Challenges in the rural family doctor system in Iran in 2013-14: A qualitative approach

Nejatzadegan, Z. and Ebrahimipour, H. and Hooshmand, E. and Tabatabaee, S. S. and Esmaili, H. and vafaeeNajar, A. (2016) Challenges in the rural family doctor system in Iran in 2013-14: A qualitative approach. Family Practice, 33 (4). pp. 421-425.

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Background. Family doctor is a medical specialization that provides families and people of all ages, genders and diseases with comprehensive ongoing health services. Objective. The present study wasconducted to describe challenges in the rural family physician program from the perspective of family physician program directors and family doctors in Iran using a qualitative approach. Methods. We conducted interviews with 13 family physician program directors and 8 family doctors selected through purposive snowball sampling. The initial in-depth unstructured interviews were reviewed and transformed into semi-structured ones. The data obtained were analyzed in ATLAS.ti using the conceptual framework method. Results. Nine main concepts (comprehensive planning, medical insurance system, compensation for services, performance evaluation, welfare facilities, recruiting and retaining a workforce, information system, culture-building and financing) and 27 subgroups emerged from the analysis of the data. Conclusion. The main challenges in the family physician program include cultural, economic and environmental factors and work conditions. The implementation of this program can be improved through building a community culture and exercising minor and major modifications. © The Author 2016. Published by Oxford University Press. All rights reserved.

Item Type: Article
Additional Information: Cited By :1 Export Date: 16 February 2020 CODEN: FAPRE Correspondence Address: vafaeeNajar, A.; Department of Health Economic and Management Sciences, School of Health, Mashhad University of Medical Sciences, Daneshgah Ave. No. 18, Iran; email:
Uncontrolled Keywords: Challenges Content analysis Family doctor Qualitative approach administrative personnel Article cultural factor female general practitioner health care financing health care personnel management health care planning health insurance human Iran male medical fee medical information system performance measurement system purposive sample qualitative research rural health care semi structured interview unstructured interview cultural competence economics interview job performance manpower standards Cultural Competency Humans Interviews as Topic Medically Underserved Area Physicians, Family Rural Health Services Work Performance
Subjects: W General medicine- Health professions
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib4 lib4
Date Deposited: 01 Mar 2020 05:42
Last Modified: 01 Mar 2020 05:42

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