Evaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach

BACKGROUND AND OBJECTIVE: Assessing health systems paves the way for reforms in structures and processes to achieve better results. Therefore, the present study was conducted to evaluate the implementation of family physician program in urban and rural areas of Mazandaran province using process appr...

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Autores principales:	Gh Abedi, Z Esmaeili Seraji, Gh Mahmoodi, MA Jahani, M Abbasi
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2020
Materias:	family physician urban population rural population process evaluation. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/92c2a6830309499d8230809e0bb5f4ec
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spelling	oai:doaj.org-article:92c2a6830309499d8230809e0bb5f4ec2021-11-09T10:15:54ZEvaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach1561-41072251-7170https://doaj.org/article/92c2a6830309499d8230809e0bb5f4ec2020-03-01T00:00:00Zhttp://jbums.org/article-1-8889-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Assessing health systems paves the way for reforms in structures and processes to achieve better results. Therefore, the present study was conducted to evaluate the implementation of family physician program in urban and rural areas of Mazandaran province using process approach. METHODS: This cross-sectional study was conducted in 2017 among 238 managers, health experts and health insurance experts who were selected by census from 12 cities. Data were collected and evaluated using a researcher-made questionnaire with high validity and reliability, which evaluates urban and rural family physician program in three domains of structure, process and outcomes. FINDINGS: The mean score of the domain of structure (4.27±27.38), process (4.33±0.41) and outcomes (4.31±0.39) of rural family physician program was significantly higher than urban family physician program (p<0.001). In the urban family physician program, the most important dimension in the domain of structure was equipment (3.35±0.76), in the domain of process was care for non-communicable diseases (3.15±1.06) and in the domain of outcomes was reasonable prescription of medicine (3.07±1.02). In the rural family physician program, the most important dimension in the domain of structure was physical space (4.41±0.60) and in the dimensions of process and outcomes, the health of mothers and children (4.20±0.90) and the improvement of health promotion indicators (4.33±0.76) were more important, respectively. CONCLUSION: Based on the results of this study in three domains of structure, process and outcomes, the rural family physician program was relatively better than the urban family physician program.Gh AbediZ Esmaeili SerajiGh MahmoodiMA JahaniM AbbasiBabol University of Medical Sciencesarticlefamily physicianurban populationrural populationprocess evaluation.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 22, Iss 1, Pp 126-134 (2020)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	family physician urban population rural population process evaluation. Medicine R Medicine (General) R5-920
spellingShingle	family physician urban population rural population process evaluation. Medicine R Medicine (General) R5-920 Gh Abedi Z Esmaeili Seraji Gh Mahmoodi MA Jahani M Abbasi Evaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach
description	BACKGROUND AND OBJECTIVE: Assessing health systems paves the way for reforms in structures and processes to achieve better results. Therefore, the present study was conducted to evaluate the implementation of family physician program in urban and rural areas of Mazandaran province using process approach. METHODS: This cross-sectional study was conducted in 2017 among 238 managers, health experts and health insurance experts who were selected by census from 12 cities. Data were collected and evaluated using a researcher-made questionnaire with high validity and reliability, which evaluates urban and rural family physician program in three domains of structure, process and outcomes. FINDINGS: The mean score of the domain of structure (4.27±27.38), process (4.33±0.41) and outcomes (4.31±0.39) of rural family physician program was significantly higher than urban family physician program (p<0.001). In the urban family physician program, the most important dimension in the domain of structure was equipment (3.35±0.76), in the domain of process was care for non-communicable diseases (3.15±1.06) and in the domain of outcomes was reasonable prescription of medicine (3.07±1.02). In the rural family physician program, the most important dimension in the domain of structure was physical space (4.41±0.60) and in the dimensions of process and outcomes, the health of mothers and children (4.20±0.90) and the improvement of health promotion indicators (4.33±0.76) were more important, respectively. CONCLUSION: Based on the results of this study in three domains of structure, process and outcomes, the rural family physician program was relatively better than the urban family physician program.
format	article
author	Gh Abedi Z Esmaeili Seraji Gh Mahmoodi MA Jahani M Abbasi
author_facet	Gh Abedi Z Esmaeili Seraji Gh Mahmoodi MA Jahani M Abbasi
author_sort	Gh Abedi
title	Evaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach
title_short	Evaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach
title_full	Evaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach
title_fullStr	Evaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach
title_full_unstemmed	Evaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach
title_sort	evaluating the implementation of family physician program in urban and rural areas of mazandaran province based on process approach
publisher	Babol University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/92c2a6830309499d8230809e0bb5f4ec
work_keys_str_mv	AT ghabedi evaluatingtheimplementationoffamilyphysicianprograminurbanandruralareasofmazandaranprovincebasedonprocessapproach AT zesmaeiliseraji evaluatingtheimplementationoffamilyphysicianprograminurbanandruralareasofmazandaranprovincebasedonprocessapproach AT ghmahmoodi evaluatingtheimplementationoffamilyphysicianprograminurbanandruralareasofmazandaranprovincebasedonprocessapproach AT majahani evaluatingtheimplementationoffamilyphysicianprograminurbanandruralareasofmazandaranprovincebasedonprocessapproach AT mabbasi evaluatingtheimplementationoffamilyphysicianprograminurbanandruralareasofmazandaranprovincebasedonprocessapproach
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Evaluating the Implementation of Family Physician Program in Urban and Rural Areas of Mazandaran Province Based on Process Approach

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