Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic Review
Background: Global experience as well as expert views weight the Family Physician program (FPP) as a primary solution for various problems of healthcare system in Iran. In spite of the valuable information has been collected during conducting FPP, few studies have been done to evaluate the actual pe...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2019-03-01
|
| Series: | Iranian Journal of Public Health |
| Subjects: | |
| Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/16509 |
| _version_ | 1818984131668738048 |
|---|---|
| author | Jamaleddin KHEDMATI Majid DAVARI Mohsen AARABI Fatemeh SOLEYMANI Abbas KEBRIAEEZADEH |
| author_facet | Jamaleddin KHEDMATI Majid DAVARI Mohsen AARABI Fatemeh SOLEYMANI Abbas KEBRIAEEZADEH |
| author_sort | Jamaleddin KHEDMATI |
| collection | DOAJ |
| description | Background: Global experience as well as expert views weight the Family Physician program (FPP) as a primary solution for various problems of healthcare system in Iran. In spite of the valuable information has been collected during conducting FPP, few studies have been done to evaluate the actual performance of this program. This study reviewed the studies related to the evaluation of the FPP systematically.
Methods: The authors systematically searched PubMed, Web of Science, Scopus, Embase, Irandoc and SID for articles published in English and Persian until Nov 2017 without limitation for starting time. Selection stages of the articles were done based on PRISMA flow diagram guidelines.
Results: Of all articles evaluated, 19 were selected. Four articles were removed due to inadequate quality of the study. Only one article evaluates urban and the rest are about rural. Eight articles were categorized as the process evaluations and 12 outcome assessments (one of them was common).
Conclusion: We achieved three main findings. First, the rural FPP has improved access to the healthcare services, but improvement in patient finding and quality of cares remains questionable. Second, there are considerable concerns in the referral system between levels I and II in both urban and rural programs. Third, there was no efficient planning to implement the FP as the gatekeepers of health care system effectively. These issues deprived the efficiency aim of FPP and need serious consideration. |
| first_indexed | 2024-12-20T18:14:08Z |
| format | Article |
| id | doaj.art-c32d3f33743740949128099b89478e3e |
| institution | Directory Open Access Journal |
| issn | 2251-6085 2251-6093 |
| language | English |
| last_indexed | 2024-12-20T18:14:08Z |
| publishDate | 2019-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Public Health |
| spelling | doaj.art-c32d3f33743740949128099b89478e3e2022-12-21T19:30:25ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932019-03-0148310.18502/ijph.v48i3.882Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic ReviewJamaleddin KHEDMATI0Majid DAVARI1Mohsen AARABI2Fatemeh SOLEYMANI3Abbas KEBRIAEEZADEH4Department of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Tehran University of Medical Sciences, Tehran, IranDepartment of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Tehran University of Medical Sciences, Tehran, IranDepartment of Epidemiology, Mazandaran University of Medical Sciences, Mazandaran, IranDepartment of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Tehran University of Medical Sciences, Tehran, IranDepartment of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Tehran University of Medical Sciences, Tehran, IranBackground: Global experience as well as expert views weight the Family Physician program (FPP) as a primary solution for various problems of healthcare system in Iran. In spite of the valuable information has been collected during conducting FPP, few studies have been done to evaluate the actual performance of this program. This study reviewed the studies related to the evaluation of the FPP systematically. Methods: The authors systematically searched PubMed, Web of Science, Scopus, Embase, Irandoc and SID for articles published in English and Persian until Nov 2017 without limitation for starting time. Selection stages of the articles were done based on PRISMA flow diagram guidelines. Results: Of all articles evaluated, 19 were selected. Four articles were removed due to inadequate quality of the study. Only one article evaluates urban and the rest are about rural. Eight articles were categorized as the process evaluations and 12 outcome assessments (one of them was common). Conclusion: We achieved three main findings. First, the rural FPP has improved access to the healthcare services, but improvement in patient finding and quality of cares remains questionable. Second, there are considerable concerns in the referral system between levels I and II in both urban and rural programs. Third, there was no efficient planning to implement the FP as the gatekeepers of health care system effectively. These issues deprived the efficiency aim of FPP and need serious consideration.https://ijph.tums.ac.ir/index.php/ijph/article/view/16509Family physician programFamily practiceReferral systemIran |
| spellingShingle | Jamaleddin KHEDMATI Majid DAVARI Mohsen AARABI Fatemeh SOLEYMANI Abbas KEBRIAEEZADEH Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic Review Iranian Journal of Public Health Family physician program Family practice Referral system Iran |
| title | Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic Review |
| title_full | Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic Review |
| title_fullStr | Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic Review |
| title_full_unstemmed | Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic Review |
| title_short | Evaluation of Urban and Rural Family Physician Program in Iran: A Systematic Review |
| title_sort | evaluation of urban and rural family physician program in iran a systematic review |
| topic | Family physician program Family practice Referral system Iran |
| url | https://ijph.tums.ac.ir/index.php/ijph/article/view/16509 |
| work_keys_str_mv | AT jamaleddinkhedmati evaluationofurbanandruralfamilyphysicianprograminiranasystematicreview AT majiddavari evaluationofurbanandruralfamilyphysicianprograminiranasystematicreview AT mohsenaarabi evaluationofurbanandruralfamilyphysicianprograminiranasystematicreview AT fatemehsoleymani evaluationofurbanandruralfamilyphysicianprograminiranasystematicreview AT abbaskebriaeezadeh evaluationofurbanandruralfamilyphysicianprograminiranasystematicreview |