Abstract
Background: Most teaching hospitals are faced with incremental demands, crowd and further reference of patients as well as dissatisfaction of the clients in regard to the quality and access of services. Objective: To evaluate the factors involved in further reference of patients to the surgery department of general teaching hospitals of Shahid Beheshti university of medical sciences. Methods: Through a descriptive, cross-sectional case study, 6 teaching hospitals were selected and the samples consisted of patients who had further reference to surgery departments. The data was analyzed and gathered through a check list on 983 medical records of the patients. Findings: Further reference factors consisted of complications (93.3%), exploration (93.00%), insufficient treatment (13.4%), temporary discharge (10.2%), illness reappear (9.5%), infection (9.2%), operation cancel (4.6%), unknown (4.6%) and miss-diagnosis (2.1%). Conclusion: complication was the most prevalent factor in further reference of patients. A reform and more focus on the healthcare quality on the side of the administrators is recommended.
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Copyright
© 2002, Journal of Inflammatory Diseases. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.