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.
Sareh Balavar; Leila Vali; Seyed Hossein Saberi Anaraki; Yunes Jahani; Rahil GhorbaniNia
Abstract
Background: More satisfied patients in medical care accelerate the progress of treatments and achieve the foremost goal of treatment, which is to improve patients. The aim of this study was to assess the patients’ expectations and satisfaction with physicians working in public clinics in Kerman.Methods: ...
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Background: More satisfied patients in medical care accelerate the progress of treatments and achieve the foremost goal of treatment, which is to improve patients. The aim of this study was to assess the patients’ expectations and satisfaction with physicians working in public clinics in Kerman.Methods: This is a cross-sectional study conducted in four clinics under the auspices of Kerman University of Medical Sciences. 385 patients were enrolled in the study using simple random sampling. Britten questionnaire was used to collect the data. The collected data were analyzed through SPSS22 using appropriate tests. The validity of the questionnaire was confirmed using the content method. Cronbach’s alpha was calculated for reliability, which was 0.8 for the Reasons of visiting the Doctor Questionnaire and 0.9 for the questionnaire after the examination.Results: The highest expectations of patients (73%) in the reasons for seeing a doctor were related to the diagnosis of the disease, and the lowest expectations were related to the tests and the desire to prescribe (28.6%). Overall satisfaction with the physician was 55.3% among the patients. There was no significant difference between the patients’ expectations of the physician with any of the demographic characteristics. Patients’ expectations before and after seeing a doctor were not significantly different.Conclusion: Understanding the relationship between the treatment team and the patient means that the decisions made for patients are not dependent on the treating physician and patients’ expectations.
