Urban Family Physician Program after a Decade of Implementation from the Perspective of People: A Qualitative Study from Iran.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Preventive Medicine Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.4103/ijpvm.ijpvm_343_23
Behnam Honarvar, Kamran B Lankarani, Hassan Joulaei, Saeed Shahabi, Milad Ahmadi Marzaleh, Yasamin Khosravaninezhad, Fatemeh Shaygani, Yasamin Kaheni, Niloofar R Rad
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Abstract

Background: A decade after the implementation of the Urban Family Physician Program (UFFP) in Fars province, southern Iran, we aimed to reveal people's opinions regarding the strengths and challenges of this program, which help policymakers for evidence-based improvement of this program.

Methods: In this thematic content analysis qualitative study, which was performed in 2023, one adult individual of each family under the coverage of UFPP was selected using a purposeful sampling method. Then, an in-depth and semi-structured phone interview was conducted with each participant. Interviews were continued until the achievement of data saturation. The trustworthiness of data was checked according to Guba and Lincoln criteria. Data analysis was accomplished using MAXQDA software version 10.

Results: A total of 25 participants with a mean age of 41 ± 12 years old were interviewed. Extracted strengths points of UFPP consisted of 390 meaning units, 41 open codes, 16 subcategories, 9 categories, and 3 themes, of which the main themes consisted of proper governance, adequate service provision, and promoting community health. In contrast, the challenges of this program comprised 127 meaning units, 54 open codes, 17 subcategories, 7 categories, and 3 themes, the main themes of which included weak governance, inefficient service provision, and limitation of resources.

Conclusions: After a decade of implementation, people demonstrated contradictory opinions about many aspects of UFPP. Strength points should encourage policymakers to advocate more for this program and extend it to the other provinces of Iran, whereas weak points should be used for its revisions and improvement.

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从人们的角度看城市家庭医生计划实施十年后的情况:来自伊朗的定性研究。
背景:在伊朗南部法尔斯省实施城市家庭医生计划(UFFP)十年后,我们旨在揭示人们对该计划的优势和挑战的看法,从而帮助政策制定者以证据为基础改进该计划:在 2023 年进行的这项主题内容分析定性研究中,我们采用有目的的抽样方法,从每个受和睦家计划覆盖的家庭中挑选了一名成年个体。然后,对每位参与者进行了深入的半结构化电话访谈。访谈一直持续到数据饱和为止。根据古巴和林肯标准对数据的可信度进行了检查。数据分析使用 MAXQDA 软件 10.0 版完成:共访问了 25 位参与者,平均年龄为 41 ± 12 岁。提取出的和睦家伙伴关系项目的优势点包括 390 个意义单位、41 个开放代码、16 个子类别、9 个类别和 3 个主题,其中主要主题包括妥善治理、提供充足服务和促进社区健康。相比之下,该计划的挑战包括 127 个意义单元、54 个开放代码、17 个子类别、7 个类别和 3 个主题,其中主要主题包括治理不力、服务提供效率低下和资源有限:结论:经过十年的实施,人们对 "人口与发展伙伴计划 "的许多方面表现出相互矛盾的意见。优势方面应鼓励政策制定者加大对该计划的宣传力度,并将其推广到伊朗其他省份,而劣势方面则应用于对其进行修订和改进。
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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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