Satisfaction levels with family physician services: a pilot national health programme in the Islamic Republic of Iran

Fararouie, Mohammad; Nejat, Mehdi; Tabatabaie, H. R.; Kazerooni, Parvin Afsar; Akbarpoor, Mehdi

doi:10.26719/2017.23.4.267

Cited by 4 publications

(2 citation statements)

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“…Also, the program's coverage in Shiraz increased from 23% to 84% during a 7-month period (7). Overall, the satisfaction levels with the program in urban and rural regions of Shiraz were 54.5% and 69.2%, respectively (8). Moreover, 76.41% of the study subjects from the Markazi province were content with the family physician program (9).…”

Section: Introductionmentioning

confidence: 97%

Evaluating Satisfaction Among Recipients of Family Physician Services in Birjand and Khusf, Iran

et al. 2018

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Background: Health and security are among primary rights of each society, whose securement falls upon the government. The family physician is responsible for providing comprehensive and high-quality services according to the necessities of the population in order to maintain and promote physical and mental health. The purpose of the present study was to evaluate the satisfaction of the recipients of the family physician services provided throughout the cities of Birjand and Khusf, Iran. Methods: For the purpose of this cross-sectional study, 218 service recipients were randomly selected from 12 health centers of Birjand and Khusf using an appropriate allocation method, and standard questionnaires were distributed amongst the individuals. The data were analyzed using multiple analysis of variance (multiple ANOVA), t-tests (or Mann-Whitney tests), and ANOVA (KruskalWallis) with an error coeffection of 5% through the application of the SPSS (v. 18) software. Results: Males made up 38.2% of the study samples, and 77.2% were residents of rural regions with health centers. The overall con-

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Section: Introductionmentioning

confidence: 97%

Evaluating Satisfaction Among Recipients of Family Physician Services in Birjand and Khusf, Iran

et al. 2018

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“…Health is designated as a fundamental human right by almost all countries and its development is considered as one of the most important government responsibilities. (1) According to the World Health Organization (WHO) guidelines, all countries need to establish continuous monitoring and evaluation programs. (2) Patient satisfaction is a key criterion for evaluating the quality of health-care services.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Clients’ Satisfaction in Family Health Adapted Centres and Primary Health Care Centres in Baghdad 2018

2020

IJPHRD

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Background: Patient satisfaction is a key criterion for evaluating the quality of health-care services. Family health strategy is now being used in a number of primary health care centers as a new model to enhance the quality of provided health care services. Aim of Study:To evaluate and detect differences in the quality of services provided by family health adapted centers and primary health care centers. Method:A comparative cross-sectional study was conducted to measure clients' satisfaction in two family health adapted centers and two traditional primary health care centers. Data was collected from 240 participants through direct interview using a SERVQUAL based questionnaire.Results: Total satisfaction score was significantly higher in family health adapted centers (79.18±5.054) compared to that in primary health care centers (50.76±11.801). The means of all the studied dimensions in family health adapted centers were also significantly higher than that in primary health care centers. Conclusion:Overall Patients' satisfaction in family health adapted centres was higher than in traditional primary health care centres in all the studied dimensions, reflecting that the quality of care is better in family health adapted centers.

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The challenges of urban family physician program over the past decade in Iran: A scoping review and qualitative study with policy-makers

Lankarani

Honarvar

Shahabi

et al. 2023

Preprint

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Introduction: Despite all the advantages of urban family physician program (UFPP), there is still a gap between UFPP and what is actually achieved by the community after its implementation in Iran. In response, this study attempted to review published studies related to the barriers to the implementation of the UFPP in Iran as well as potential solutions to improve it. Further, a qualitative study was conducted to learn the perspectives of experts at the national level and in the Fars province in order to better understand the program's challenges. Methods This study was conducted in two phases. First, a scoping review was done, aiming to identify the common barriers and potential solutions to implementing UFPP in Iran. Second, a qualitative study using semi-structured interviews was conducted to investigate the views of decision- and policy-makers regarding barriers to and solutions for implementing the UFPP in the Fars province over the last decade. The findings were classified using the five control knobs framework (Organization, financing, payment, regulation, and behavior). Results The most common barriers to UFPP were: 1) organization (ununited stewardship function of the Ministry of Health, weak management and planning, inadequate training of human resources, and a weak referral system); 2) financing (fragmented insurance funds, insufficient financial resources, and instability of financial resources); 3) payment (inappropriate payment mechanisms and delay in payments); 4) regulation (cumbersome laws and unclear laws); and 5) behavior (cultural problems and conflict of interests). On the other hand, several solutions were identified to improve the implementation of UFPP, including: enhancing the role of government; improving the referral system; providing comprehensive training for UFPP providers; considering sustainable financial resources; moving towards mixed-payment mechanisms; employing appropriate legal and regulatory frameworks; enhancing community awareness; and elevating incentive mechanisms. Conclusion Our research found that, despite the UFPP having been in place for a decade in Iran, there are still significant challenges in all five components. Therefore, the promotion of this program requires solving the existing implementation challenges in order to achieve the predetermined goals. The ideas in this study can be used to improve the current program in Fars Province and bring it to other cities in Iran.

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Satisfaction levels with family physician services: a pilot national health programme in the Islamic Republic of Iran

Cited by 4 publications

References 0 publications

Evaluating Satisfaction Among Recipients of Family Physician Services in Birjand and Khusf, Iran

Evaluating Satisfaction Among Recipients of Family Physician Services in Birjand and Khusf, Iran

Comparison of Clients’ Satisfaction in Family Health Adapted Centres and Primary Health Care Centres in Baghdad 2018

The challenges of urban family physician program over the past decade in Iran: A scoping review and qualitative study with policy-makers

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