| Introduction: The Family Physician Program is one of the most important plans for increasing the equitable access and affordable health services. This study aimed to examine the performance of Urban Family Physicians and associated factors in the third year of its implementation.Method: A cross-sectional study was conducted on all Family Physicians (31 persons) working in the private and public polyclinics and clinics in the Firoozabad, from October to December 2014. The population of the study consisted of all the physicians (31 persons) who were involved in the Family Medicine Program. The main instrument for data gathering was a standard questionnaire developed by Ministry of Health and Medical Education (MOHME). Validity and reliability of the questionnaire have been confirmed by MOHME. The questionnaire had four parts including medical equipment, informing the patients, referral system rules, and protocols. The data were analyzed using SPSS statistical software, version 16, through appropriate statistical tests including Independent T-test, Pearson Correlation, One sample T-test, in a significance level of<0.05.Results: Findings of the study showed that there was not a significant association between performance of physicians and equipment (77.20 ± 22.80). Their performance based on informing patients (81.59±16.69), protocols (82.42±12.05), and total performance (82.41±13.42) was good. Their performance in terms of referral system (69.35 ±16.15) was weak. There were not any association between the performance and marital status, age, career, and sex. In contrast, there was a significant relationship between nativity and performance so that the performance of native physicians was better.Conclusion: The Urban Family Physician is an outstanding step for improving the public health but its successful implementing needs to develop an appropriate solution for employing the native physicians. It seems that applying various incentives and employing the native physicians in terms of their ability and training them about the importance of referral systems in public health will be helpful.Keywords: Family medicine, Performance, Urban family physician, Referral system |
- [Guideline of program the âfamily physician and referral systemâ in urban areas the version 02]. Tehran: The Ministry Of Health and Medical Education, MOHME Press; 2012.
- Rivo M. family practice in the new Millennium: from health care to health improvement. Family Practice Management. 1997.
- Jogerst GJ, Lenoch S, Ely JW. Russian family practice training program: a single step on a long journey. Fam Med. 1998;30(5):372-7.
- Facts about family medicine. American Academy of Family Physicians; [cited]; Available from: http://www.aafp.org /online/en/ home/about us specialty.htm.
- Davoudi S. [Introduction to health Sector Reform]. Tehran: Asare Mouaser Pub; 2006.
- Ferdosi M, Vatankhah S, Khalesi N, Ayoobian A, Ebadi Fard Azar F. [The survey of payment methods to doctors in referral system of selected countries and Provide a playbook for the treatment directly of the Iranian social security organization]. Journal Mil Med. 2012;11(2):129-35.
- Family physician instruction. Tehran: Iran Ministry of Health and Medical Education, health deputy, Center for Health Network Development and Health Promotion; December 2010. p. 7-36.
- Starfield B. Primary care: concept, evaluation, and policy. Oxford University Press, USA; 1992.
- Coleman P, Irons R, Nicholl J. Will alternative immediate care services reduce demands for non-urgent treatment at accident and emergency? Emerg Med J. 2001;18(6):482-7.
- WHO. The role of hospital in primary health care. reported of a conference sponsored by the Agakhan Foundation; 1981 Contract No.: Document Number|.
- Jamshidi H. Health system reform in Islamic Republic Iran. Public Health services insurance Journal. 2005;8(27):14-6.
- Karimi M. [Medical Insurance of Rurals]. 1st ed. Tehran: Medical services insurance organization; 2007.
- Pileroudi S. Township network health and treatment. Iran: UNISEF. 1999:12-3.
- Almasi H. [New approach in human resource management: from performance appraisal to performance management]. Tadbir research journal. 1995;5(56):26-36.
- Sheykh zade R. [Design a model of health system performance assessment and management]. Management research journal. 2009;3(10):83-108.16.
- Omid A, Yammani N, Heidari K, Mousavi T, Mousavi A. Educational Needs of General Practitioners Who Enrolled as Family Physicians in National Family Medicine Program and Referral System. Iranian Journal of Medical Education. 2013;13(6):470-9.
- [What you should know about family physician]. Center HD-NM, editor. Tehran: Ministry of Health and Medical Education, MOHME Press; 2012.
- Chaman R, Amiri M, Raei M, Alinejad M, NASROLLAHPOUR SS. National family physician program in shahroud: assessing quality of implementation and condition of settings. 2011.
- Nasrollahpour Shirvani S, Mikaniki E, Ashrafian Amiri H, Kabir M, Jafari N, Oveis G, et al. Resources, equipment and requirements for the implementation of Rural family physicians and insurance programs in northern. Community Health Journal. 2013;7(2):1-11.
- Palmer PE. Feeling unwell? Must you go straight to hospital? World Health Forum. 1991;12(1):38-42.
- Ali BR, Sadeghi A, Vahidi R, Akaberi A. Determination of quality of services provided by family physician team from recipientsâ perspective in Ajabshir city. 2014.
- Najimi A, Alidoosti M, Sharifirad G. [Study of Knowledge, Attitude, and Satisfaction toward the Family Physician Program in Rural Regions of Isfahan, Iran]. J Health Syst Res. 2012;7(6):883-90.
- Walker BL, Ephross PH. Knowledge and attitudes toward sexuality of a group of elderly. Journal of Gerontological Social Work. 1999;31(1-2):85-107.
- Najimi A, Alidousti M, Moazemi GA. A survey on preventive behaviors of high school students about Influenza A based on health belief model in Shahrekord, Iran. 2010.
- Sam Aram E. [Villagers benefit from the press and its role in rural development]. Journal of Rural Development Studies. 2007;10(1):177-216.
- Mehrolhasani MH, Jafari SM, Poorhoseini SS, Yazdi FV. The Challenges of Implementing Family Physician and Rural Insurance Policies in Kerman Province, Iran: A Qualitative Study. 2012.
- Golalizadeh E, Moosazadeh M, Amiresmaili M, Ahangar N. Challenges in second level of referral system in family physician plan: A qualitative research. 2012.
- Alidosti M, Tavassoli E, Khadivi R, Sharififard GR. A survey on knowledge and attitudes of rural population towards the family physician program in Shahr-e-kord city. 2011.
- Eshrati B, Hoseini S, Farahani M, Azimi M, Zamanian M. [Evaluation of the status of the referral Level 1 to 2 family physician program Using the funnel-shaped diagram In the Markazi province 2011]. Journal of Arak University of medical sciences. 2013;16(4):45-53.
- Hosseini S, Mesbah N, Hajian K, HAJI AM, Sajadi P, Dadashpour M, et al. Assessment of referral system in health care delivery center of paeengatab (Babol; 2003). 2005.
- Nasrollahpour Shirvani D, Ashrafian Amiri H, Motlagh M, Kabir M, Maleki MR, Shabestani Monfared A, et al. Evaluation of the function of referral system in family physician program in Northern provinces of Iran: 2008. Journal of Babol University of Medical Sciences. 2010;11(6):46-52.
- Ebadi Fard Azar F, Haqani H, Hashemi F. [The monitoring of the national plan for the family physician and referral system in the Rabat Karim 2008]. Hospital quarterly. 1387;8(5):7-12.
- EBADIFARD AF. Patients admission and referral system observance in live educational centers (IUMS). 2002.
- Nasiripour A, Motaghi M, Navvabi N. The performance of referral system from the perspective of family physicians of Kashan University of Medical Sciences: 2007-20012. Journal Of Health Promotion Management (jhpm). 2014;3(3).
- Khosravi S, Amiresmaeili M, Yazdi Feyzabadi V, editors. Performance evaluation and insurance plans of rural family physicians: case study of kerman medical sciences university. Proceedings of the Role of Family Physicians in Health Systems Congress; 2012.
- Hafezi Z, Asqari R, Momayezi M. Monitoring performance of family Physicians in Yazd. 2009.
- Torabian S, Cheraghi MA, Azarhomayoon A. Famili physician program: physiciansâ satisfaction in Hamadan, Iran. 2013.
- J Health Man & Info. Jan 2016;3(1):14
- Nourafkan O et al
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