Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Int J Health Plann Manage. 2019 Oct;34(4):e1899-e1908. doi: 10.1002/hpm.2815. Epub 2019 Jul 16.
After-hours primary care often involves care required for medical conditions managed outside hospitals by a general practitioner. After-hours care aims at meeting the urgent needs of patients who cannot wait to visit their general practitioner in office hours.
The present study aims at comparing the after-hours primary cares in Iran, Turkey, the United States, the Netherlands, Australia, and the United Kingdom.
This is a descriptive-comparative study comparing after-hours primary cares in Iran and selected countries in 2019. Considering the research purpose, data pertaining to each country were collected from valid information sources and the countries were compared based on the comparative table. A framework analysis was used for data analyses.
The results were stated regarding the model type, dominant model, payments mechanism, the support of insurance organizations, service tariffs, private sector participation, and participation of primary care general practitioners in each country.
Different countries are using diverse policies to enhance patients' access to general practitioners in out-of-office hours. In Iran, however, due to the lack of specific policies to access after-hour primary cares, people have to use expensive hospital and private cares. An essential step in solving this problem is the availability of general practitioner services at primary care level.
下班后的初级保健通常涉及由全科医生在医院外管理的医疗条件所需的护理。下班后护理旨在满足无法在办公时间等待看全科医生的患者的紧急需求。
本研究旨在比较伊朗、土耳其、美国、荷兰、澳大利亚和英国的下班后初级保健。
这是一项描述性比较研究，比较了 2019 年伊朗和选定国家的下班后初级保健。考虑到研究目的，从有效信息来源收集了与每个国家相关的数据，并根据比较表对这些国家进行了比较。使用框架分析进行数据分析。
结果就每个国家的模型类型、主导模式、支付机制、保险组织的支持、服务费率、私营部门参与以及初级保健全科医生的参与进行了说明。
不同国家正在使用不同的政策来增加患者在非办公时间获得全科医生的机会。然而，在伊朗，由于缺乏特定的政策来获得下班后的初级保健，人们不得不使用昂贵的医院和私人保健。解决这个问题的一个重要步骤是在初级保健层面提供全科医生服务。
