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城市地区家庭医生项目面临的挑战:一项定性研究。

Challenges of Family Physician Program in Urban Areas: A Qualitative Research.

作者信息

Sabet Sarvestani Raheleh, Najafi Kalyani Majid, Alizadeh Fariba, Askari Alireza, Ronaghy Hossain, Bahramali Ehsan

机构信息

Fasa University of Medical Sciences, Fasa, Iran.

Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.

出版信息

Arch Iran Med. 2017 Jul;20(7):446-451.

Abstract

BACKGROUND

Family physicians play an essential role and act as a communicational bridge between people and the healthcare system in providing healthcare services efficiently and equitably. This study aimed at exploring the challenges of the family physician program in urban areas in Iran in 2015.

METHODS

This research had a descriptive exploratory design with a qualitative content analysis approach. Data were collected through semi-structured interviews between 2014 and 2015. Seventeen physicians enrolling in family physician program for at least two years were selected through purposeful sampling. Conventional content analysis was used to analyze the data.

FINDING

Coding and analysis of the interview data generated two categories and seven subcategories related to the challenges of the family physician program. The categories were poor infrastructure and poor incentive mechanism.

CONCLUSION

Our findings captured a good picture of family physician program in urban areas to better clarify the challenges of the program and provide a foundation to plan and implement appropriate changes. Thus, our findings will give policymakers a deeper perception to confront the challenges of the family physician program in urban areas.

摘要

背景

家庭医生在高效且公平地提供医疗服务过程中扮演着重要角色,是人们与医疗保健系统之间的沟通桥梁。本研究旨在探索2015年伊朗城市地区家庭医生项目所面临的挑战。

方法

本研究采用描述性探索性设计及定性内容分析法。2014年至2015年期间,通过半结构化访谈收集数据。通过目的抽样选取了17名参加家庭医生项目至少两年的医生。采用常规内容分析法对数据进行分析。

结果

访谈数据的编码和分析产生了与家庭医生项目挑战相关的两类及七个子类别。这两类分别是基础设施差和激励机制差。

结论

我们的研究结果全面展现了城市地区家庭医生项目的情况,以便更好地阐明该项目面临的挑战,并为规划和实施适当变革提供依据。因此,我们的研究结果将使政策制定者对应对城市地区家庭医生项目的挑战有更深入的认识。

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