伊朗法尔斯省和马赞德兰省家庭医生对影响城市家庭医生项目活力因素的满意度。

Family Physicians' satisfaction with factors affecting the dynamism of the urban family physician program in the Fars and Mazandaran provinces of Iran.

作者信息

Kabir M J, Hassanzadeh-Rostami Z, Ashrafian Amiri H, Nasrollapour Shirvani S D, Keshavarzi A, Hosseini S

机构信息

Ph.D. in Health Management Social Determinants of Health Research Center, Health ResearchInstitute, Babol University of Medical Science, Babol, I.R.Iran Email:

PhD Golestan University of Medical Sciences, Gorgan, I.R. Iran.

出版信息

Malays Fam Physician. 2019 Dec 31;14(3):28-36. eCollection 2019.

PMID:32175038

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7067502/

Abstract

BACKGROUND AND OBJECTIVE

A successful family physician program needs ongoing and full cooperation between people and the organizations in charge. Ensuring the satisfaction of family physicians through improvement of the underlying factors could motivate them to provide high-quality services. This study aimed to determine the family physicians' satisfaction level with the factors affecting the dynamism of the urban family physicians program in the Fars and Mazandaran provinces of Iran.

METHOD

This cross-sectional study was carried out in urban areas in the Fars and Mazandaran provinces in 2016. The sample consisted of 143 and 96 family physicians, respectively, in Fars and Mazandaran provinces and was selected using the stratified random sampling method. Data were collected using a questionnaire and included both sociodemographic variables and factors assessing the family physicians' satisfaction levels. Each factor was scored based on a Likert scale from 0 to 5 points, and any satisfaction level higher than 3 out of 5 was equated with being satisfied.

RESULTS

The overall satisfaction levels among family physicians in Fars and Mazandaran provinces were 2.77±0.53 and 3.37±0.56, respectively, revealing a statistically significant difference between provinces (p<0.001). Moreover, the mean satisfaction scores for the performances of healthcare centers, insurance companies, specialists, healthcare workers, and the population covered were 2.78±0.1, 2.54±0.9, 2.52±0.8, 4.24±0.07, and 2.96±0.8, respectively. The family physicians' levels of satisfaction were significantly correlated with population size (p=0.02, r= -0.106), and willingness to stay in an urban family physician program (p<0.001, r= +0.398).

CONCLUSION

This study revealed that family physicians exhibited a low level of satisfaction with the urban family physician program. Given the direct association between family physicians' satisfaction levels and retention in the program, it is expected that family physicians will no longer stay in the program, and it is likely to have subsequent executive problems.

摘要

背景与目的

一个成功的家庭医生项目需要相关人员与负责组织之间持续且充分的合作。通过改善潜在因素来确保家庭医生的满意度能够激励他们提供高质量的服务。本研究旨在确定伊朗法尔斯省和马赞德兰省城市家庭医生项目活力影响因素方面家庭医生的满意度水平。

方法

这项横断面研究于2016年在法尔斯省和马赞德兰省的城市地区开展。样本分别由法尔斯省的143名和马赞德兰省的96名家庭医生组成，采用分层随机抽样方法选取。通过问卷调查收集数据，包括社会人口统计学变量以及评估家庭医生满意度水平的因素。每个因素根据李克特量表从0到5分进行评分，5分中任何高于3分的满意度水平等同于满意。

结果

法尔斯省和马赞德兰省家庭医生的总体满意度水平分别为2.77±0.53和3.37±0.56，两省之间存在统计学显著差异（p<0.001）。此外，医疗中心、保险公司、专科医生、医护人员和覆盖人群表现的平均满意度得分分别为2.78±0.1、2.54±0.9、2.52±0.8、4.24±0.07和2.96±0.8。家庭医生的满意度水平与人口规模（p=0.02，r= -0.106）以及留在城市家庭医生项目的意愿（p<0.001，r= +0.398）显著相关。