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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.

 


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.

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