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Practice & Opinion of Doctors in Hospitals toward Referral System in Iraq
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Background: Primary Health care (PHC) is unanimous to be the cornerstone of a person-centered health system. While the adoption of a well-function, two-way, and organized referral system is the mainstay in the development of an efficient healthcare delivery system.  

Objective: To Assess the practice & opinion of doctors in the hospitals toward the referral system.  to determine the doctors in the hospital's commitment to referral system instructions and guidelines.

Subjects and Methods: A cross-sectional study with analytic elements was conducted in nine Iraqi governorates. Eight doctors from each health directorate, resulting in a total of 72 doctors using a specially designed questionnaire. Statistical analysis was done by using SPSS, the P≤0.05 was considered statistically significant.

Results: of the total 72 physicians, 31(43.1%) aged 40-49years, 48(66.7%) were males, and 58(80.6%) were specialists., 58 doctors (80.6%) had no coordination with the PHC-doctors, the same percentage considered the current referral system is ineffective. PHC patients-crowded, doctors-shortage were the causes of inadequately filling PHC-part of the referral form. And PHC-hospital doctors-coordination had a significant association with their age, gender, and their thinking about adequate filling.

Conclusion: despite the importance of the referral system, half of the doctors disagreed about the current referral system’s effectiveness; & most of them had no coordination with the PHC-doctors. PHC crowded/doctors’ shortage the main causes of inadequate filling PHC part of referral-form.

 

 

 

الملخص:

الخلفية: تعتبر الرعاية الصحية الأولية بالإجماع حجر الزاوية في نظام صحي يركز على المريض. في حين أن اعتماد نظام إحالة جيد ثنائي الاتجاه ومنظم هو الدعامة الأساسية في تطوير نظام فعال لتقديم الرعاية الصحية.

الهدف: تقييم ممارسة ورأي الأطباء في المستشفيات تجاه نظام الإحالة. كذلك لتحديد مدى التزام الأطباء في المستشفى بتعليمات وإرشادات نظام الإحالة.

طريقة البحث: أجريت دراسة مقطعية مع عناصر تحليلية في تسع محافظات عراقية. ثمانية أطباء من كل مديرية صحية ، مما أدى إلى ااشتراك 72 طبيبًا في استبيان مصمم خصيصًا للبحث. تم إجراء التحليل الإحصائي باستخدام SPSS ، واعتبر P≤0.05 ذو دلالة إحصائية.

النتائج: من إجمالي 72 طبيبًا ، 31 (43.1٪) تتراوح أعمارهم بين 40-49 عامًا ، 48 (66.7٪) من الذكورو 58 (80.6٪) من المتخصصين. ، 58 (80.6٪) منهم ليس لديهم اي تنسيق مع أطباء الرعاية الصحية الأولية. و بنفس النسبة يعتبرون نظام الإحالة الحالي غير فعال. ازدحام المرضى في المراكز ونقص الأطباء هي اهم أسباب نقص ملأ نموذج الإحالة الخاص باطباءالمراكز الصحية بشكل مناسب. وكان لتنسيق أطباء مستشفى الرعاية الصحية الأولية علاقة كبيرة مع العمر والجنس وتفكيرهم في الملأ االنموذجي.

الخلاصة: بالرغم من أهمية نظام الإحالة ، اختلف نصف الأطباء حول فعالية نظام الإحالة الحالي. ومعظمهم ليس لديهم اي تنسيق مع أطباء المراكز الصحية. ازدحام الرعاية الصحية الأولية / نقص الأطباء اهم الأسباب الرئيسية لضعف ملأ نموذج الإحالة.

 

 

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Publication Date
Sun Apr 01 2007
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Analytic Study Of Congenital Malformations In Four Hospitals In Baghdad
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 Background: Congenital malformations are responsible for a considerable proportion of perinatal, neonatal and infant mortality in many Eastern Mediterranean countries. So this study
aims to find out the incidence, types and probable risk factors of these malformations in Baghdad.
Patients and methods: one hundred cases of congenital malformations were studied out of 8090 neonates born in 4 hospitals in Baghdad province over 5 months in 2002 (preterm, term) .The incidence , types and risk factors were analysed.
Results: the incidence of congenital malformations was 12.36/ 1000 live births, with the central nervous system malformations being the commonest. There is increased risk in consanguinous mar

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Mon May 01 2023
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Irrational Use of Antibiotics in Iraqi Public Hospitals
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Mon Oct 22 2018
Journal Name
Journal Of Economics And Administrative Sciences
Relationship of Communities of practice in adoption of, Strategic Change choices
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The research (Relationship of Communities of practice in adoption of, Strategic Change choices) aims to diagnose and interpretation of correlation nature between Communities of practice deportation (participation and spreading knowledge, confidence, social capital build) deportation strategic change choices (reengineering business process, business re-structuring, business innovation) in construction companies in the Iraqi Ministry of Construction and Housing, the research tested 4 construction companies working in investing sector in Iraq, the research applied on a sample of 102 persons who participated in Communities of practice distributed in several administrative levels (directors, division directors, projec

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Publication Date
Tue Dec 16 2008
Journal Name
Journal Of Planner And Development
The system of urban stability in the Kurdistan Region of Iraq
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The developing countries can be distinguished by spatial disparities and by this a wide gap between urban and rural settlements were produced as well as the appearance of primate cities. The effect of spatial development as a dynamic and continuous process can be perceived in the state of population distribution inside settlements inter and intra regions as well as the hierarchy of urban settlements according to time series. The research proved that the improvement judgment of the structure of the urban system using Gene factor is not accurate because it cannot be accounted for the internal components of the system which make a contrariety between the whole judgment (country) and partial components (Provinces including Sulaimaniy

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Publication Date
Fri Dec 08 2023
Journal Name
Iraqi Journal Of Science
Physico-chemical and Biological Variables of Hospitals Wastewater in Erbil City
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Three hospitals were chosen(Maternity hospital, Raperin hospital and Rhizgari hospital) for the present survey within Erbil city. Water samples were collected at regular monthly interval periods beginning in January 2012 to December 2012. pH of all the studied sites were found to be up 7. Electrical conductivity ranged from (1318-1790 μs.cm-1 in Maternity Hospital, 1770-2232 μs.cm-1 in Raperin Hospital, 1010-1615 μs.cm-1 in Rhizgari Hospital). BOD5 and COD values ranged from 22- 80 mg.L1 and 280- 1410 mg.L-1 respectively, this indicated a high pollution situation in the studied sites in respect to organic matter content. The quantitative analysis of counted microorganisms was more than that describe by WHO guidelines standard.

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Publication Date
Mon Dec 31 2018
Journal Name
Iraqi Journal Of Market Research And Consumer Protection
QUALITY OF LOCAL AND IMPORTED DAIRY PRODUCTS FROM IRAQI CONSUMER OPINION: QUALITY OF LOCAL AND IMPORTED DAIRY PRODUCTS FROM IRAQI CONSUMER OPINION
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The study aims to know the preference of the Iraqi consumer of imported dairy products to local, which has increased demand in recent years due to various reasons including commodity dumping policy that Iraq has been suffering since 2003, which has led to decline in the role of local dairy product in our markets and its inability to compete with imported product for different reasons. The research utilized questionnaire as a survey tool of the opinions of a sample of Iraqi 92 consumers in Baghdad/Alrisafa. The questionnaire consisted of twenty questions included the four components of marketing mixture (product quality, price, place, and promotion). Weighted mean and percentage weight used for data analysis. The study showed that the mos

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Publication Date
Fri Jan 01 2021
Journal Name
Towards Implementation Of Sustainability Concepts In Developing Countries
Toward Resiliency Through Sustainable Urban Formation in Baghdad
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Fri Jan 15 2021
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Palarch's Journal Of Archaeology Of Egypt/egyptology
Belief and practice in the teaching of pronunciation in the Iraqi EFL context
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IH Abdul-Abbas, QJ Rashid, M RasimYounus, PalArch's Journal of Archaeology of Egypt/Egyptology, 2021 - Cited by 9

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Publication Date
Tue Jun 16 2020
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Assessment of knowledge, behavior and attitude toward using antibiotics among non-medical students of University of Fallujah- Iraq.: knowledge, behavior and attitude toward using antibiotics
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Background: Antibiotics are medicines used to  treat bacterial infections, Antibiotic resistance occurs when bacteria change in response to the use of these medicines. The world urgently needs to change the way that it prescribes and uses antibiotics.

Objective: To assess the knowledge, attitude, behavior toward antibiotic among  non- medical students  in University of Fallujah.

Method: A cross sectional study was done during the period from January to March 2019.  Self-administered questionnaire was used that  comprised 25 questions divided into four parts. The first part including demographic questions. Second part designed to assess the knowledge of respondents

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Publication Date
Fri Nov 24 2023
Journal Name
Iraqi Journal Of Science
Study of Epidemiology of Toxoplasmosis in Hemodialysis Patients in Baghdad Hospitals
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This study aims to assess some seroprevalence of toxoplasmosis in chronic renal failure (CRF) patients undergoing hemodialysis in dialysis centers in some Baghdad hospitals, by testing the blood samples with enzyme linked Immunosorbant assay (ELISA) IgG and IgM, to determine the incidence of toxoplasmosis in hemodialysis patients. Hemodialysis patients infected with Toxoplasma. gondii were appeared with 129(32.25%) seropositive anti-Toxoplasma IgG. The age groups (43-51) year and (52-60) years of hemodialysis patients showed the highest percentage of anti-Toxoplasma gondii antibodies. An increase of the seropositivity rate was detected with increasing length of time on hemodialysis treatment. Females had the highest significant percentag

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