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Determination of views of disabled person and their families than disability in family in the Qazvin and Karaj
R Ghasemi Barghi, Ghr Hassanzadeh Ghulam, M Javadi, M Asadi, B Bayat, N Saiepour, H Choobineh,
Volume 5, Issue 2 (9-2011)
Abstract

Background and Aim: The disabled people are a part of our society (1%) and a disabled will face incorrect behaviors from childhood that is caused by an incomplete understanding of the society, but family can play a constructive role to increase the disabled abilities.
This study was conducted to determine the views of deaf, blind and physical motor handicaps and their families regarding disability in the family in the Qazvin and Karaj.

Materials and Methods: One hundered and fifty handicaps and their families from handicaps center, welfare office, the disabled school students, the Mostazafan and Janbazan foundation were enrolled in this study. Information was collected by using 2 questionnaires. T test and Analyses Of Variance have been applied for data analysis, using SPSS software.

Results: The results show that among different disabilities, the deaf ones and their families had more positive view than other disabled ones about their disabilities.
Also, increasing the number of family members can cause more negative view about disability (p<0.05). This study shows that there isn't a significant relationship between the disabled view and his / her gender, cause of disability and parents high education

Conclusion: With regard to the similarity of the disables and their families views about disability and also their need to obtain more awareness about disability, the disable's needs and complications, it is necessary to stress on correct training of disabled person, his/ her family and the society.


Assessment Of Urban Family Physician Program In Pilot Centers Covered By Ahvaz Jundishapur University Of Medical Sciences
Shahrokh Reiesian, Maryam Eslamian, Mohammad Azmal , Peivand Bastani , Rohollah Kalhor,
Volume 7, Issue 1 (5-2013)
Abstract

  Background and Aim: Family physician is the core in the world efforts for quality improvement, cost effectiveness, and equity in the health care systems. The main purpose of this present study was to investigate situation of the family physician program and identify referral route in this program in six pilot cities in Khuzestan province .

  Materials and Methods: A cross-sectional descriptive study was conducted in 2011. Pre-designed checklists were used for collecting data. In this study, 15 healthcare team in six pilot cities for family physician program in Khuzestan province were examined and their specified referral levels for each city was investigated and compared with the national instruction to identify current gaps.

  Results: The least number of staff belonged to nutrition, nurses and physicions respectively. In the second referral level cities, Specialists did not welcome the program . In Mahshar, a second level city, five specialists have been registered to family physician program. In the third level, 28/5 percent of specialist were enrolled in this program.

  Conclusion : It seems that it is necessary to facilitate patient access to physicians under contract with family physician program and referral system in second and third levels. Therefore, establishing a motivation system for attracting specialist and improving their maintenance situation can also be beneficial.

 


The Relationship Of Work-Family Conflict And Spillover To Affective Well Being Of Female Nurses
Mohsen Golparvar, Mahnaz Zeraatie , Raziyeh Salehhi,
Volume 8, Issue 5 (1-2015)
Abstract

Background and Aim: Work-family conflict and spillover are among threatening factors in hospital environment for nurses’ well being. The present research aimed to study the relationship of work-family conflict and spillover to affective well being among nurses.

Materials and Methods: The research method was correlational and the statistical population consisted of female nurses of two public hospitals, among whom 197 persons were selected using availability sampling method.­ Data gathering instruments were the previously made questionnaires including work-family conflict questionnaire, work-family spillover questionnaire and affective well being questionnaire. The reliability and validity of the instruments were verified and the data were analyzed using multiple regression analysis. 

Results: The results of regression analysis revealed that work-family conflict had a significant predictive power for the prediction of negative and positive affect. Also, the results of regression analysis revealed that homework spillover had a significant predictive power for the prediction of negative affect and that free time spillover had a significant predictive power for the prediction of positive affect.

Conclusion: The results of the present study showed that work-family conflict and spillover could cause problems to nurses’ affective well being. Therefore, it is necessary that nurses be trained to manage work-family conflict and spillover in a suitable way.


Factors related to longevity of physician in the family physician program in Rural family physician program of sabsevar by using Dematel method
Mehrnoosh Jafari, Mahmoud Tavasoli, Khalil Ali Mohamadzadeh,
Volume 14, Issue 5 (1-2021)
Abstract
Background and Aim: The fair access to health services is one of the most important challenges of the country health system. The family physician was designed to increase access to services, reduce parallel work, and make optimal use of the country’s health resources. The aim of this study was to investigate the factors related to the longevity of physicians in the family physicians
Materials and Methods: The applied study was descriptive, survey. The 32 family physicians working in the comprehensive rural health services centers of Sabzevar was selected by census method.  The research tool was a research-made pairwise comparison matrix consisting of 87 questions. The validity of the questionnaire was confirmed by examining the incompatibility rate of the questions. Dematel technique and Excel software were used for data analysis. 
Results: The finding showed that environmental factor is the most important factor in the survival of family physicians(R=-0.1558), The managerial factors were also determined as the highest factor that affecting other factors (R=-0.09118). The environmental factors are (affective factor -0.006), managerial factor are (influential factor -0.003) and human factor are (effective factor 0.0037)
Conclusion: Environmental factor was the most effective factor on the survival of physician in this study. Creating suitable facilities, proper communication between family physician and villagers, education and culture of more villagers have the greatest impact on the survival of physicians. It is necessary for managers to planning more carefully by allocating more fund to environment factors.

Required Structures for Family Physician Program to Achieving Service Quality Dimensions in Primary Health Care: a systematic review
Ali Reza Heidarian Naeini, Ghahraman Mahmoodi Alemi, Jamshid Yazdani Charati,
Volume 15, Issue 3 (8-2021)
Abstract
Background and Aim: In recent years, the family physician plan has been implemented as a main strategy of health system in Iran. Therefore, the necessity to reform organizational structure based on experiences of other countries is felt more than before. The aim of this study was to explore required structures of Family Physician Program to achieve service quality dimensions in Primary Health care through analyzing country experiences.
Materials and Methods: This study was a systematic review. All relevant databases were searched using appropriate search strategies and keywords (Family Physicians, Primary Health Hare, Quality of Care). To evaluate the quality of selected papers, CASP tool was applied by 4 experts, and their choices were discussed to reach a final decision.
Results: In order to achieve the quality of services in the field of family medicine, based on the findings of this study, eight important executive structures must be considered. These structures are: Organizational and managerial structures, including health system governance, Support  mechanisms and referral system, Systematic communication platform, Electronic health services, Service delivery processes,Insurance structure, Supervisory and control structure including financial control mechanisms, competitive control and quantitative control, Payment structure, quantitative and qualitative development structure of service providers, Quality structure that includes the definition and evaluation of quality and accountability mechanisms as well as incentive mechanisms for service quality, Support structure including insurance support, classified support for specific groups, and finally, the cultural structure in the two areas of culture building of the referral system and strengthening the position of family physicians.
Conclusion: Quality improvement in primary health care requires attention to executive structures. Use of executive experiences of other countries will be useful in achievement of quality health care in family physician system.

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