Homaie Rad Enayatollah, Delavari Sajad, Aeenparast Afsoon, Afkar Abolhassan, Farzadi Faranak, Maftoon Farzaneh
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Korean J Fam Med. 2017 Sep;38(5):296-302. doi: 10.4082/kjfm.2017.38.5.296. Epub 2017 Sep 22.
The main aim of this study was to evaluate the achievements of some important goals of Iran's urban family physician plan. This plan was implemented when the country experienced economic instability. We examine whether an economic crisis affects the efficacy of a healthcare program.
We used the household income and expenditures survey data for 2011 (before program implementation) and 2012 (after program implementation). Changes in out-of-pocket payments and healthcare utilization were investigated using the propensity score matching estimator. Furthermore, changes in inequality in these two dimensions were examined.
No changes in out-of-pocket payments and healthcare utilization were found after the implementation of this program; however, inequality in out-of-pocket payments increased during the reform.
The urban family physician program was not implemented completely and many of its fundamental settings were not conducted because of lack of necessary healthcare infrastructure and budget limitations. Family physician programs should be implemented under a strong healthcare infrastructure and favorable economic conditions.
本研究的主要目的是评估伊朗城市家庭医生计划一些重要目标的达成情况。该计划在该国经历经济不稳定时实施。我们研究经济危机是否会影响医疗保健项目的成效。
我们使用了2011年（项目实施前）和2012年（项目实施后）的家庭收入与支出调查数据。使用倾向得分匹配估计量研究自付费用和医疗保健利用情况的变化。此外，还研究了这两个维度不平等情况的变化。
该项目实施后，自付费用和医疗保健利用情况未发现变化；然而，改革期间自付费用方面的不平等有所增加。
城市家庭医生计划未得到全面实施，由于缺乏必要的医疗基础设施和预算限制，其许多基本设置未开展。家庭医生计划应在强大的医疗基础设施和有利的经济条件下实施。
