The Effect of Education on Administrators and Service Providers′ Knowledge of the Family Physician Plan and Referral System in Urban Areas

H. Asgari, Maryam Azarnoosh, Maryam Kheirmand, M. Shiri, Mohsen Rohani, M. Khosravi, Rasol Hemamy
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Abstract

Context: As one of the important changes in the health system, family physician plan, and referral system need to be taken into consideration, so as to make the administrators informed of the best ways of its implementation. Aims: This research has been carried out to study the effect of education on the knowledge level of administrators and service providers. Settings and Design: This study was analytical and interventional and conducted in Isfahan in 2012 with a statistical population of 2851 and a sample size of 118 people. Materials and Methods: This quantitative study was an interventional comparison group applying pre- and post-tests. Random sampling was used to select physicians, administrators and service providers in the family physician plan. A researcher-made questionnaire was filled out by the sample before and after the intervention, and the collected data were analyzed descriptively and inferentially. Statistical Analysis Used: The data were analyzed by using the SPSS 16 software and the mean scores of knowledge level, before and after the intervention, were compared. Demographic variables, also, were described and their relationship with the knowledge level scores was determined. A t-test was used, too. Results: The findings showed that the mean scores of knowledge level were 46.18 ΁ 15.37 before the intervention and 50.14 ΁ 14.46 after the intervention. Moreover, the t-test result, with 95% certainty, was significant (P = 0.043). Conclusion: Considering the meaningfulness of the results of t-test, it can be concluded that education has a high effect on the knowledge level of administrators and service providers. The results, also, showed that for having a more effective education, face to face education and active and practical teaching methods such as workshops and group discussions as well as different informative materials like brochures and media (radio, television and press) can be used. In addition to these factors, the age and work experience of people receiving education should be considered, too.
教育对城市家庭医生计划和转诊制度管理人员和服务提供者知识的影响
背景:作为卫生体制的重要变革之一,家庭医生计划和转诊制度需要考虑在内,以便让管理者了解其实施的最佳方式。目的:本研究旨在探讨教育对行政人员和服务提供者知识水平的影响。本研究为分析性和干预性研究,于2012年在伊斯法罕进行,统计人口为2851人,样本量为118人。材料与方法:本定量研究为介入对照组,采用前后试验。采用随机抽样的方法选择家庭医生计划的医生、管理人员和服务提供者。在干预前后分别由被试填写研究者自行制作的问卷,并对收集到的数据进行描述性和推理性分析。统计学分析方法:采用SPSS 16软件对数据进行分析,比较干预前后的知识水平平均分。此外,还描述了人口统计变量,并确定了它们与知识水平得分的关系。我们也使用了t检验。结果:干预前知识水平得分为46.18 15.37分,干预后知识水平得分为50.14 14.46分。此外,t检验结果具有95%的确定性,具有显著性(P = 0.043)。结论:考虑到t检验结果的意义,可以得出教育程度对管理人员和服务提供者的知识水平有很高的影响。研究结果还表明,为了更有效地进行教育,可以使用面对面的教育和积极实用的教学方法,如讲习班和小组讨论,以及不同的信息材料,如小册子和媒体(广播、电视和报刊)。除了这些因素外,受教育人员的年龄和工作经验也应该被考虑在内。
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