The response of health systems to after‐hours primary cares in Iran and the selected countries

• Published in: The International journal of health planning and management 2019-10, Vol.34 (4), p.e1899-e1908
• Main Authors: Salemi, Morteza, Aryankhesal, Aidin, Jafari, Mehdi
• Format: Article
• Language: English
• Subjects: Access; After-Hours Care - organization & administration; after‐hours primary care; Australia; Comparative studies; Delivery of Health Care - organization & administration; Family physicians; general practitioner; Health administration; Health care; Health insurance; Health services; Health Services Accessibility - organization & administration; Hospitals; Humans; Information sources; Iran; Medical conditions; Models, Organizational; Netherlands; out‐of‐hours medical care; Participation; Patients; Payments; Physicians, Primary Care - organization & administration; Policies; Primary care; Primary Health Care - organization & administration; Private sector; Reimbursement Mechanisms - organization & administration; Tariffs; Turkey; United Kingdom; United States; urgent needs
• ISSN: 0749-6753; 1099-1751
• DOI: 10.1002/hpm.2815

Summary Background 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. Aim The present study aims at comparing the after‐hours primary cares in Iran, Turkey, the United States, the Netherlands, Australia, and the United Kingdom. Method 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. Results 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. Conclusions 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.