|作者：||Naseriasl Mansour, Adham Davoud, Janati Ali|
1Iranian center of excellence in health management, Tabriz University of Medical Sciences, Tabriz, Iran.
2Public Health Department, School of Health, Ardabil University of Medical Sciences.
3Health care Management Department, National Public Health Management Centre (NPMC) of Tabriz University of Medical Sciences, Tabriz, Iran.
|刊名：||Materia socio-medica, 2015, Vol.27 (3), pp.195-9|
|关键词：||Consultation; E-booking; E-referral system; Health communication; Health system; Referral;|
|原始语种摘要：||BACKGROUND(#br)around the world health systems constantly face increasing pressures which arise from many factors, such as an ageing population, patients and providers demands for equipment's and services. In order to respond these challenges and reduction of health system's transactional costs, referral solutions are considered as a key factor. This study was carried out to identify referral solutions that have had successes.(#br)METHODS(#br)relevant studies identified using keywords of referrals, consultation, referral system, referral model, referral project, electronic referral, electronic booking, health system, healthcare, health service and medical care. These searches were conducted using PubMed, ProQuest, Google Scholar, Scopus, Emerald, Web of Knowledge, Springer, Science... direct, Mosby's index, SID, Medlib and Iran Doc data bases. 4306 initial articles were obtained and refined step by step. Finally, 27 articles met the inclusion criteria.(#br)RESULTS(#br)we identified seventeen e-referral systems developed in UK, Norway, Finland, Netherlands, Denmark, Scotland, New Zealand, Canada, Australia, and U.S. Implemented solutions had variant degrees of successes such as improved access to specialist care, reduced wait times, timeliness and quality of referral communication, accurate health information transfer and integration of health centers and services.(#br)CONCLUSION(#br)each one of referral solutions has both positive and changeable aspects that should be addressed according to sociotechnical conditions. These solutions are mainly formed in a small and localized manner.|