The challenges of the family physician policy in Iran:A systematic review and meta-synthesis of qualitative researches

Behzadifar, Masoud, Behzadifar, Meysam, Heidarvand, Sanaz, Gorji, Hasan Abolghasem, Aryankhesal, Aidin ORCID:, Moghadam, Sharare Taheri, Mohammadibakhsh, Roghayeh and Bragazzi, Nicola Luigi (2018) The challenges of the family physician policy in Iran:A systematic review and meta-synthesis of qualitative researches. Family Practice, 35 (6). pp. 652-660. ISSN 0263-2136

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Background. A good level of health requires the establishment of primary health care. Family physician policy (FPP) is probably one of such initiatives, which enables societies attaining the universal health coverage. Objective. The present study is the first systematic review and meta-synthesis that seeks to provide a more comprehensive understanding of the challenges for FPP in Iran. Method. Several international scholarly databases (namely, ISI/Web of Sciences, PubMed/ MEDLINE via Ovid, Embase, PsycINFO, Scopus and CINAHL via EBSCO), as well as three Iranian databases [MagIran, Irandoc and Scientific Information Database (SID) databases], were mined from January 2006 to December 2017.The Noblit & Hare approach was used to analyse the selected studies. Results. Based on the study inclusion criteria, seven studies were retained. Initially, 133 codes were identified. In the second step, two of the authors examined the codes and merged themes based on their similarities and shared meaning. New codes were created through discussion. In the next and final step, eight themes emerged, namely, (i) financing; (ii) motivational factors; (iii) education; (iv) referral system; (v) performance evaluation; (vi) problems with health policy; (vii) health information system; and (viii) culture-building for proper policy implementation. Conclusion. Although more than 10 years have passed since the implementation of FPP in Iran, and despite its positive effects on health, there are still challenges in implementing this policy, which makes it difficult to achieve its objectives. Health decision- and policy-makers in Iran should address these challenges and use all available capacities to face them.

Item Type: Article
Additional Information: Funding Information: Following the implementation of FPP, financing has been provided through the public budget, which was funded by the Ministry of Health and Medical Education (MoHME) and the Ministry of Cooperatives, Labour, and Social Welfare (MoCLSW). Over time, financial problems have caused delays in payments to service providers (32). Publisher Copyright: © The Author(s) 2018. Published by Oxford University Press. All rights reserved.
Uncontrolled Keywords: challenges,family physician,iran,meta-synthesis,systematic review,medicine(all),sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 04 Nov 2022 09:31
Last Modified: 06 Jun 2024 15:21
DOI: 10.1093/fampra/cmy035

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