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Year : 2020  |  Volume : 33  |  Issue : 1  |  Page : 25-29

Knowledge and practice of primary health care physicians about referral system in Baghdad

1 Iraqi Ministry of Health, College of Medicine, Al-Mustansiriyah University, Baghdad, Iraq
2 Department of Family and Community Medicine, College of Medicine, University of Al-Mustansiriyah, Baghdad, Iraq

Correspondence Address:
Lamia Dhia Aldeen
Department of Family and Community Medicine, College of Medicine, Al-Mustansiriyah University, Baghdad
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IRJCM.IRJCM_6_20

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Background: Referral system is one of the key elements in the primary health care (PHC), currently the Ministry of health is working on establishment and development of an effective referral system with incentives to the population to use PHC centers (PHCC) instead of secondary care, this includes monetary incentives and improvement of quality and quantity of services provided at PHC level. Objective: The aim is to assess the knowledge and practice of PHC physicians about the referral system. Methodology: A cross-sectional study with analytic elements was conducted from February 1, 2019 to June 30, 2019, in Baghdad, from both sides AlKarkh and AlRusafa, a convenient sample of 15 PHCC selected., data collection was carried out using a self-administered questionnaire which included questions about demographic characteristics of PHC physicians, qualification, and questions concerning their knowledge and practice about the referral system. Results: Total study group included 150 physicians. Overall knowledge of physicians about the referral system was good, Nearly all physicians (98%) knew its benefit, the results showed that all respondents used referral form (100%), and 94.7% wrote down the required information and followed the classical measures. The referral feedback was poor (36%). Conclusion: Most of the physicians had good knowledge and practice about the referral system. There was strong deficit in the training courses about referral system.

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