Financial challenges in the family physician programme in Iran: A systematic review of qualitative research

Introduction: The family physician programme (FPP) was implemented nearly two decades ago as a major health reform. Since the health system and FPP function in a rapidly changing social and economic environment, successful expansion of the programme requires a detailed analysis of its multiple major...

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Main Authors: Abtin Heidarzadeh, Bita Hedayati, Shadrokh Sirous, Mark K. Huntington, Mehdi Alvandi, Alireza Arabi, Babak Farrokhi, Marzieh Nojomi, Somayeh Noori Hekmat, Roksana Mirkazemi
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2023-10-01
Series:Malaysian Family Physician
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Online Access:https://e-mfp.org/wp-content/uploads/18.59.pdf
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author Abtin Heidarzadeh
Bita Hedayati
Shadrokh Sirous
Mark K. Huntington
Mehdi Alvandi
Alireza Arabi
Babak Farrokhi
Marzieh Nojomi
Somayeh Noori Hekmat
Roksana Mirkazemi
author_facet Abtin Heidarzadeh
Bita Hedayati
Shadrokh Sirous
Mark K. Huntington
Mehdi Alvandi
Alireza Arabi
Babak Farrokhi
Marzieh Nojomi
Somayeh Noori Hekmat
Roksana Mirkazemi
author_sort Abtin Heidarzadeh
collection DOAJ
description Introduction: The family physician programme (FPP) was implemented nearly two decades ago as a major health reform. Since the health system and FPP function in a rapidly changing social and economic environment, successful expansion of the programme requires a detailed analysis of its multiple major challenges, including the crucial aspect of its funding system. This systematic review aimed to assess the challenges in the FPP relative to its financing. Methods: All published articles related to the FPP in Iran were included in this study. In particular, original qualitative studies published in English or Persian from 2011 to 2021 were included. In January 2022, international credible scholarly databases and Persian databases were searched. All selected articles were carefully studied, and the data were extracted using the sample, phenomenon of interest, design, evaluation and research type technique. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used in preparing the study report. Results: Among 491 articles retrieved from the search strategy, 50 met the inclusion criteria after their titles and abstracts were screened. Twenty-nine studies were excluded after their full texts were reviewed. A total of 11 eligible empirical studies were finally included. Based on the results, six broad categories (budget and funding, insurance system, tariffs, payments, accountability and injustice) were identified as financial challenges. Conclusion: This study identified the challenges associated with financing among family physicians, and the results could provide guidance for policy-making in the expansion of the FPP.
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spelling doaj.art-88211aca14e54727a6d11826c5c4e5592023-11-13T06:06:31ZengAcademy of Family Physicians of MalaysiaMalaysian Family Physician1985-22742023-10-01185910.51866/rv.254Financial challenges in the family physician programme in Iran: A systematic review of qualitative researchAbtin HeidarzadehBita HedayatiShadrokh SirousMark K. HuntingtonMehdi AlvandiAlireza ArabiBabak FarrokhiMarzieh NojomiSomayeh Noori HekmatRoksana MirkazemiIntroduction: The family physician programme (FPP) was implemented nearly two decades ago as a major health reform. Since the health system and FPP function in a rapidly changing social and economic environment, successful expansion of the programme requires a detailed analysis of its multiple major challenges, including the crucial aspect of its funding system. This systematic review aimed to assess the challenges in the FPP relative to its financing. Methods: All published articles related to the FPP in Iran were included in this study. In particular, original qualitative studies published in English or Persian from 2011 to 2021 were included. In January 2022, international credible scholarly databases and Persian databases were searched. All selected articles were carefully studied, and the data were extracted using the sample, phenomenon of interest, design, evaluation and research type technique. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used in preparing the study report. Results: Among 491 articles retrieved from the search strategy, 50 met the inclusion criteria after their titles and abstracts were screened. Twenty-nine studies were excluded after their full texts were reviewed. A total of 11 eligible empirical studies were finally included. Based on the results, six broad categories (budget and funding, insurance system, tariffs, payments, accountability and injustice) were identified as financial challenges. Conclusion: This study identified the challenges associated with financing among family physicians, and the results could provide guidance for policy-making in the expansion of the FPP.https://e-mfp.org/wp-content/uploads/18.59.pdfiranphysiciansfamilyfinancial managementsystematic review
spellingShingle Abtin Heidarzadeh
Bita Hedayati
Shadrokh Sirous
Mark K. Huntington
Mehdi Alvandi
Alireza Arabi
Babak Farrokhi
Marzieh Nojomi
Somayeh Noori Hekmat
Roksana Mirkazemi
Financial challenges in the family physician programme in Iran: A systematic review of qualitative research
Malaysian Family Physician
iran
physicians
family
financial management
systematic review
title Financial challenges in the family physician programme in Iran: A systematic review of qualitative research
title_full Financial challenges in the family physician programme in Iran: A systematic review of qualitative research
title_fullStr Financial challenges in the family physician programme in Iran: A systematic review of qualitative research
title_full_unstemmed Financial challenges in the family physician programme in Iran: A systematic review of qualitative research
title_short Financial challenges in the family physician programme in Iran: A systematic review of qualitative research
title_sort financial challenges in the family physician programme in iran a systematic review of qualitative research
topic iran
physicians
family
financial management
systematic review
url https://e-mfp.org/wp-content/uploads/18.59.pdf
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