Rahil Ghorbani Nia; Somayeh NooriHekmat; Reza Dehnavieh; Kambiz BahaadinBeigi; Morteza Arab-Zozani
Abstract
Background: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system.Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and experts, ...
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Background: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system.Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and experts, were selected by purposive and theoretical sampling using the snowball approach until data saturation. The data were collected through semi-structured interviews. The interviews took 20 to 60 minutes each, based on the circumstances and the participant’s willingness to continue. Data analysis was performed along with data collection by Strauss and Corbin’s constant comparative analysis. Using Lincoln and Guba criteria, the accuracy and strength of this research were confirmed.Results: The dimensions model of quaternary prevention using family physicians in Iran were specified in six axial categories: causal conditions, contextual conditions, intervening conditions, strategies, and outcomes. The phenomenon was the promotion of quaternary prevention, including defining quaternary prevention, family physicians, the philosophy of quaternary prevention, and the philosophy of family physicians—social, political, economic, cultural, and technological conditions as contextual and intervening conditions. Causal conditions were doctors, patients, and the health system. Two main strategies were intersectoral administration and intra-sectoral governance. Outcomes included efficiency and the provision of security for society.Conclusion: For quaternary prevention promotion and to offer ethically and rationally acceptable scientific services to the people, it is necessary to promote the position of the family physician as the primary implementer of quaternary prevention in healthcare. Getting to the PHC umbrella is achieved through intra-sectoral leadership and inter-sectoral governance, which supports the patient and reduces unnecessary care.
Zargham Heydari Gojani; Khalil Alimohammadzadeh; Seyed Mojtaba Hosseini; Nayeb Fadaei Dehcheshmeh
Volume 5, Issue 4 , October 2017, , Pages 153-157
Abstract
Background: Health literacy is a stronger predictor of health as compared to variables such as age, income, employment status, education level and race. In this regard, the World Health Organization has reported health literacy as one of the greatest determinants of health. The main purpose of this study ...
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Background: Health literacy is a stronger predictor of health as compared to variables such as age, income, employment status, education level and race. In this regard, the World Health Organization has reported health literacy as one of the greatest determinants of health. The main purpose of this study was to investigate the role of family physician in the health literacy of rural population in Farsan district.Methods: This is a descriptive-analytic study conducted in 2017 in Farsan. The sample size was equal to 450. 205 males and 245 females were selected as the sample, using stratified random sampling. A questionnaire was used to conduct the study (response rate 85.3). The validity and reliability of the questionnaire were confirmed. Data were analyzed using descriptive indexes such as percentage, mean and standard deviation, along with Spearman correlation coefficient and regression analysis.Results: The results of the study showed that 62.2% were female and 37.8% were male. 41.5% were in the age group of 20-29 years old and 7.3% were above 50 years old. Most participants in the study had a bachelor's degree (26.8%) with no history of disease (87.8%). There was a direct and significant relationship between family physician and health literacy (r = 0.355, p = 0.01). Emotional/informational support had a positive and significant effect on the increase in health literacy by 0.427 at a significant level of 0.05.Conclusion: Social support family physician of a community plays a major role in improving the health literacy of the people. Strengthening the communication and human skills of physicians and forming a sincere relationship with people's trust and confidence in the success of health programs; in particular, increasing the level of health literacy plays a crucial role.
Alireza Mirahmadizadeh; Maryam Marzban; Maryam Siadati; Karam Tavani; Abdolrasul Hemmatid
Volume 5, Issue 2 , April 2017, , Pages 72-78
Abstract
Background:Patient satisfaction is an integral component of service quality and obtaining feedback from patients about the quality of primary health care is the best way to extend more patient-centered goals to health care delivery. This study was conducted to measure the level of client satisfaction ...
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Background:Patient satisfaction is an integral component of service quality and obtaining feedback from patients about the quality of primary health care is the best way to extend more patient-centered goals to health care delivery. This study was conducted to measure the level of client satisfaction with Urban Family Physician and Referral System (UFPARS) programMethods: This repeated cross-sectional study was done in Fars province, South of Iran, at two sections. Totally, 5901 patients in two sections (6 and 24 months after the UFPARS startup) were selected using multi-stage random sampling. The participants answered a self-administrated questionnaire. We measured the client satisfaction using 5-point Likert-scaled score and combined the questions; for each component of UFPARS, 6 satisfaction dimensions were made. We compared the participants’ level of satisfaction in two parts, using t-test.Results: Reliability was acceptable, and equal to 85% or more in all domains .In all components of UFPARS, the mean client satisfaction score was higher than 3 out of 5. The lowest client satisfaction scores were seen in the outpatient services. In three components of UFPARS including enrolment, family medicine and para-clinics, the mean satisfaction scores significantly decreased (P<0.001) between the two sections. But other components showed no significant change. Conclusions:The level of satisfaction with UFPARS in Fars province was shown to be relatively medium to high. Low client satisfaction between the two sections could be a bad sign and we recommend that the problems should be tackled gradually. Although family physician program in Iran has some limitations, implementing this plan step by step can lead to a medical reform in Iran. We can develop better programs based on the comments from service recipients, and prompt the project and some program processes.
nasrin shokrpour; Roxana sharifian; mohaddese ghanbari jahromi; Mohammad khammarnia; aziz kasani
Volume 5, Issue 1 , January 2017, , Pages 15-21
Abstract
Abstract Introduction: One of the aims of the family physician program (FPP) is to improve the maternal and child health indicators. this study aimed to comparison maternal and child health indicators in Shiraz rural areas before and after implementation of FPP during 2001 to 2012.Methods: This applicable ...
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Abstract Introduction: One of the aims of the family physician program (FPP) is to improve the maternal and child health indicators. this study aimed to comparison maternal and child health indicators in Shiraz rural areas before and after implementation of FPP during 2001 to 2012.Methods: This applicable study was conducted in Shiraz in the south west of Iran in 2014. The child and maternal health indicators before (2001 to 2005) and after FPP (from 2006 to 2012) were gathered from the Health Center (Enghelab and Shohadaye Valfajr). The instrument for data collection was a questionnaire consisted of 20 maternal and child health indicators. Descriptive statistics was used and for analyzing the data, Excel and Stata software and comparisons of rates and joint point regression tests were employed.Results: the results showed that The FPP lead to decrease in stillbirth, infant mortality and child under one-year mortality in the rural area. Also all the vital horoscope indicator (mortality under one month, mortality under one year, the frequency of the infants under one year, the percentage of stillbirths, crude death percentage, crude birth percentage, general fertility percentage, total fertility percentage) have improved after FPP in Health Center rather than Enghelab Health Center .Conclusion: the maternal and child health indicators had improvement after FPP implementation. Therefore, it is recommended to continue the program.
