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تحلیل کیفی برنامه پزشک خانواده به منظور شناسایی علل و چالشهای عدم پیشرفت برنامه. (Arabic)
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- Author(s): حسین علائی; نیلوفر امیری قلع; مجتبی امیری
- Source:
Hospital Journal; 2020, Vol. 19 Issue 3, p62-73, 12p- Subject Terms:
- Source:
- Additional Information
- Alternate Title: A qualitative analysis on family physician's program to identify the causes as well as challenges of the failure of program accomplishment. (English)
- Subject Terms:
- Abstract: Background: The Family Physician Program, one of the most important efforts of the Iran health system to establish a referral system, was developed and implemented in several provinces, but it faced challenges due to several reasons that prevented the program's progress. So This study was conducted to analyze the family physician program to identify the causes and challenges of the program failure. Materials & Methods: This retrospective study of policy analysis is a qualitative study with Purposive sampling. Semi-open interviews and document analysis were used for data collection. Data analysis was performed through thematic analysis in the policy triangle framework using MAXQDA software. Results: According to the study framework, the challenges of the Family Physician Program in the context are conflict of interest, dependency of plans to oneself, instability in management and plans, insufficient attention to culture, resources, and infrastructure. In terms of content include disproportionate executive approach, Lack of localization, selection of inappropriate tools, insufficient transparency, and ambiguity in goals, tasks, and responsibilities; The challenges of the process were examined based on the policy cycle. Conclusion: The implementation of the family physician program is influenced by cultural, social, political, managerial, and economic factors. As the Ministry of Health officials has re-introduced this crucial program, reviewing the content and methods of program implementation seems necessary [ABSTRACT FROM AUTHOR]
- Abstract: سمیى ي دَف: ثز بًه پشضک خب اًَد اس ه نْ تزیي تلاش بّی ظًبم سلاهت ایزاى ثزای ایجبد ظًبم ارجاب در کط رَ، تذ یٍي در چ ذٌ استبى ث اجزا درآهذ، لٍی ث دلایلی چ ذٌ ثب چبلص بّی اسبسی ر ثٍز ضذ ک ه جَت عذم پیطزفت ثز بًه گزدیذ لذا پژ صٍّ حبضز ثب ذّف تحلیل ثز بًه هاذک رَ ثا ه ظٌا رَ ض بٌسابیی علال چبلص بّی عذم پیطزفت ثز بًه ص رَت گزفت. م اًد ي ريش اَ: هطبلع گذضت گًز حبضز اس تحلیل سیبست، یک پژ صٍّ کیفی است، در آى وً گًَِیزی هجت یٌ ثز ذّف ث دَ جوعآ رٍی داد بُّ ثب استفبد اس تحلیل اس بٌد هصبحج یًو ثِبس ا جًبم ضذ است. تحلیل ا جًبم ضذ. MAXQDA داد بُّ اس طزیق تحلیل تن در چبرچ ةَ هثلث سیبستگذاری ثب استفبد اس زًمافشار وتایج: ثز اسبس چبرچ ةَ هطبلع ،ِ چبلص بّی ثزبًه در ثعذ سهی عجبرت ا اً ذ اس: تضابد ه اٌبفع، ئاببن ثا فازد ثا دَى ثزبًه بّ، عذم ثجبت در هذیزیت ثزبًه بّ، ت جَ بًکبفی ث فز گٌّ سابسی ه اٌبثع سیزسابخ ت اّب، در ثعاذ هحتا اَ عجبرتاذً اس: ر یٍکزد اجزایی بًهت بٌست، عذم ث هَی سبسی، اتًخبة اثشار بًه بٌست، ضافبفیت بًکابفی اث اْبم در ا اّذاف، ظٍبیف هسئ لَیت بّ. در ثعذ فزآی ذٌ؛ چبلص بّی فزآی ذٌ ثز اسبس چزخ خطهطیگذاری ه رَد ثزرسی ئزار گزفت. وتیج گیزی: اجزای ثز بًه پشضک خب اًَد هتأثز اس ع اَهل فز گٌّی، اجتوبعی، ائتصبدی، سیبسای هاذیزیتی است. اس آ جًب ک ایي ثز بًه هجذداً ه رَد ت جَ سٍارت ث ذْاضت ئزار گزفت است، لاسم است سیبستگاذارا ى تصوین گیزاى ظًبم سلاهت ثب در ظًز گزفتي ه اَ عً چبلص بّی هطزح ضذ ث اصلاح هحت اَ ر شٍ اّ بی اجزای ثز بًه ا تّوبم رٍس ذً. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Hospital Journal is the property of Tehran University of Medical Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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