PDF(Pubmed)
Abstract：
BACKGROUND: The Family Physician Programme is a key health reform in Iran that faces significant challenges in urban areas, particularly in Mazandaran and Fars provinces The study aims to critically evaluate the challenges encountered in the Urban Family Physician Program, with a particular focus on the perspectives of insurance organizations.
METHODS: A qualitative approach was adopted, involving semi-structured interviews with 22 experts and managers from basic health insurance funds. Snowball sampling facilitated participant selection, and interviews proceeded until saturation. Data analysis utilized content analysis and Atlas-T software, adhering to COREQ criteria.
RESULTS: Implementation problems of the urban family physician program were categorized into ten Categories and 22 Subcategories, including financing, stewardship, human resources, structure, culture, information system, payment, monitoring and control, the function of insurance organizations, and implementation.
CONCLUSIONS: The urban family physician program\'s implementation challenges, as viewed by health insurance organizations, underscore the necessity for strategic decision-making in financing, payment models, electronic system integration, structural adjustments, comprehensive monitoring, evaluation, cultural considerations, and appropriate devolution to insurance entities.
METHODS: A qualitative approach was adopted, involving semi-structured interviews with 22 experts and managers from basic health insurance funds. Snowball sampling facilitated participant selection, and interviews proceeded until saturation. Data analysis utilized content analysis and Atlas-T software, adhering to COREQ criteria.
RESULTS: Implementation problems of the urban family physician program were categorized into ten Categories and 22 Subcategories, including financing, stewardship, human resources, structure, culture, information system, payment, monitoring and control, the function of insurance organizations, and implementation.
CONCLUSIONS: The urban family physician program\'s implementation challenges, as viewed by health insurance organizations, underscore the necessity for strategic decision-making in financing, payment models, electronic system integration, structural adjustments, comprehensive monitoring, evaluation, cultural considerations, and appropriate devolution to insurance entities.
摘要：
背景：家庭医生计划是伊朗的一项关键医疗改革，在城市地区面临重大挑战，该研究旨在批判性地评估城市家庭医生计划中遇到的挑战，特别关注保险组织的观点。
方法：采用定性方法，涉及对来自基本医疗保险基金的22名专家和经理的半结构化访谈。雪球抽样促进了参与者的选择，采访一直进行到饱和。数据分析采用内容分析和Atlas-T软件，坚持COREQ标准。
结果：城市家庭医生计划的实施问题分为十个类别和22个子类别，包括融资，管理,人力资源,结构,文化,信息系统,付款,监测和控制，保险组织的职能，和执行。
结论：城市家庭医生计划的实施挑战，健康保险组织认为，强调融资战略决策的必要性，支付模式，电子系统集成，结构调整,全面监测,评估，文化考虑,并适当下放给保险实体。
方法：采用定性方法，涉及对来自基本医疗保险基金的22名专家和经理的半结构化访谈。雪球抽样促进了参与者的选择，采访一直进行到饱和。数据分析采用内容分析和Atlas-T软件，坚持COREQ标准。
结果：城市家庭医生计划的实施问题分为十个类别和22个子类别，包括融资，管理,人力资源,结构,文化,信息系统,付款,监测和控制，保险组织的职能，和执行。
结论：城市家庭医生计划的实施挑战，健康保险组织认为，强调融资战略决策的必要性，支付模式，电子系统集成，结构调整,全面监测,评估，文化考虑,并适当下放给保险实体。
