RESUMEN
Introduction: Access of needy people to special services is achieved through referral system. The aim of this study was to determine the function of referral system from the perspective of family physicians of Kashan University of Medical Sciences between 2007 to 2012.
Materials and Methods: This descriptive study was conducted in all health centers of Kashan and Aran Bidgol, which implement the family physician program. From total of 118 family physicians who were involved in the study period, the researcher were contacted with 100 census statistical methods family physicians. 40 family physicians participated in the pilot test and ultimately 56 physicians participated in the study. The data gathering instrument was "The Function of Referral System from the Perspective of Family Physicians Questionnaire" with two parts. Part one is on demographic information and part two contains20 items in 4 dimensions. Content validity of the questionnaire were validated through 10 experts. Internal consistency was confirmed. Data analysis was performed using Excel and SPSS/16.
Findings: The average age and duration of employment as a family physician was 33/3 +/- 6/32 and 55/4 +/- 9/6 years. In addition, the average of awareness and culture was 2.05 equivalent inappropriate, knowledge and skills of health team was 3.45 equivalent appropriate, level of specialist cooperation was 1.67 equivalent inappropriate, equipment of family doctors was 2.66 equivalent inappropriate and statues of referral system was 2.45 equivalent inappropriate.
Conclusion: The situation of referral system was unacceptable. It is recommended to improve easy access to specialist services, training and related interventions in the field of public and health staff to become familiar with the goals of the family physician.
RESUMEN
Statistics show that numerous oral contraceptive users take it incorrectly. The aim of this study was to evaluate the knowledge and use of OCP in women who referred to health center of Ramsar town. This descriptive and analytical study was performed on 358 OCP users referred to Ramsar health care centers in 2002 [the first six months]. Method was as simple nonrandom sampling and data were collected by interview and questionnaire completion and then analyzed by SPSS. 43.6% of cases use pills incorrectly and knowledge level in 40.8% of women was low. There was a significant relationship between education and OCP use [p=0.003] and also between job and OCP use [p=0.03]. There was a significant relationship between training presentation in first meeting and use of OCP [p=0.019]. The results showed that the knowledge level and correct use of OCP in women receiving family planning services is not desirable