TO REFER OR NOT TO REFER: WHAT SHOULD WE DO?

Abstract

Referral system applications are important pieces of Health System of WHOsuggesting to developed and developing countries since decades. Starts withdefining health centers as primary, secondary and tertiary, sustained with healthstaff and patients attendance. Referral system which supplies countries to use theirhuman and economical resources, are in application in very few country because ofsome obstacles. In Turkey, it is first tried in 1960's, but because of primary healthcare was not developed enough. Also in Health Reform Program, which is started toapplied in 2003, "gradual referral system" idea is accepted theorically. In 2008November, it is tried in 4 city, after couple of months in January 2009 it iscancelled.Researches are showing that, societies most of health problems are can be solved inprimary health centers. (%80-90) Thats why,referral system, is a system supportedby people who are working in these issues, because of the reasons; using moreefficient of human and financial resources, decreasing the barriers of academicdevelopment, increasing the service quality of secondary and tertiary healthcenters. However there are obstacles against referral system, still. To pass beyondthese obstacles, referral system, the advantages, obstacles and solutions must bedefined and able to be measurable.The aim of our research is to make addition to researches about family physiciansand specialists thoughts about referral system. This search is planned asqualitative. We used a detailed questinaire form for physicians, and applied with a in-depth interview method. All of the physicians were agree that referral system isneeded. But in small details they were separating.