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- Title
Challenges in the rural family doctor system in Iran in 2013-14: a qualitative approach.
- Authors
Nejatzadegan, Zohreh; Ebrahimipour, Hossien; Hooshmand, Elaheh; Tabatabaee, Seyed Saeed; Esmaili, Habibollah; vafaeeNajar, Ali
- Abstract
<bold>Background: </bold>Family doctor is a medical specialization that provides families and people of all ages, genders and diseases with comprehensive ongoing health services.<bold>Objective: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusion: </bold>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.
- Subjects
IRAN; MEDICAL specialties &; specialists; MEDICAL care; SNOWBALL sampling; HEALTH insurance; INTERVIEWING; MEDICALLY underserved areas; GENERAL practitioners; QUALITATIVE research; RURAL health services; CULTURAL competence; ECONOMICS
- Publication
Family Practice, 2016, Vol 33, Issue 4, p421
- ISSN
0263-2136
- Publication type
journal article
- DOI
10.1093/fampra/cmw033