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Caspian Journal of Internal Medicine، جلد ۱۳، شماره ۴، صفحات ۲-۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژههای فارسی مقاله |
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| عنوان انگلیسی |
Health care quality model of family physician program in Iran (mixed method) |
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| چکیده انگلیسی مقاله |
Background: There has been a growing international evolution of the role and purpose of quality improvement in primary health care. The present study aimed to develop a quality model of the Family Physician program in Iran. Methods: In the qualitative part of these mixed-method studies, grounded theory was used according to the systematic method of Strauss and Corbin. Semi-structured interviews were conducted with recipients and providers of Family Physician cares in the pilot provinces of Iran in 2020 to 2021 and continued until the theoretical saturation based on the purposive technique. The qualitative evaluation of the model was performed and approved. Structural equation modeling and Amos software were used to quantify the model. Results: The results of the structural equation analysis showed that the conceptual model of the research with chi-square test was 2.96 and RMSEA= 0.066, GFI=0.860 are well fitted. Structure, context, process, accountability, attitude, and empowerment factors directly and indirectly provide good predictors for the quality of care in the family physician program. The most important research findings in the field of quality improvement in the family physician's cares included factors such as developing the attitude and vision of society, providers and policymakers in health subject and health needs, simultaneously corrections in all levels of the referral system, attention and adaptation to the context of society, developing the infrastructures and improving the related processes, systematic appraisal, and accountability and pay attention to the empowerment. Conclusion: To achieve the quality of care in the family physician program, we need change and development in our attitudes, context, infrastructures and processes, accountability and empowerment systems, and overall modification. |
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| کلیدواژههای انگلیسی مقاله |
Primary Health Care , Health Care Quality, Physicians, Family |
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| نویسندگان مقاله |
| Alireza Heidarian naeini Health Services Management, Islamic Azad University, Sari Branch, Sari, Iran
| Ghahraman Mahmoudi Health Services Management, Islamic Azad University, Sari Branch, Sari, Iran
| Jamshid Yazdani Charati Department of Epidemiology and Biostatistics, Mazandaran University of Medical Sciences, Sari, Iran
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| نشانی اینترنتی |
http://caspjim.com/browse.php?a_code=A-10-73-4&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
Health |
| نوع مقاله منتشر شده |
Original Article |
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