Honarvar Behnam, Lankarani Kamran B, Joulaei Hassan, Shahabi Saeed, Marzaleh Milad Ahmadi, Khosravaninezhad Yasamin, Shaygani Fatemeh, Kaheni Yasamin, Rad Niloofar R
Health Policy Research Center, Institute of Health, Shiraz, Iran.
Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz, Iran.
Int J Prev Med. 2024 Aug 23;15:37. doi: 10.4103/ijpvm.ijpvm_343_23. eCollection 2024.
A decade after the implementation of the Urban Family Physician Program (UFFP) in Fars province, southern Iran, we aimed to reveal people's opinions regarding the strengths and challenges of this program, which help policymakers for evidence-based improvement of this program.
In this thematic content analysis qualitative study, which was performed in 2023, one adult individual of each family under the coverage of UFPP was selected using a purposeful sampling method. Then, an in-depth and semi-structured phone interview was conducted with each participant. Interviews were continued until the achievement of data saturation. The trustworthiness of data was checked according to Guba and Lincoln criteria. Data analysis was accomplished using MAXQDA software version 10.
A total of 25 participants with a mean age of 41 ± 12 years old were interviewed. Extracted strengths points of UFPP consisted of 390 meaning units, 41 open codes, 16 subcategories, 9 categories, and 3 themes, of which the main themes consisted of proper governance, adequate service provision, and promoting community health. In contrast, the challenges of this program comprised 127 meaning units, 54 open codes, 17 subcategories, 7 categories, and 3 themes, the main themes of which included weak governance, inefficient service provision, and limitation of resources.
After a decade of implementation, people demonstrated contradictory opinions about many aspects of UFPP. Strength points should encourage policymakers to advocate more for this program and extend it to the other provinces of Iran, whereas weak points should be used for its revisions and improvement.
在伊朗南部法尔斯省实施城市家庭医生项目（UFFP）十年后，我们旨在揭示人们对该项目优势和挑战的看法，这有助于政策制定者基于证据对该项目进行改进。
在这项于2023年进行的主题内容分析定性研究中，采用目的抽样法从UFFP覆盖范围内的每个家庭中选取一名成年人。然后，对每位参与者进行深入的半结构化电话访谈。访谈持续进行直至达到数据饱和。根据古巴和林肯标准检查数据的可信度。使用MAXQDA软件10版完成数据分析。
共访谈了25名参与者，平均年龄为41±12岁。提取的UFFP优势点包括390个意义单元、41个开放编码、16个子类别、9个类别和3个主题，其中主要主题包括良好治理、充足的服务提供和促进社区健康。相比之下，该项目的挑战包括127个意义单元、54个开放编码、17个子类别、7个类别和3个主题，其主要主题包括治理薄弱、服务提供效率低下和资源限制。
实施十年后，人们对UFFP的许多方面表现出矛盾的看法。优势点应鼓励政策制定者更多地倡导该项目并将其推广至伊朗其他省份，而薄弱点则应被用于对其进行修订和改进。
