Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran
Background: Urban Family Physician Program (UFPP) passed the first ten years of its age in Iran. In this study, we aimed to determine the strengths and challenges of this program from the viewpoints of family physician (FP) teams to address comprehensive evidences and solutions for its improvement....
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | International Journal of Preventive Medicine |
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| Online Access: | https://journals.lww.com/10.4103/ijpvm.ijpvm_34_24 |
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| author | Behnam Honarvar Kamran Bagheri Lankarani Hassan Joulaei Saeed Shahabi Milad Ahmadi Marzaleh Yasamin Kaheni Niloofar Rambod Rad Zahra Zarei Jeliani Fatemeh Shaygani Majid Najafi Kalyani Maedeh Hajiaghaei Fatemeh Zarei Jeliani |
| author_facet | Behnam Honarvar Kamran Bagheri Lankarani Hassan Joulaei Saeed Shahabi Milad Ahmadi Marzaleh Yasamin Kaheni Niloofar Rambod Rad Zahra Zarei Jeliani Fatemeh Shaygani Majid Najafi Kalyani Maedeh Hajiaghaei Fatemeh Zarei Jeliani |
| author_sort | Behnam Honarvar |
| collection | DOAJ |
| description | Background:
Urban Family Physician Program (UFPP) passed the first ten years of its age in Iran. In this study, we aimed to determine the strengths and challenges of this program from the viewpoints of family physician (FP) teams to address comprehensive evidences and solutions for its improvement.
Methods:
In this qualitative study, using purposeful sampling, 58 members of FP teams from ten cities of Fars province were interviewed. In-depth semistructured phone interviews were performed. The trustworthiness of data was checked using Guba and Lincoln criteria.
Results:
Interviewees’ mean years of working in UFPP was 6.9 ± 3.5 years. Themes of challenges included: Inefficient governance, Challenging information system, Fragile financing system, Inefficient service provision, Inefficient Health Workforce, and Inadequate medical products and technologies. Themes of strengths included: Improving governance, Comprehensive information system, Improved quality of service delivery, Improved health workforce conditions, Curbing the costs of health systems, and Capability of application of new technologies. The bulk of views were toward challenges compared with the strengths.
Conclusions:
After the first decade of running UFPP and regardless of some contradictory opinions among family physician teams, the challenges of this program outweigh its strengths. These evidences address the need for a fundamental reform in this program. |
| format | Article |
| id | doaj-art-d281cecf39e944aa93f1a8f9ab4daf69 |
| institution | OA Journals |
| issn | 2008-7802 2008-8213 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Preventive Medicine |
| spelling | doaj-art-d281cecf39e944aa93f1a8f9ab4daf692025-08-20T02:27:13ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132025-04-0116232310.4103/ijpvm.ijpvm_34_24Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from IranBehnam HonarvarKamran Bagheri LankaraniHassan JoulaeiSaeed ShahabiMilad Ahmadi MarzalehYasamin KaheniNiloofar Rambod RadZahra Zarei JelianiFatemeh ShayganiMajid Najafi KalyaniMaedeh HajiaghaeiFatemeh Zarei JelianiBackground: Urban Family Physician Program (UFPP) passed the first ten years of its age in Iran. In this study, we aimed to determine the strengths and challenges of this program from the viewpoints of family physician (FP) teams to address comprehensive evidences and solutions for its improvement. Methods: In this qualitative study, using purposeful sampling, 58 members of FP teams from ten cities of Fars province were interviewed. In-depth semistructured phone interviews were performed. The trustworthiness of data was checked using Guba and Lincoln criteria. Results: Interviewees’ mean years of working in UFPP was 6.9 ± 3.5 years. Themes of challenges included: Inefficient governance, Challenging information system, Fragile financing system, Inefficient service provision, Inefficient Health Workforce, and Inadequate medical products and technologies. Themes of strengths included: Improving governance, Comprehensive information system, Improved quality of service delivery, Improved health workforce conditions, Curbing the costs of health systems, and Capability of application of new technologies. The bulk of views were toward challenges compared with the strengths. Conclusions: After the first decade of running UFPP and regardless of some contradictory opinions among family physician teams, the challenges of this program outweigh its strengths. These evidences address the need for a fundamental reform in this program.https://journals.lww.com/10.4103/ijpvm.ijpvm_34_24challengesfamily physicianiranprogramsolutionsstrengthsurban |
| spellingShingle | Behnam Honarvar Kamran Bagheri Lankarani Hassan Joulaei Saeed Shahabi Milad Ahmadi Marzaleh Yasamin Kaheni Niloofar Rambod Rad Zahra Zarei Jeliani Fatemeh Shaygani Majid Najafi Kalyani Maedeh Hajiaghaei Fatemeh Zarei Jeliani Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran International Journal of Preventive Medicine challenges family physician iran program solutions strengths urban |
| title | Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran |
| title_full | Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran |
| title_fullStr | Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran |
| title_full_unstemmed | Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran |
| title_short | Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran |
| title_sort | scrutinizing the perspective of family physician teams after the first decade of implementation of urban family physician program a thematic qualitative study from iran |
| topic | challenges family physician iran program solutions strengths urban |
| url | https://journals.lww.com/10.4103/ijpvm.ijpvm_34_24 |
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