Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory
Background: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system.Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and expert...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2023-10-01
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| Series: | Journal of Health Sciences and Surveillance System |
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| Online Access: | https://jhsss.sums.ac.ir/article_49624_74c145355dc068872563223a6c6ee1ec.pdf |
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| author | Rahil Ghorbani Nia Somayeh NooriHekmat Reza Dehnavieh Kambiz BahaadinBeigi Morteza Arab-Zozani |
| author_facet | Rahil Ghorbani Nia Somayeh NooriHekmat Reza Dehnavieh Kambiz BahaadinBeigi Morteza Arab-Zozani |
| author_sort | Rahil Ghorbani Nia |
| collection | DOAJ |
| description | Background: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system.Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and experts, were selected by purposive and theoretical sampling using the snowball approach until data saturation. The data were collected through semi-structured interviews. The interviews took 20 to 60 minutes each, based on the circumstances and the participant’s willingness to continue. Data analysis was performed along with data collection by Strauss and Corbin’s constant comparative analysis. Using Lincoln and Guba criteria, the accuracy and strength of this research were confirmed.Results: The dimensions model of quaternary prevention using family physicians in Iran were specified in six axial categories: causal conditions, contextual conditions, intervening conditions, strategies, and outcomes. The phenomenon was the promotion of quaternary prevention, including defining quaternary prevention, family physicians, the philosophy of quaternary prevention, and the philosophy of family physicians—social, political, economic, cultural, and technological conditions as contextual and intervening conditions. Causal conditions were doctors, patients, and the health system. Two main strategies were intersectoral administration and intra-sectoral governance. Outcomes included efficiency and the provision of security for society.Conclusion: For quaternary prevention promotion and to offer ethically and rationally acceptable scientific services to the people, it is necessary to promote the position of the family physician as the primary implementer of quaternary prevention in healthcare. Getting to the PHC umbrella is achieved through intra-sectoral leadership and inter-sectoral governance, which supports the patient and reduces unnecessary care. |
| first_indexed | 2024-03-11T12:26:18Z |
| format | Article |
| id | doaj.art-078ff71514274088b3a28ca9a92be593 |
| institution | Directory Open Access Journal |
| issn | 2345-2218 2345-3893 |
| language | English |
| last_indexed | 2024-03-11T12:26:18Z |
| publishDate | 2023-10-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Health Sciences and Surveillance System |
| spelling | doaj.art-078ff71514274088b3a28ca9a92be5932023-11-06T08:44:46ZengShiraz University of Medical SciencesJournal of Health Sciences and Surveillance System2345-22182345-38932023-10-0111475075910.30476/jhsss.2022.95356.158549624Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded TheoryRahil Ghorbani Nia0Somayeh NooriHekmat1Reza Dehnavieh2Kambiz BahaadinBeigi3Morteza Arab-Zozani4Department of Health Management and Policy and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, IranHealth Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranInstitute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranMedical Informatics Research Center, Kerman University of Medical Sciences, Kerman, IranSocial Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, IranBackground: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system.Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and experts, were selected by purposive and theoretical sampling using the snowball approach until data saturation. The data were collected through semi-structured interviews. The interviews took 20 to 60 minutes each, based on the circumstances and the participant’s willingness to continue. Data analysis was performed along with data collection by Strauss and Corbin’s constant comparative analysis. Using Lincoln and Guba criteria, the accuracy and strength of this research were confirmed.Results: The dimensions model of quaternary prevention using family physicians in Iran were specified in six axial categories: causal conditions, contextual conditions, intervening conditions, strategies, and outcomes. The phenomenon was the promotion of quaternary prevention, including defining quaternary prevention, family physicians, the philosophy of quaternary prevention, and the philosophy of family physicians—social, political, economic, cultural, and technological conditions as contextual and intervening conditions. Causal conditions were doctors, patients, and the health system. Two main strategies were intersectoral administration and intra-sectoral governance. Outcomes included efficiency and the provision of security for society.Conclusion: For quaternary prevention promotion and to offer ethically and rationally acceptable scientific services to the people, it is necessary to promote the position of the family physician as the primary implementer of quaternary prevention in healthcare. Getting to the PHC umbrella is achieved through intra-sectoral leadership and inter-sectoral governance, which supports the patient and reduces unnecessary care.https://jhsss.sums.ac.ir/article_49624_74c145355dc068872563223a6c6ee1ec.pdffamily physiciangrounded theoryquaternary preventionqualitative research |
| spellingShingle | Rahil Ghorbani Nia Somayeh NooriHekmat Reza Dehnavieh Kambiz BahaadinBeigi Morteza Arab-Zozani Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory Journal of Health Sciences and Surveillance System family physician grounded theory quaternary prevention qualitative research |
| title | Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory |
| title_full | Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory |
| title_fullStr | Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory |
| title_full_unstemmed | Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory |
| title_short | Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory |
| title_sort | implementing quaternary prevention using the rural family physician program in iran grounded theory |
| topic | family physician grounded theory quaternary prevention qualitative research |
| url | https://jhsss.sums.ac.ir/article_49624_74c145355dc068872563223a6c6ee1ec.pdf |
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