Heidarzadeh Abtin, Hedayati Bita, Huntington Mark K, Madani Zahra Hamidi, Farrokhi Babak, Mohseni Farzad, Dadgaran Ideh, Mirkazemi Roksana
Department of Community and Family Medicine, School of Medicine, Guilan University of Medical Science and Health Services, Rasht, Iran.
Farzanegan Nik Andish Institute for the Development of Knowledge and Technology, Tehran, Iran.
Int J Prev Med. 2023 Apr 26;14:44. doi: 10.4103/ijpvm.ijpvm_234_22. eCollection 2023.
The family physician program (FPP) is one of the most significant health care reforms in Iran; however, many studies showed that this program has not been able to achieve its intended objectives because of a variety of challenges. This program, despite the existing challenges, is going to be expanded across the country. To improve the likelihood of its success, identification of the structural and infrastructural challenges is necessary. This systematic review was conducted to assess the structural and infrastructural challenges of FPP in Iran. This systematic review of the literature was conducted in order to investigate the infrastructure and structure needs of the current program in Iran. All published articles related to the FPP in Iran were the subject of this study. The eligibility criteria included original articles, reviews, or case studies published in English or Persian during 2011-2021 related to the challenges in the referral system of FPP in Iran. Data were extracted based on Sample, Phenomenon of Interest, Design, Evaluation, Research type technique and were reported based on the structure of Preferred Reporting Items for Systematic Reviews and Meta-Analyses. International credible scholarly databases were searched. The search strategy was defined based on keywords and the search syntax. This study identified different challenges of the referral system in the areas associated with legal structure, administration, and social structure. The identified challenges in this program should be addressed in order to ensure that this program will lead to improved quality of care and equity in Iran health care system.
家庭医生项目（FPP）是伊朗最重要的医疗改革之一；然而，许多研究表明，由于各种挑战，该项目未能实现其预期目标。尽管存在现有挑战，但该项目仍将在全国范围内扩大。为提高其成功的可能性，有必要识别结构和基础设施方面的挑战。本系统评价旨在评估伊朗FPP的结构和基础设施挑战。本对文献的系统评价旨在调查伊朗当前项目的基础设施和结构需求。所有与伊朗FPP相关的已发表文章均为本研究对象。纳入标准包括2011年至2021年期间以英文或波斯文发表的与伊朗FPP转诊系统挑战相关的原创文章、综述或案例研究。数据基于样本、感兴趣现象、设计、评价、研究类型技术进行提取，并根据系统评价和Meta分析的首选报告项目结构进行报告。检索了国际可信学术数据库。搜索策略基于关键词和搜索语法进行定义。本研究确定了转诊系统在法律结构、管理和社会结构相关领域的不同挑战。应解决该项目中确定的挑战，以确保该项目将提高伊朗医疗系统的护理质量和公平性。
