Showing 8 results for Physician
A Alipour, N Habibian, Shr Tabatabaee,
Volume 5, Issue 1 (6-2009)
Abstract
Background and objectives: Iranian family physician care program as a new program has begun since 2005 to deliver a better service particularly in primary health care. The objective this survey was to evaluate the impact of this program on family planning in Sari city between 2003-2007.
Methods: This survey was conducted among all women 15-49 years who married. Required data were collected from health files. The pattern of time trend evaluated and relevant indices compared before and after the family physician program.
Results: The application of condom, hormone injection, vasectomy and total modern contraceptives increased but employing the methods of tubectomy, IUD, OCP, Norplant and traditional method were descending. This variability for condom, tubectomy and traditional methods were statistically significant (p<0.05). However for other methods were not statistically significant (p>0.05). Difference of contraceptive using rates in pre and post of the application of program for condom, hormone injection, tubectomy and OCP were statistically significant (p<0.05) and for others were not statistically significant (p>0.05).
Conclusions: It seems relatively success of family physician program on family planning in Mazandaran province however more human resource should be allocated to family planning.
A Khorrami Rad, M Karami, Z Abedini,
Volume 7, Issue 4 (3-2012)
Abstract
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Background & Objectives: Epidemiological
surveillance of infectious diseases through the mandatory-reporting system is
crucial for disease prevention program and success in it related to physician,
partnership. The aim of this study was to identify statues of notification
system among general practitioners (physicians) in Qom.
Methods: In this analytical cross section study
a self-administered questionnaire was used to assess knowledge and attitude of
notifiable diseases, self-reported practices, reasons for noncompliance with
reporting requirements, and suggestions to improve compliance. A total 140
general physicians completed the questionnaire. Appropriate statistical
analyses were performed.
Results: 14/3% and 13/6% had a good knowledge
and attitude about notification and only 47% had good performance. There was
significant association between the participants' self-reported practices and
knowledge total scores and participating in continuing medical education. The
major barrier of reporting notifiable diseases was poor knowledge of the list
of reportable diseases and reporting requirements. The most frequent
suggestions for improving physicians' compliance with disease reporting were to
simplify the reporting process and giving awareness about list of notifiable
diseases.
Conclusion: Our findings suggest inappropriate
knowledge, attitude and practices about disease notification requirements among
GPs. Modifying physisicans' knowledge and motivation, eliminating barriers to
disease reporting, and promoting some facilitating factors could help reduce
the underreporting of notifiable diseases.
V Yazdi Feyzabadi , Mh Mehrolhasani, Mr Baneshi, S Mirzaei, N Oroomiei,
Volume 13, Issue 0 (3-2018)
Abstract
Background and Objectives: Urban family physician program(UFPP), a program for improving equity in access to, financing, and quality of health services, is piloting in two provinces of Fars and Mazandaran, Iran since 2012. This study aimed to examine the association between the implementation of program and financial protection measures.
Methods: This cross-sectional, ecological study was performed on aggregated data of financial protection measures and some independent variables in the above provinces from 2008 to 2015. At first, the Lasso regression model was used for selecting independent variables affecting financial protection indexes. After adjusting the selected independent variables, in separate models, the association between the UFPP and financial protection measures, as outcome variables, was examined using a backward linear regression model.
Results: The percentage of households facing catastrophic health expenditure(CHE) in the years of UFPP implementation was 1.82% higher than the years before implementation(P<0.05). This increase was 1.37% in rural areas. the percentage of medical impoverishment in the two provinces increased by 0.83% during the implementation years than the years before(P<0.05). Finally, no significant relationship was observed between UFPP implementation and the Kakwani index and out of pocket payment(as % of total health expenditure) in the two provinces(P>0.05).
Conclusion: Despite the achievements attained by UFPP in improving physical access to health services, it seems that this program has had no success in improving financial protection measures and equitable health care financing. However, further research is warranted in this regard.
M Haji Aghajani , Aa Haghdoost, S Noori Hekmat , Gh Janbabaee, A Maher, Am Javadi, R Rahimisadegh, Mr Rajabalipour, H Haghighi, R Dehnavieh, S Emadi,
Volume 13, Issue 0 (3-2018)
Abstract
Background and Objectives: The imbalance between the existing human resources and future needs of the health system disturb the service delivery process. The present study aimed at determining human resources needs in the health sector for a 10-year planning program. For this purpose, the researchers examined the geographical distribution of different groups of health system staff in 2016 and 2026.
Methods: This descriptive-analytic study was carried out in 2016. The population of this study included 46 universities of medical sciences. Data of the number and distribution of health care staff working in public, private, charity, and semi-public sectors of medical departments of medical universities were collected. The Qlik View software was used for data integration and designing information dashboards.
Results: At the beginning of 2016, the ratio of nurses, nursing groups, midwives, pharmacists, dentistry and general physician per 100,000 individuals was 133, 199, 32, 17, 22, and 53 respectively, which are estimated to reach 223, 272, 37, 26, 27, and 79 in 2025, respectively. The coefficient of dispersion variation of the above was 39%, 32%, 43%, 33%, 43%, and 44% in 2016, respectively, which are estimated to reduce by 2026 if the Iran medical roadmap is implemented.
Conclusion: The high dispersion index of the medical personnel relative to the population in the cities covered by medical universities indicates unbalanced distribution. If the estimates of the Iran's 2026 medical roadmap are implemented, more appropriate distribution of the medical staff is expected.
V Kohpeima Jahromi , R Dehnavieh, Mh Mehrolhasani,
Volume 13, Issue 0 (3-2018)
Abstract
Background and Objectives: Due to lack of proper health system coverage in cities, the urban family physician program began as pilot in two provinces in Iran. Decision on developing the program to other provinces requires a comprehensive assessment. The study aimed to evaluate the program in Iran.
Methods: This cross-sectional study was conducted in 2015 and 2016 in two provinces (Fars and Mazandaran). The data of 141 family physicians working in health centers and 710 patients were collected using a questionnaire. A multi-stage sampling method was used for the samples. Data analysis was performed using descriptive and inferential statistical methods.
Results: 81% of the workload of family physicians in a week was patient visits. Co-payment in second and third levels was a real obstacle for some patients. The majority of the patients could receive their required healthcare facilities in up to 40 minutes. Software programs were infrequently used. Patients were visited by their physicians 5.5 times in a week. The mean duration of each patient visit was less than 10 minutes in 80% of the cases. Referral rate was reported by 14% (Fars= 21.8%, Mazandaran= 4%). 30 out of 45 medical devices were available to family physicians on average.
Conclusion: Although the program has been successful in areas such as access to health services and comprehensiveness of care, there are some challenges in coordination and continuity of care. Therefore, it is suggested that the root causes of these challenges be resolved prior to extending this program to other provinces.
J Mohammadi Bolbanabad , A Mohammadi Bolbanabad , S Valiee, N Esmailnasab, F Bidarpour, G Moradi,
Volume 15, Issue 1 (5-2019)
Abstract
Background and Objectives: The Family Physician (FP) plan was implemented in rural areas and cities with a population of less than 20000 in 2005. The purpose of this study was to explain the challenges and obstacles of¬ the Rural Family Physician Program in Kurdistan Province from the perspective of stakeholders.
Methods: This qualitative study was conducted using 30 semi-structured interviews and 5 focused group discussions (FGD) with stakeholders of the FP plan from June 2017 to Jan 2018. The participants were selected through a purposive sampling method with maximum variation. The contents of the interviews and FGD were categorized by the content analysis method using MAXQDA10 software (V. 10).
Results: The challenges and obstacles of the FP plan were categorized into 16 subcategories and 5 main categories. The main categories were stewardship challenges, service delivery challenges, cultural and educational challenges, human resource challenges, and infrastructure challenges. The most important subcategories of these challenges included weaknesses in policy-making, formation of laws and regulations, weaknesses in insurance performance, weaknesses in intra-sector coordination, weaknesses in the referral system, weaknesses in communicating the plan to the community, low survival of physicians, inadequate motivational mechanisms, and weaknesses in the information system.
Conclusion: The rural FP plan faces many challenges that require multi-dimensional interventions. Identifying the challenges of the FP plan from the perspective of its stakeholders can help to gradually improve the plan.
Reza Dehnavyeh, Mohammad Jaafari Sirizi, Vahid Yazdi Feyzabadi, Farzaneh Yousefi, Parisa Dehghanian,
Volume 20, Issue 3 (12-2024)
Abstract
Background and Objectives: Paying attention to future changes and preparing for them is one of the requirements of today's world. Personalized medicine as an emerging and expanding change will bring about changes in medical science. Family physicians as the first line of service delivery and health insurance as factors affecting the provision of services will face this issue. The aim of this study was to draw the space for applying this approach in the field of family physicians and the changes it will bring.
Methods: This study has three stages: preparing a presentation file about personalized medicine and formulating questions, holding a meeting with family physicians, completing the questions form as a group, presenting their opinions, and finally, analyzing and summarizing the views of the doctors by the research team.
Results: Implementing personalized medicine will positively affect each of the family physician's functions, including health management, comprehensiveness of services, continuity of service delivery, coordination, and research. However, like any new change in any field, implementing this approach in this part of the health system will be challenging. There are solutions to face these changes and the resulting challenges from the point of view of family doctors.
Conclusion: As one of the essential parts of facing the changes in the health field, family physicians and health insurance should monitor the issues of this field prospectively and prepare themselves to face them. Providing infrastructures according to possible challenges and considering the principles of change management can be a solution for effectively implementing this approach in this field.
Mahla Iranmanesh, Milad Ahmadi Gohari, Aliakbar Haghdoost, Maryam Yazdanpanah, Abbas Kamyabi, Simin Salehinejad, Vahid Yazdi-Feyzabadi,
Volume 20, Issue 4 (3-2025)
Abstract
Background and Objectives: In the field of medicine, job satisfaction holds significant importance, as it plays a vital role in the quality of healthcare services. This study aimed to assess physicians' job satisfaction levels and identify the related factors.
Methods: This cross-sectional survey study was conducted online in 2023 among 1,100 Iranian physicians using a respondent substitution method. Physicians answered the questions regarding themselves and their closest physician friend, with whom they maintain regular contact and interactions. Satisfaction was categorized using a Likert scale into two scales: sufficient satisfaction (very high and high) and insufficient satisfaction (very low, low, and moderate). Factors affecting job satisfaction among physicians were determined using multivariable logistic regression.
Results: Among the 2,200 physicians, 24.9% (547 individuals) of the physicians were satisfied with their profession, while 75.1% (1,653 individuals) had low or moderate (insufficient) satisfaction. The odds of male physicians being satisfied with their profession were 1.54 times higher than female physicians. Factors including interest in medicine, the amount of time spent practicing medicine, sufficient income, low occupational stress, high job stability, no reduction in professional autonomy compared to the past, migration status, time dedicated to practicing medicine in public and private sectors as well as in academic activities, pursuing further education, and the physician’s income were all positively and significantly correlated to job satisfaction (p<0.05).
Conclusion: Job satisfaction among Iranian physicians is significantly influenced by various factors such as interest in medicine, adequate income, job stability, and reduced job stress. The highest level of satisfaction was observed among male physicians. Improving working conditions and reducing job stress are essential to improving job satisfaction and the quality of healthcare services.
