity of participants, the solutions proposed in this study could positively affect the implementation and improvement of the referral system in Iran. The suggested solutions are complementary to each other and have less interchangeability.|