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:: Volume 3, Issue 3 (11-2014) ::
J Health Dev 2014, 3(3): 256-0 Back to browse issues page
Factors Related to Patient Migration in Kerman Province
Abstract:   (1469 Views)
Background: Awareness toward peoples’ utilization of health care facilities is a very important issue in the programming and resource allocation process. With implementation of family physician project in Iran and attempts for reforming health referral system, patients’ mobility between regions and its related factors have found more importance.   Methods: In this research by using the logit economic model and through retrospective design, the relationship of patient migration with patients’ demographic features, type of health insurance, distance from the health care center and hospitals’ features was determined in 21 disease groups, based on the final diagnosis recorded in patients’ medical files and ICD10 codes. Eviews 6 software was used for all estimations.   Results: About 40 percent of inpatients in Kerman hospitals had migrated from other cities where the same services had been available, but the patients were not satisfied of the quality of them. Negative effects of geographical distance, physician and hospital bed count and the positive effect of insurances were constant in all groups, showing similar effects of these variables on patient migration in all disease groups.   Conclusion: Results show that factors like distance and kind of disease have no more effect on patient migration than patient perception of the health care center; and ignoring this item, especially in planning the referral system in the big project of family physician, can result in problems in relation to patient equity, patient satisfaction and health organizations’ financial support.  
Keywords: Patient migration, Logit model, Kerman Province
Full-Text [PDF 427 kb]   (445 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/06/13
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Factors Related to Patient Migration in Kerman Province. J Health Dev. 2014; 3 (3) :256-0
URL: http://jhad.kmu.ac.ir/article-1-74-en.html

Volume 3, Issue 3 (11-2014) Back to browse issues page
مجله بهداشت و توسعه Journal of Health and Development
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