Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory | ||
| Journal of Health Sciences & Surveillance System | ||
| دوره 11، شماره 4، زمستان 2023، صفحه 750-759 اصل مقاله (673.55 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/jhsss.2022.95356.1585 | ||
| نویسندگان | ||
| Rahil Ghorbani Nia1؛ Somayeh NooriHekmat* 2؛ Reza Dehnavieh3؛ Kambiz BahaadinBeigi4؛ Morteza Arab-Zozani5 | ||
| 1Department of Health Management and Policy and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran | ||
| 2Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran | ||
| 3Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran | ||
| 4Medical Informatics Research Center, Kerman University of Medical Sciences, Kerman, Iran | ||
| 5Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran | ||
| چکیده | ||
| Background: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system. Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and experts, were selected by purposive and theoretical sampling using the snowball approach until data saturation. The data were collected through semi-structured interviews. The interviews took 20 to 60 minutes each, based on the circumstances and the participant’s willingness to continue. Data analysis was performed along with data collection by Strauss and Corbin’s constant comparative analysis. Using Lincoln and Guba criteria, the accuracy and strength of this research were confirmed. Results: The dimensions model of quaternary prevention using family physicians in Iran were specified in six axial categories: causal conditions, contextual conditions, intervening conditions, strategies, and outcomes. The phenomenon was the promotion of quaternary prevention, including defining quaternary prevention, family physicians, the philosophy of quaternary prevention, and the philosophy of family physicians—social, political, economic, cultural, and technological conditions as contextual and intervening conditions. Causal conditions were doctors, patients, and the health system. Two main strategies were intersectoral administration and intra-sectoral governance. Outcomes included efficiency and the provision of security for society. Conclusion: For quaternary prevention promotion and to offer ethically and rationally acceptable scientific services to the people, it is necessary to promote the position of the family physician as the primary implementer of quaternary prevention in healthcare. Getting to the PHC umbrella is achieved through intra-sectoral leadership and inter-sectoral governance, which supports the patient and reduces unnecessary care. | ||
تازه های تحقیق | ||
Rahil Ghorbani Nia (Google Scholar) Somayeh NooriHekmat (Google Scholar) | ||
| کلیدواژهها | ||
| Family physician؛ Grounded theory؛ Quaternary prevention؛ Qualitative research | ||
| مراجع | ||
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