480 Relationship between consultation length and rational prescribing of drugs in Gorgan city, Islamic Republic of Iran

Khori, Vahid; Changizi, Shima; Biuckians, E; Keshtkar, Abasali; Alizadeh, Azadeh; Mohaghgheghi, A M; Rabie, Malcolm

doi:10.26719/2012.18.5.480

Cited by 12 publications

(14 citation statements)

References 26 publications

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“…GPs as percentage of medical workforce in the primary health-care services were very low in Iran (24.1%)[35] as compared to wealthier countries like Australia (43%)[27] and the UK (40%). [2128]…”

Section: Discussionmentioning

confidence: 99%

Health services management in Turkey: Failure or success?

et al. 2019

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Background:The unfair distribution and delivery of health-care resources have been recognized as a problem in the worldwide. In the past 18 years, Turkey has undergone rapid social, cultural, and economic changes. The lifestyle and dietary habits of its people have also been changing, and the rates of diabetes, obesity, cancer, and other chronic diseases have increased dramatically over the past two decades. The health transformation program (HTP) has improved the Turkish health-care system since 2003. The main goal of HTP was to progress government, to provide equality between citizens, to give satisfaction to users and providers, and to subsidise the health-care system in Turkey.Aim:The aim of this study is to assess health-care services and health care quality delivery in the Republic of Turkey with special emphasis on governmental hospitals, university hospitals, primary healthcare centers (PHC) and to make comparison with low-, medium- and high-income countries.Methods:This is a retrospective, descriptive study. The ministry of health Annual Reports, websites of the Central Intelligence Agency (CIA), The World Fact Book, organization for economic cooperation and development report, Compendium of Health Statistics, the Google engine, and PubMed were searched for information about Turkey's health-care system and its history. Papers and websites in English were evaluated. There was no restriction on types of articles and sources.Results:Turkey has made outstanding reforms in health status in the last two decades, especially after the implementation of the HTP. The doctor's perception has more influence regarding consultation length and visit than the patient’s. The results of consultations in volunteer practices in Istanbul showed that the mean and SD of the consultation length for the whole sample of 360 patients was 7.95 ± 4.38, (with range = 3–25 min). Consultation time has been affected by the patients’ diseases, genders that women got longer consultation time, medical practices at the urban or rural areas, and ages which older patients required longer consultation time. The current study revealed that increasing doctor's workload leads to decrease the length of consultations. Moreover, average life expectancy reached 75.3 for men and 80.7 for women in 2015. The infant mortality rate decreased to 10.7/1000 live births in 2015, down from 117.5 in 1980. The leading causes of death are diseases of the circulatory system followed by cancer.Conclusions:The Turkish health system and health-care delivery have been improved over the last decade. Still far from perfect, there is a particular planning to increase medical workforce in PHC including well-trained staffs for a specific area. An urgent need is to acquire more accurate and reliable data from hospital and PHC centers in Turkey. Additional some attempts should be made to assess quality of healthcare in relation to services and process.

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Section: Discussionmentioning

confidence: 99%

Health services management in Turkey: Failure or success?

et al. 2019

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“…In Gorgan City, Islamic of Iran, doctors with longer consultation time more precisely, prescribe fewer drugs and present better health advice to the patients. The total mean consultation was 6.9 minutes, and mean consultations time for GP's in the city were shorter than those in village (6.7 versus 7.5) minutes [5]. The 2nd ICHA A research by Cape found that the mean durations of the consultations was 9.9 minutes; 60% patients over-estimated the length of their consultations and 40% patients under-estimated the length of consultations.…”

Section: Discussionmentioning

confidence: 94%

The Relationship Between Consultation Length and Patient Satisfaction: A Systematic Review

Surbakti¹,

Sari²

2018

KLS

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“…As for Tunisia, the local researcher facilitated the meeting, with clear detailed guidance provided by the core research team prior to the meeting. The priority setting meetings served the following two purposes1: validate the list of research questions related to quality, safety and performance management in PHC (generated from the gap map); and2 subsequently rank the validated questions against a set of specific criteria.…”

Section: Methodsmentioning

confidence: 99%

“…The Alma-Ata Declaration envisioned primary health care (PHC) as an integral part of a country’s health system and of the overall social and economic development of the community 1. Strong and comprehensive PHC leads to better health outcomes, improves health equity, reduces inefficiencies of health systems and accelerates achievement of the health-related sustainable development goals (SDGs) including the transformative aim of universal health coverage (UHC) 2–5.…”

Section: Introductionmentioning

confidence: 99%

Quality, safety and performance management in primary health care: from scoping review to research priority setting and implementation plan in the Eastern Mediterranean Region

et al. 2019

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IntroductionStrong primary health care (PHC) leads to better health outcomes, improves health equity and accelerates progress towards universal health coverage (UHC). The Astana Declaration on PHC emphasised the importance of quality care to achieve UHC. A comprehensive understanding of the quality paradigm of PHC is critical, yet it remains elusive in countries of the Eastern Mediterranean Region (EMR). This study used a multistep approach to generate a policy-relevant research agenda for strengthening quality, safety and performance management in PHC in the EMR.MethodsA multistep approach was adopted, encompassing the following steps: scoping review and generation of evidence and gap maps, validation and ranking exercises, and development of an approach for research implementation. We followed Joanna Briggs Institute guidelines for conducting scoping reviews and a method review of the literature to build the evidence and gap maps. For the validation and ranking exercises, we purposively sampled 55 high-level policy-makers and stakeholders from selected EMR countries. We used explicit multicriteria for ranking the research questions emerging from the gap maps. The approach for research implementation was adapted from the literature and subsequently tailored to address the top ranked research question.ResultsThe evidence and gap maps revealed limited production of research evidence in the area of quality, safety and performance management in PHC by country and by topic. The priority setting exercises generated a ranked list of 34 policy-relevant research questions addressing quality, safety and performance management in PHC in the EMR. The proposed research implementation plan involves collaborative knowledge generation with policy-makers along with knowledge translation and impact assessment.ConclusionStudy findings can help inform and direct future plans to generate, disseminate and use research evidence to enhance quality, safety and performance management in PHC in EMR and beyond. Study methodology can help bridge the gap between research and policy-making.

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480 Relationship between consultation length and rational prescribing of drugs in Gorgan city, Islamic Republic of Iran

Cited by 12 publications

References 26 publications

Health services management in Turkey: Failure or success?

Health services management in Turkey: Failure or success?

The Relationship Between Consultation Length and Patient Satisfaction: A Systematic Review

Quality, safety and performance management in primary health care: from scoping review to research priority setting and implementation plan in the Eastern Mediterranean Region

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