Introduction: Family physician plan in Iran was conducted to establish service referral system. Its urban step began in 2012 and it was supposed that the effectiveness is enhanced and the costs are reduced. The implementation of this program has faced some challenges, especially in human resources management. The aim of this study was to optimally allocate human resources for urban family physician plan in Jahrom town, using goal programming model.Method: This cross-sectional, case study was carried out in 2014 in Jahrom, Iran. Jahrom was studied as a case. Data were collected using a group discussion sessions, five structured interviews, reviewing documents, and field study. The participants were selected using purposive sampling method. After the emergence of goal programming components, the model was designed and problems were solved using software DS.Results: The optimal number of urban family physicians was 37 with two working shifts and 15 with one working shift. Moreover, the optimal number of physicians was 25 in public health centers and 19 in private centers. In addition, the optimum number of family physician assistants was 52. On the basis of these results, the real number of urban family physicians was 33, 26, 25, 34 and, 57, respectively.Conclusion: The results of this model showed that allocation of human resources in family physician program was not optimal and satisfactory based on the decision-makers’ viewpoints. Thus, goal programming would provide a more favorable allocation when combined with mentality of the managers and logical optimal numbers.Keywords: Family physician, Goal programming, Human resource allocation, Iran |
- 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.
- Family physician Iranian sociey of general practitioners; 2013; Available from: http://isgp.ir/doctor_family.
- Khayyati F, Motlagh ME, Kabir M, Kazemeini H, Gharibi F, Jafari N. The role of family physician in case finding, referral, and insurance coverage in the rural areas. Iran J Public Health. 2011;40(3):136-9.
- Health policies in Iran. Expediency Council; 2013; Available from: http://www.maslahat.ir/.
- Twenty-year vision of Islamic Republic of Iran. Parliament Iran; 2013; Available from: http://www.parliran.ir/.
- The Regulations of Fourth Development Plan. Parliament Iran; 2013; Available from: http://www.parliran.ir/.
- Alipour A, Habibian N, Tabatabaee S. Evaluation the impact of family physician care program on family planning in Sari from 2003 to 2007. Iranian Journal of Epidemiology. 2009;5(1):47-55.
- Barati O, al. e. [Family physician impact in health index]. Payesh journal. 2012;11(3):361-3.
- Hatmi ZN, Malekpour M. Family physicians in Iran: success despite challenges. Lancet. 2010 Nov 6;376(9752):1541.
- Kavari SH, Keshtkaran A. Evaluation of physicians and paramedical doctorâs viewpoints on the family physician as a lost link in the medical system of Iran. Middle East Journal of Family Medicine. 2004;4(4).
- Lankarani KB, Alavian SM, Haghdoost AA. Family physicians in Iran: success despite challenges. Lancet. 2010 Nov 6;376(9752):1540-1.
- Shalileh K, Mahdanian A. Family physiciansâ satisfaction in Iran: a long path ahead. Lancet. 2010 Aug 14;376(9740):515.
- Takian A, Rashidian A, Kabir MJ. Expediency and coincidence in re-engineering a health system: an interpretive approach to formation of family medicine in Iran. Health Policy Plan. 2011 Mar;26(2):163-73.
- The Regulations of Fifth Development Plan. Parliament Iran; 2013; Available from: http://www.parliran.ir/.
- Davari M, Walley T, Haycox A. Iranian health system economic chalenges. , 8(7):. Health information management. 2011;8(7):915-7.
- Kiaei M, Mouseli L, Mohebbifar R, Shishechi R. Comparison of the distribution of human resources in university and private hospitals of Qazvin. The Journal of Medical Education & Development. 2013;6(2):45-52.
- The world health report: health systems: improving performance: World Health Organization2000.18.
- Charnes A, Cooper WW. Goal programming and multiple objective optimizations: Part 1. European Journal of Operational Research. 1977;1(1):39-54.
- Momeni M. New topics in operations research. Tehran: Management School Publications. 2006.
- Ataollahi F, Bahrami MA, Abesi M, Mobasheri F. A goal programming model for reallocation of hospitalsâ inpatient beds. Middle-East Journal of Scientific Research. 2013;18(11):1537-43.
- Jenal R, Ismail WR, Yeun LC, Oughalime A. A cyclical nurse schedule using goal programming. Journal of Mathematical and Fundamental Sciences. 2011;43(3):151-64.
- Abedi G, LAGSHAEI B, TABIBI S, Arianezhad M. Fuzzy goal programming model in resource allocation at education section of the ministry of health. 2007.
- Pannell DJ. Sensitivity analysis of normative economic models: theoretical framework and practical strategies. Agricultural economics. 1997;16(2):139-52.
- Güler MG, İdi K, Güler EY. A goal programming model for scheduling residents in an anesthesia and reanimation department. Expert Systems with Applications. 2013;40(6):2117-26.
- Farzadi F, MOHAMMAD K, Maftoun F, LABAF GR, TABIBZADEH DR. General practitioner supply: family physician program and medical workforce. 2009.
- Shahnazari-Shahrezaei P, Tavakkoli-Moghaddam R, Kazemipoor H. Solving a multi-objective multi-skilled manpower scheduling model by a fuzzy goal programming approach. Applied Mathematical Modelling. 2013;37(7):5424-43.
- Turgay S, TaÅkın H. Fuzzy goal programming for health-care organization. Computers & Industrial Engineering. 2015;86:14-21.
|