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Volume 9, Issue 4 (11-2023)
jhehp 2023, 9(4): 216-223 |
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Hajibadali P, Nadrian H, Hashemiparast M. Challenges of Implementing the Family Physician Program: A Qualitative Study in an Iranian Urban Community. jhehp 2023; 9 (4) :216-223
URL: http://jhehp.zums.ac.ir/article-1-616-en.html
URL: http://jhehp.zums.ac.ir/article-1-616-en.html
1- Department of health education and promotion, school of health, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Department of health education and promotion, school of health, Zanjan University of Medical Sciences, Zanjan, Iran.
2- Department of health education and promotion, school of health, Zanjan University of Medical Sciences, Zanjan, Iran.
Abstract: (911 Views)
Background: The family physician program plays a crucial role in promoting the quality of community‐based primary healthcare. This study aimed to explore the challenges and obstacles of implementing the family physician program in an Iranian urban community context.
Methods: A qualitative study design employing a conventional content analysis approach was conducted. The participants were nineteen healthcare recipients and healthcare providers from urban health centers in Bonab, Iran. Data were collected through semi-structured individual interviews until data saturation, and simultaneous data analysis was conducted. MAXQDA 10 software was used to manage the data. The study was conducted between February and July 2019 at the urban health centers in Bonab, Iran.
Results: The analysis of the collected data yielded three main categories, namely, ‘socio-cultural and economic challenges’, ‘interpersonal communication difficulties’, and ‘inefficient management’. These categories emerged as the challenges faced in implementing the urban family physician program in the community.
Conclusion: The implementation of the family physician program is a long process that is influenced by various factors and the elimination of barriers requires developing infrastructures and culture growth and improving the professional settings and interpersonal relationships.
Methods: A qualitative study design employing a conventional content analysis approach was conducted. The participants were nineteen healthcare recipients and healthcare providers from urban health centers in Bonab, Iran. Data were collected through semi-structured individual interviews until data saturation, and simultaneous data analysis was conducted. MAXQDA 10 software was used to manage the data. The study was conducted between February and July 2019 at the urban health centers in Bonab, Iran.
Results: The analysis of the collected data yielded three main categories, namely, ‘socio-cultural and economic challenges’, ‘interpersonal communication difficulties’, and ‘inefficient management’. These categories emerged as the challenges faced in implementing the urban family physician program in the community.
Conclusion: The implementation of the family physician program is a long process that is influenced by various factors and the elimination of barriers requires developing infrastructures and culture growth and improving the professional settings and interpersonal relationships.
Type of Study: Original Article |
Subject:
Public Health
Received: 2023/09/30 | Accepted: 2023/11/1 | Published: 2023/11/22
Received: 2023/09/30 | Accepted: 2023/11/1 | Published: 2023/11/22
References
1. Fardid M, Jafari M, Moghaddam AV, Ravaghi H. Challenges and Strengths of Implementing Urban Family Physician Program in Fars Province, Iran. J Educ Health Promot. 2019; 8. [Google Scholar]
2. Sarvestani RS, Kalyani MN, Alizadeh F, Askari A, Ronaghy H, Bahramali E. Challenges of Family Physician Program in Urban Areas: A Qualitative Research. Arch Iran Med. 2017; 20(7): 446-51. [Google Scholar]
3. Khatami F, Shariati M, Khedmat L, Bahmani M. Patients’ Preferences in Selecting Family Physician in Primary Health Centers: A Qualitative-Quantitative Approach. BMC Fam Pract. 2020; 21: 1. [Crossref] [Google Scholar]
4. Khedmati J, Davari M, Aarabi M, Soleymani F, Kebriaeezadeh A. Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic Review. Iran J Public Health. 2019; 48(3): 400. [Crossref] [Google Scholar]
5. Wang YJ, Liu HY, Chen TJ, Hwang SJ, Chou LF, Lin MH. The Provision of Health Care by Family Physicians in Taiwan as Illustrated with Population Pyramids. Inquiry. 2019; 56: 0046958019834830. [Crossref] [Google Scholar]
6. Rad EH, Delavari S, Aeenparast A, Afkar A, Farzadi F, Maftoon F. Does Economic Instability Affect Healthcare Provision? Evidence Based on the Urban Family Physician Program in Iran. Korean J Fam Med. 2017; 38(5): 296. [Crossref] [Google Scholar]
7. Bayati M, Keshavarz K, Lotfi F, KebriaeeZadeh A, Barati O, Zareian S, et al. Effect of Two Major Health Reforms on Health Care Cost and Utilization in Fars Province of Iran: Family Physician Program and Health Transformation Plan. BMC Health Serv Res. 2020; 20(1): 1-9. [Crossref] [Google Scholar]
8. Arya N, Gibson C, Ponka D, Haq C, Hansel S, Dahlman B, et al. Family Medicine Around the World: Overview by Region: The Besrour Papers: A Series on the State of Family Medicine in the World. Can Fam Physician. 2017; 63(6): 436-41. [Google Scholar]
9. Arya N, Gibson C, Ponka D, Haq C, Hansel S, Dahlman B, et al. Family Medicine Around the World: Overview by Region: The Besrour Papers: A Series on the State of Family Medicine in the World. Can Fam Physician. 2017; 63(6): 436-41. [Crossref] [Google Scholar]
10. Hooshmand E, Nejatzadegan Z, Ebrahimipour H, Bakhshi M, Esmaili H, Vafaeenajar A. Rural Family Physician System in Iran: Key Challenges from the Perspective of Managers and Physicians, 2016. Int J Healthc Manag. 2019; 12(2): 123-30. [Crossref] [Google Scholar]
11. Behzadifar M, Heidarvand S, Gorji HA, Aryankhesal A, Taheri Moghadam S, Mohammadibakhsh R, Bragazzi NL. The Challenges of the Family Physician Policy in Iran: A Systematic Review and Meta-Synthesis of Qualitative Researches. Fam Pract. 2018; 35(6): 652-60. [Crossref] [Google Scholar]
12. Hamidzadeh Y, Hashemiparast M, Hassankhani H, Allahverdipour H. Obstacles for Iranian Rural Population to Participate in Health Education Programmes: A Qualitative Study. Fam Med Community Health. 2019; 7(1). [Crossref] [Google Scholar]
13. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in Qualitative Research: Exploring Its Conceptualization and Operationalization. Qual Quant. 2018; 52: 1893-907. [Crossref] [Google Scholar]
14. Elo S, Kyngäs H. The Qualitative Content Analysis Process. J Adv Nurs. 2008; 62(1): 107-15. [Crossref] [Google Scholar]
15. Guba EG, Lincoln YS. Fourth Generation Evaluation. Sage; 1989. [Google Scholar]
16. Tong A, Sainsbury P, Craig J. Consolidated Criteria for Reporting Qualitative Research (COREQ): A 32-Item Checklist for Interviews and Focus Groups. Int J Qual Health Care. 2007; 19(6): 349-57. Available from: https://www.equator-network.org/reporting-guidelines/coreq/. [Crossref] [Google Scholar]
17. Lin CC, Tamí-Maury I, Ma WF, Lam C, Tsai MH, Lin MT, et al. Social and Cultural Context of Betel Quid Consumption in Taiwan and Implications for Prevention and Cessation Interventions. Subst Use Misuse. 2017; 52(5): 646-55. [Crossref] [Google Scholar]
18. Firouzan V, Noroozi M, Farajzadegan Z, Mirghafourvand M. Barriers to Men’s Participation in Perinatal Care: A Qualitative Study in Iran. BMC Pregnancy Childbirth. 2019; 19(1): 1-9. [Crossref] [Google Scholar]
19. Leone JE, Rovito MJ, Mullin EM, Mohammed SD, Lee CS. Development and Testing of a Conceptual Model Regarding Men’s Access to Health Care. Am J Mens Health. 2017; 11(2): 262-74. [Crossref] [Google Scholar]
20. Campbell DJ, Manns BJ, Hemmelgarn BR, Sanmartin C, Edwards A, King-Shier K. Understanding Financial Barriers to Care in Patients with Diabetes: An Exploratory Qualitative Study. Diabetes Educ. 2017; 43(1): 78-86. [Crossref] [Google Scholar]
21. Dhaliwal KK, King-Shier K, Manns BJ, Hemmelgarn BR, Stone JA, Campbell DJ. Exploring the Impact of Financial Barriers on Secondary Prevention of Heart Disease. BMC Cardiovasc Disord. 2017; 17(1): 1-8. [Crossref] [Google Scholar]
22. Hamidzadeh Y, Hashemiparast M, Hassankhani H, Allahverdipour H. Local-Level Challenges to Implementing Health Education Programs in Rural Settings: A Qualitative Study. Fam Med Prim Care Rev. 2019(1): 30-4. [Crossref] [Google Scholar]
23. Razee H, Whittaker M, Jayasuriya R, Yap L, Brentnall L. Listening to the Rural Health Workers in Papua New Guinea-The Social Factors that Influence Their Motivation to Work. Soc Sci Med. 2012; 75(5): 828-35. [Crossref] [Google Scholar]
24. Mannava P, Durrant K, Fisher J, Chersich M, Luchters S. Attitudes and Behaviours of Maternal Health Care Providers in Interactions with Clients: A Systematic Review. Global Health. 2015; 11: 1-7. [Crossref] [Google Scholar]
25. Petersen I, Marais D, Abdulmalik J, Ahuja S, Alem A, Chisholm D, et al. Strengthening Mental Health System Governance in Six Low-And Middle-Income Countries in Africa and South Asia: Challenges, Needs and Potential Strategies. Health Policy Plan. 2017; 32(5): 699-709. [Crossref] [Google Scholar]
26. Rathod S, Pinninti N, Irfan M, Gorczynski P, Rathod P, Gega L, et al. Mental Health Service Provision in Low-And Middle-Income Countries. Health Serv Insights. 2017; 10: 1178632917694350. [Crossref] [Google Scholar]
27. Dehnavieh R, Kalantari AR, Sirizi MJ. Urban Family Physician Plan in Iran: Challenges of Implementation in Kerman. Med J Islam Repub Iran. 2015; 29: 303. [Google Scholar]
28. Nejatzadegan Z, Ebrahimipour H, Hooshmand E, Tabatabaee SS, Esmaili H, Vafaeenajar A. Challenges in the Rural Family Doctor System in Iran in 2013-14: A Qualitative Approach. Fam Pract. 2016; 33(4): 421-5. [Crossref] [Google Scholar]
29. Fatema K, Lariscy JT. Mass Media Exposure and Maternal Healthcare Utilization in South Asia. SSM Popul Health. 2020; 11: 100614. [Crossref] [Google Scholar]
30. Doshmangir L, Rashidian A, Takian A, Doshmangir P, Mostafavi H. Payment System of Urban Family Physician Programme in the Islamic Republic of Iran: Is It Appropriate?. East Mediterr Health J. 2018; 24(7). [Crossref] [Google Scholar]
31. Espinosa-González AB, Normand C. Challenges in the Implementation of Primary Health Care Reforms: A Qualitative Analysis of Stakeholders’ Views in Turkey. BMJ Open. 2019; 9(7): e027492. [Crossref] [Google Scholar]
32. Jan CF, Chiu TY, Chen CY, Guo FR, Lee MC. A 10-Year Review of Health Care Reform on Family Practice Integrated Care Project-Taiwan Experience. Fam Pract. 2018; 35(4): 352-7. [Crossref] [Google Scholar]
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