Imanieh Mohammad Hadi, Mirahmadizadeh Alireza, Imani Bahareh
M.D. Professor of Pediatrics, Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran.
M.D. MPH, Ph.D. of Epidemiology, Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Electron Physician. 2017 Nov 25;9(11):5676-5681. doi: 10.19082/5676. eCollection 2017 Nov.
Understanding the level of public satisfaction with a family physician plan as well as the relevant factors in this respect, can be employed as valuable tools in identifying quality of services.
To determine the factors affecting public dissatisfaction with an urban family physician plan in Iran.
This cross-sectional study was conducted from January 2014 through June 2015 on Fars Province residents in Iran, selected based on cluster sampling method. The data collection instrument was comprised of a two-part checklist including demographic information and items related to dissatisfaction with the family physician plan, specialists, para-clinic services, pharmacy, physicians on shift work, emergency services, and family physician assistants. Data were described by SPSS 20.
In this study, 1,020 individuals (524 males, 496 females) were investigated. Based on the results, the most frequent factor affecting dissatisfaction with physicians was their single work shifts and unavailability (53%). In terms of dissatisfaction with family physicians' specialist colleagues and para-clinic services, the most common factors were related to difficulty in obtaining a referral form (41.5%) and making appointments (21.6%), respectively. Given the level of dissatisfaction with pharmacies, the significant factor was reported to be excessive delay in medication delivery (31.6%); and in terms of physicians on shift work and emergency services, the most important factor was lower work hours for family physicians (9.2%).
It seems that, the most common causes of dissatisfaction with the urban family physician plan are due to the short duration of services, obtaining a referral form and making appointments, and providing prescribed medications.
了解公众对家庭医生计划的满意度水平以及这方面的相关因素，可作为识别服务质量的宝贵工具。
确定影响伊朗城市家庭医生计划公众不满的因素。
本横断面研究于2014年1月至2015年6月对伊朗法尔斯省居民进行，采用整群抽样法选取。数据收集工具由两部分清单组成，包括人口统计学信息以及与对家庭医生计划、专科医生、辅助诊所服务、药房、轮班工作的医生、急诊服务和家庭医生助理的不满相关的项目。数据用SPSS 20进行描述。
本研究共调查了1020人（男性524人，女性496人）。结果显示，影响对医生不满的最常见因素是他们的单班工作和无法随时就诊（53%）。在对家庭医生的专科同事和辅助诊所服务的不满方面，最常见的因素分别是难以获得转诊单（41.5%）和预约困难（21.6%）。考虑到对药房的不满程度，报告的重要因素是药品交付过度延迟（31.6%）；而就轮班工作的医生和急诊服务而言，最重要的因素是家庭医生工作时间较短（9.2%）。
似乎对城市家庭医生计划不满的最常见原因是服务时间短、获得转诊单和预约以及提供处方药。
