Achievements and Challenges in Implementing Urban Family Physician Program in Iran: Viewpoint of Managers and Executives
Journal Title: مجله راهبردهای مدیریت در نظام سلامت - Year 2019, Vol 4, Issue 2
Abstract
Background: Urban family physician program is one of the relatively large reforms in Iran's health care system implemented in Fars and Mazandaran provinces since 2012. Nearly five years after implementation of the program, this study aimed to identify the achievements and challenges of this program from the viewpoints of managers and administrators. Methods: This cross-sectional study was conducted in winter of 2016. The research population included administrators and experts monitoring the urban family physician program and representatives of the family physicians and health care providers selected using the census method. The data collection tool was a two-part researcher-made questionnaire containing 15 questions with confirmed validity. To collect data, 29 panels of experts were held and the collected information was analyzed by SPSS 23 using independent t-tests and ANOVA. Results: Among the total of 647 participants in 2 provinces, 1540 achievement cases, 2387 challenge cases, and 1641 strategies were found. The average numbers of achievements, challenges, and strategies stated by each person were 2.38 ± 2.0, 3.70 ± 2.7, and 2.54 ± 2.0, respectively. The most frequent achievements, challenges, and strategies were increased disease detection and care (430), untimely payment to physicians (198), and providing sustainable resources for timely payments (119). The means of achievements, challenges, and strategies had significant relationship with some of the individual and social variables (p < 0.05). Conclusion: This study showed that increasing the rate of detection was the most important achievement and lack of timely payment was the biggest challenge of the program, which should be considered by policy makers.
Authors and Affiliations
Mohammad Javad Kabir, Hasan Ashrafian Amiri, Zahra Hassanzadeh-Rostami, Reza Momtahen, Rasoul Zafarmand, Seiyed Davoud Nasrollahpour Shirvani
Keywords
Related Articles
- EP ID EP650526
- DOI 10.18502/mshsj.v4i2.1410
- Views 81
- Downloads 0
Inequality Assessment of Hospital Resources Distribution in West Azarbaijan Province Using Economic Indicators, Before-After Health System Reform plan
Background: Equity in access to health care services is one of the main goals of health systems, so that inequality in the geographical distribution of health resources will make it difficult for individuals to access t...
The Relationship between Gender Inequality Index and Indicators Related to Children in Countries with Different Income Levels: An Ecologic Study
Background: Gender inequality index shows reduction in human development due to inequality between men and women, which results in vulnerability to diseases. Therefore, this study aimed to investigate gender inequality i...
Survey Interaction Effects between the Factors Influencing on the Physicians' Decision and their Demographic Characteristics to cooperate in the Family Physician Plan by Using Discrete Choice Experiment
Background: Considering the role of general practitioners in the family physician plan, policymakers and planners are required to be aware of the factors influencing the practitioners' decision to enter this plan. The ai...
Design of a Decision Support System to Diagnose and Predict Heart Disease using Artificial Neural Network; a case study (Ayatollah Golpayegani Hospital in Qom)
Background: Considering the prevalence of cardiovascular diseases in Iran and the high rate of death caused by these diseases, correct prediction of patients' situation is important. So, it is necessary to use the predic...
Achievements and Challenges in Implementing Urban Family Physician Program in Iran: Viewpoint of Managers and Executives
Background: Urban family physician program is one of the relatively large reforms in Iran's health care system implemented in Fars and Mazandaran provinces since 2012. Nearly five years after implementation of the progr...