ArticleJournal of education and health promotion2019
Challenges and strengths of implementing urban family physician program in Fars Province, Iran.
Article in Journal of education and health promotion, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Challenges and Weaknesses of Leadership and Governance-related Health Policies in Iran: A Systematic Review.Archives of Iranian medicine · 2024Pooled it
- The agenda-setting process for urban family physician program within Iran's health insurance.BMC public health · 2025Article
- Challenges for health workforce in the Iranian healthcare system: a scoping review.BMC health services research · 2025Article
- The effect of family physician program and health transformation plan on utilization and cost of health services.Cost effectiveness and resource allocation : C/E · 2025Article
- Prioritizing implementation solutions for the urban family physician policy in Iran: a multi-criteria decision-making study.BMC health services research · 2025Article
- Toward Iran's health system regionalization: A qualitative approach.Journal of education and health promotion · 2025Article
- Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran.International journal of preventive medicine · 2025Article
- Barriers and challenges of establishing family physician policy for urban population; evidence from a qualitative study in Iran.Journal of preventive medicine and hygiene · 2024Article
- Urban Family Physician Program after a Decade of Implementation from the Perspective of People: A Qualitative Study from Iran.International journal of preventive medicine · 2024Article
- The challenges of urban family physician program over the past decade in Iran: a scoping review and qualitative study with policy-makers.Journal of preventive medicine and hygiene · 2023Article
- Content analysis of family physician plan using social marketing approach: Qualitative- document analysis.Journal of education and health promotion · 2023Article
- Financial challenges in the family physician programme in Iran: A systematic review of qualitative research.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Review
- Near Two Decades of the Family Physician Program in Iran and the Structural Challenges: A Systematic Review.International journal of preventive medicine · 2023Review
- Comparison of Health Status Indicators in Iran with the Eastern Mediterranean Countries Using Multiple Attribute Decision-Making Methods.Iranian journal of medical sciences · 2022Article
- Preferences of people in choosing a family physician in rural areas: a qualitative inquiry from Iran.Primary health care research & development · 2022Article
- Health complaints in individual visiting primary health care: population-based national electronic health records of Iran.BMC health services research · 2022Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundFamily physician (FP) is one of the best strategies to reform health system and promote population health. Due to the different context, culture, and population, implementing this reform within cities would be more challenging than in rural areas. This study aimed to assess the challenges and strengths of Urban FP Program in Fars Province of Iran. MATERIALS AND
methodsIt was a qualitative study using framework analysis for collecting and interpreting data. The participants included health policy-makers, top managers, and involved health staff selected through purposive and snowball sampling. Participating in the program or working as a physician in urban areas were among inclusion criteria. Three focus groups with experts as well as the content analysis of national documents were also performed. The research tool was a semi-structured interview guide. Interviews and focus groups were recorded and transcribed word by word. The framework of triangle for data analysis and the content was analyzed using MAXQDA 2010 software.
resultsThe participants' mean age was 44.9 ± 6.4 years, with a mean work experience of 13.2 ± 7.4 years. The transcripts revealed six themes and 17 subthemes. The emerging themes included three challenges and three solutions as following: social problems, financial problems, and structural problems as well as resistance reduction, executive meetings, and surveillance.
conclusionResolving staff shortage, decreasing the public resistance, and eliminating unnecessary referrals were among the strategies used by Fars, during FP implementation. To be successful in implementing this program, the required perquisites such as infrastructures and culture growth must be undertaken. The current study suggests the establishment of the electronic health record to improve the pace and quality of service provision as well as reducing violations.
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