Performance of family physicians (FPS) from viewpoint of managers and experts of northern provinces of Iran

BACKGROUND AND OBJECTIVE: Family physicianis (FPs) responsible for the health team have five duty to health management, external c00peration, Health Promotion, Prevention and Health Services and treatment care and referral. This study evaluated viewpoint of managers, supervisors and experts of Northern Provinces of Iran from the level of performance of Family physicians (FPs) in five basic task. METHODS: This cross-sectional study was performed in winter 2013. The study population includes managers, supervisors and experts at Health Network from the total of 47 cities in 3 provinces of Gilan, Mazandaran and Golestan which were censuses selected. A researcher-made questionnaire was used for data gathering. In this questionnaire, personal characteristics and performance level of FPs from five main task of the Likert scale. Validity and reliability of the questionnaire were approved. FINDINGS: From the perspective of 557 managers, supervisors and experts of Staff in the study, the average performance level of FPs, in the field of health management (of 5 score) was 3±0.8, external c00peration 2.7±0.9, Health Promotion 2.8±0.9, Prevention and Health Services 3.2±0.9 and health care and referral 3±0.8. There was a significant relationship between job experience and performance level of FPs (p0.05). CONCLUSION: The results of this study showed that from the perspective of managers, supervisors and experts the performance level of FPs' was in two task lower moderate and in three task moderate. © 2015, Babol University of Medical Sciences. All Rights Reserved

Patients� satisfaction with healthcare services providers and its determinants in the urban family physician program in Iran: A cross-sectional study

Introduction: The quality of healthcare services can be determined by patient satisfaction as it affects the performance, sustainability, and durability of health services. This study aims to determine patients� satisfaction with healthcare service providers and its determinants in the urban family physician program in Fars and Mazandaran provinces, Iran. Methods: A cross-sectional study was conducted on the populations covered by the urban family physician program in Fars and Mazandaran provinces in 2016. In total, 864 households were selected in each province using random cluster sampling. Socio-demographic variables and underlying factors were gathered. Patient satisfaction levels were evaluated using a validated questionnaire. Results: Of the 1,480 participants with a mean age of 46.9 ± 14.2 years, 53.3 lived in Fars province and 74.2 were female. Furthermore, 67.9 of the patients were satisfied with their healthcare service providers. A higher satisfaction level was observed among the patients who resided in Fars province, lived in cities with <100,000 residents, walked <10 minutes to the family physician�s office, had a family physician they previously knew, accepted the family physician, had a positive attitude towards the importance of having a family physician and a referral system, and had adequate knowledge of the family physician program. Conclusion: The results indicated that two-thirds of the patients were satisfied with healthcare service providers. Several socio-demographic variables were associated with the patients� satisfaction levels. Improving the family physician program by providing adequate medical equipment and monitoring physicians� performance could increase patient satisfaction and improve the sustainability of the program. © 2022, Academy of Family Physicians of Malaysia. All rights reserved

Effective factors on the utilization of health population covered by the urban family physician program in Iran

Introduction: The urban family physician program for increase the utilization of health services has been implemented in Fars and Mazandaran provinces since 2012. In this way, this study aimed to determine the benefit level for population covered by the urban family physician program in Iran. Materials and Methods: This cross-sectional study was conducted in 2017. Participants on the households covered by the urban family physician program; were selected by random cluster sampling. The data collection tool was a researcher-made questionnaire consisting of 2 parts: individual variables and benefit level of health services with 33 open and closed questions; its validity and reliability were confirmed. Results: Among 1768 households with a population of 5628 people, 5521(98.1) had one type of basic insurance. 0.31 of the people who had supplementary insurance. The average time between the home and the work place for the family physician was 18.6±18.9 minutes on foot and 5.7±5.1 by car. Correspondingly, 75.8 of those who had basic insurance were visited at least once by their family physician. The average family physician visits for participants over 15 years old was 5.14 times per year. Factors such as health records, household size, supplementary insurance, illness, education, occupation, physician replacement, availability time, and familiarity with the Family Physician Program were effective in terms of coverage of the affected population with a meaningful level (P<0.05). Conclusion: This study showed that all covered individuals did not benefit from the urban family physician program, and a number of individual factors influenced the benefit of the urban family physician program. © 2020, Semnan University of Medical Sciences. All rights reserved