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The challenges of implementing the family physician plan in Iran and providing solutions for its improvement (A qualitative study on urban family physician) | ||
| Health Management & Information Science | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 10 آبان 1404 | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/jhmi.2025.107889.1302 | ||
| نویسندگان | ||
| Zahra Zare* 1؛ lili Ferdosipour2؛ Yousef Ahmadi2 | ||
| 1Department of Public Administration, Sirjan Branch, Islamic Azad University of Sirjan, Iran hiraz University of Medical science | ||
| 2Department of Public Administration, Sirjan Branch, Islamic Azad University of Sirjan, Iran | ||
| چکیده | ||
| Introduction: The family physician plan is a key health policy proposed in Iran over the past decade, emphasizing the vital role of health in societal development and welfare. Its importance necessitates thorough study, focusing on the support systems, trends, and events affecting its implementation. The aim of this research is to develop future scenarios for the urban family physician plan in Iran to better inform policymaking and enhance its effectiveness. Methodology: This qualitative study in 2024 identified key challenges and drivers of the family physician plan through 18 interviews with experts, policymakers, and executives. Using an uncertainty approach, these drivers were mapped into a matrix to develop future scenarios. Findings: Based on content analysis of the interviews, challenges were categorized into 37 subcategories and 10 main categories, while solutions were organized into 51 subcategories and 12 main categories. After identifying the most critical solutions to address these challenges, a 2x2 matrix was created using an uncertainty-based approach, leading to four future scenarios for the family physician plan. Conclusion: According to the views of experts and policymakers of this program, the most important solution to improve the quality and effectiveness of the family physician plan is to reform and strengthen the referral system and secure sustainable financing. | ||
| کلیدواژه‌ها | ||
| Family physician؛ Policymaking؛ Health system | ||
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