scholarly journals Influencing factors on the tendency of general practitioners to join in Urban Family Physician Program in Iran

2020 ◽  
Author(s):  
Mohsen Bayati ◽  
Arash Rashidian ◽  
Sajad Delavari ◽  
Vahid Yazdi-Feyzabadi
Keyword(s):  
General Practitioners ◽  
Family Physician ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Self Report ◽  
Main Question ◽  
Cross Sectional ◽  
Positive Tendency ◽  
Urban Family

Abstract Background Urban family physician program (UFPP) is initiated as pilot by policy makers as a main reform in future of primary health care in Iran. Despite an ongoing pilot implementation of this program from 2012, it remains a main question about providing sufficient number of general practitioners (GPs). This study aimed to investigate the factors which affect GPs' decision to join in the UFPP.Methods In this national cross-sectional study, data were gathered by a self-report questionnaire from 601 GPs. The multivariate logistic regression was applied to explore the demographic, practice and views determinants of the tendency of GPs to join in the UFPP.Results More than half of GPs (58.6%) participated in the study had a positive tendency to join in the UFPP. Older GPs (adjusted OR=3.72; 95%CI: 1.05-13.09), working in public sector (adjusted OR=2.26; 95%CI: 1.43-3.58), lower income level (adjusted OR=6.69; 95%CI:2.95-15.16), higher economic expectations (adjusted OR=2.08; 95%CI: 1.19-3.63), and higher satisfaction from medicine profession (adjusted OR=2.00; 95%CI: 1.14-3.51) were the main factors which increased the GPs tendency to join UFPP.Conclusions decision for joining in the program is mainly affected by GPs' economic status. This clarifies that if the program can make them closer to their target income, they would be more likely to decide for joining in the program.

scholarly journals Influencing factors on the tendency of general practitioners to join in Urban Family Physician Program in Iran

2020 ◽  
Author(s):  
Mohsen Bayati ◽  
Arash Rashidian ◽  
Sajad Delavari ◽  
Vahid Yazdi-Feyzabadi
Keyword(s):  
General Practitioners ◽  
Family Physician ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Self Report ◽  
Main Question ◽  
Cross Sectional ◽  
Positive Tendency ◽  
Urban Family

Abstract Background Urban family physician program (UFPP) is initiated as pilot by policy makers as a main reform in future of primary health care in Iran. Despite an ongoing pilot implementation of this program from 2012, it remains a main question about providing sufficient number of general practitioners (GPs). This study aimed to investigate the factors which affect GPs' decision to join in the UFPP.Methods In this national cross-sectional study, data were gathered by a self-report questionnaire from 601 GPs. The multivariate logistic regression was applied to explore the demographic, practice and views determinants of the tendency of GPs to join in the UFPP.Results More than half of GPs (58.6%) participated in the study had a positive tendency to join in the UFPP. Older GPs (adjusted OR=3.72; 95%CI: 1.05-13.09), working in public sector (adjusted OR=2.26; 95%CI: 1.43-3.58), lower income level (adjusted OR=6.69; 95%CI:2.95-15.16), higher economic expectations (adjusted OR=2.08; 95%CI: 1.19-3.63), and higher satisfaction from medicine profession (adjusted OR=2.00; 95%CI: 1.14-3.51) were the main factors which increased the GPs tendency to join UFPP.Conclusions decision for joining in the program is mainly affected by GPs' economic status. This clarifies that if the program can make them closer to their target income, they would be more likely to decide for joining in the program.

Medical interns’ attitudes towards One Health approach

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Ceren Varer Akpinar ◽  
Seyfi Durmaz
Keyword(s):  
One Health ◽  
Health And Safety ◽  
Cross Sectional Study ◽  
Study Data ◽  
Self Report ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Concept ◽  
Medical Interns ◽  
The One

Abstract Objectives One Health approach to health considers human, animal, and ecosystem health as a whole and advocates cooperation across disciplines to reach the highest level of health. The aim of the study is to determine the attitudes of the medical interns’ toward the One Health approach and to evaluate related factors. Methods This cross-sectional study targeted all interns of the Faculty of Medicine of 2019–2020 academic year (n=356). Sociodemographic characteristics, health status, habits, and attitudes toward One Health were asked in the questionnaire, which was created by the researchers using the literature. The study data were collected based on self-report during occupational health and safety training, before the COVID-19 pandemic. Chi-square and logistic regression analyses were also performed. Results The study group included a fair gender distribution (47.8% female), and the average age was 23.6 ± 1.2. Out of the 316 participants, 40.2% had not heard the One Health concept before. In total, 85.4% of them declared a positive attitude toward the concept. The probability of high attitude was found to be 5.03 times (95% CI 1.10–23.12) higher in those with above-average success status and 4.08 times (95% CI 1.15–14.52) higher in those who had kept animals. In students’ responses to the attitude questionnaire items, the epidemic sub-dimension had the highest level as 86.1%, and the antibiotic resistance sub-dimension had the lowest level as 77.2%. Conclusions The current study revealed that the awareness on One Health concept among medical interns is limited, however, students’ attitudes are positive. Recent SARS-CoV 2 pandemic showed us the urgent need for proper implementation of’ One Health approach in the medical education curriculum. Meanwhile, One Health focused courses should be introduced into the curriculum of final year medicine and related programs.

scholarly journals Attendance of psychosocial teen clubs and self-reported antiretroviral medication adherence: a cross section study of adolescents with perinatal HIV in the Kingdom of Lesotho

2021 ◽  
Vol 8 (3) ◽  
pp. 541-552
Author(s):  
Sphiwe Madiba ◽  
◽  
Ntaoleng Mohlabane
Keyword(s):  
Psychosocial Support ◽  
Cross Sectional Study ◽  
Study Data ◽  
Self Report ◽  
Hiv Status ◽  
Cross Sectional ◽  
Supportive Environment ◽  
Antiretroviral Medication ◽  
Perinatal Hiv ◽  
Antiretroviral Medication Adherence

<abstract><sec> <title>Background</title> <p>To address the problem of poor adherence among adolescents with perinatal HIV (PHIV), all clinics in Lesotho offer adolescent-friendly services and psychosocial support to improve their overall health outcomes and adherence. As a result, most adolescents with PHIV attend Teen Clubs as part of the package of youth-friendly HIV services. This study set out to determine whether attending Teen Clubs facilitates treatment adherence among adolescents with PHIV.</p> </sec><sec> <title>Methods</title> <p>In this cross-sectional study, data were collected from 130 adolescents aged 10–19 years who were aware of their HIV status and had attended three or more Teen Club sessions in selected clinics in rural district in Lesotho. Adherence was measured through self-report of last pills missed, based on the 7-days recall of pills taken. Descriptive statistics were used to analyse the data.</p> </sec><sec> <title>Results</title> <p>The median age of adolescents was 15 years, 56% were female, 37.7% were orphans, 41% were being cared for by their grandparents, 6.9% were living with siblings with no adult figure, and two were living on their own. The majority (93%) reported optimal adherence, 92% had not missed a clinic appointment in the past 30 days, and 74.4% knew that if they skipped doses, the viral load would increase and they would get sick. Over half (56%) had been reminded by their caregivers to take their medication and 96% talked to their caregivers regularly about their medication.</p> </sec><sec> <title>Conclusion</title> <p>A supportive environment provided through the Teen Clubs and in the home were the main facilitators for adherence. Strategies to improve adherence among adolescents should consider the importance of the involvement of caregivers in the adolescents' visits to their clinic.</p> </sec></abstract>

scholarly journals Achievements and Challenges in Implementing Urban Family Physician Program in Iran: Viewpoint of Managers and Executives

2019 ◽  
Author(s):  
Mohammad Javad Kabir ◽  
Hasan Ashrafian Amiri ◽  
Zahra Hassanzadeh-Rostami ◽  
Reza Momtahen ◽  
Rasoul Zafarmand ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Family Physician ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Sustainable Resources ◽  
Urban Family ◽  
The Individual ◽  
Challenges And Strategies

Background: Urban family physician program is one of the relatively large reforms in Iran's health care system implemented in Fars and Mazandaran provinces since 2012. Nearly five years after implementation of the program, this study aimed to identify the achievements and challenges of this program from the viewpoints of managers and administrators. Methods: This cross-sectional study was conducted in winter of 2016. The research population included administrators and experts monitoring the urban family physician program and representatives of the family physicians and health care providers selected using the census method. The data collection tool was a two-part researcher-made questionnaire containing 15 questions with confirmed validity. To collect data, 29 panels of experts were held and the collected information was analyzed by SPSS 23 using independent t-tests and ANOVA. Results: Among the total of 647 participants in 2 provinces, 1540 achievement cases, 2387 challenge cases, and 1641 strategies were found. The average numbers of achievements, challenges, and strategies stated by each person were 2.38 ± 2.0, 3.70 ± 2.7, and 2.54 ± 2.0, respectively. The most frequent achievements, challenges, and strategies were increased disease detection and care (430), untimely payment to physicians (198), and providing sustainable resources for timely payments (119).  The means of achievements, challenges, and strategies had significant relationship with some of the individual and social variables (p < 0.05). Conclusion: This study showed that increasing the rate of detection was the most important achievement and lack of timely payment was the biggest challenge of the program, which should be considered by policy makers.

scholarly journals The preferences of general practitioners regarding family physician contract in the underprivileged areas of Iran in using conjoint analysis

2019 ◽  
Author(s):  
Sima Rafiei ◽  
Rafat Mohebbifar ◽  
Mohammad Ranjbar ◽  
Fatemeh Akbarirad
Keyword(s):  
Logistic Regression ◽  
General Practitioners ◽  
Family Physician ◽  
Family Doctor ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
International Standards ◽  
Cross Sectional ◽  
Ordered Logistic Regression ◽  
The Family

Background: One of the most important methods for improving the fair access of people to health services is the family physician program, which is facing many challenges. One of these challenges is the lack of policymakers' understanding of physicians' preferences regarding the provisions of the family physician contract. Therefore, this study was aimed to investigate general practitioners' preferences regarding the type of family doctor contract in one of the underprivileged regions of Iran. Methods: An analytical-cross-sectional study was conducted among 150 general practitioners (GPs) who registered in Ministry of Health and Medical Education (MoHME) family physician plan and were working in the health network of deprived regions in Iran. A discrete choice experiment (DCE) questionnaire was developed by the researchers and then distributed to GPs. Results were analyzed using Ordered Logistic Regression. Data were collected using a questionnaire designed by orthogonal method in SPSS 20. Data analysis was performed using logistic regression model in Stata 13 software. Results: Findings revealed that “type of employer” had the most significant effect on GPs’ preferences (OR = 2.5), followed by “allocating quota for admission to medical specialty courses after 5 years” (OR = 2.25), being allowed to give medical services to population without geographical restriction (OR = 2.8), being allowed to provide services out of the defined service packet (OR =   1.4), and “decreased length of contract” (OR  =  0.93). Conclusion: The amendment of the provisions of the family physician contract in accordance with physicians' preferences increases the probability of their participation in and compliance with the family physician program. However, the compliance of the provisions of this contract with relevant international standards and upstream laws of the country should be maintained as much as possible.  

scholarly journals What do Iranian general practitioners expect from family physician contracts?

2019 ◽  
Vol 7 (3) ◽  
pp. e000038
Author(s):  
Rafat Mohebbifar ◽  
Fatemeh Akbarirad ◽  
Mohammad Ranjbar ◽  
Sima Rafiei
Keyword(s):  
Family Medicine ◽  
General Practitioners ◽  
Family Physician ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Successful Implementation ◽  
Medical Council ◽  
Cross Sectional ◽  
Study Results ◽  
Ordinal Regression Model

BackgroundFamily medicine has become a main prerequisite of providing primary healthcare and a main reforming strategy to ensure the delivery of efficient and high-quality health services.AimThis study aimed to investigate general practitioners’ (GP) preferences regarding family physician contract.Design and settingCross-sectional study was conducted among GPs who registered in Ministry of Health and Medical Education (MoHME) family physician plan and were working in the health network of moderately developed regions in Iran. The sample size was calculated to be 150 GPs who were randomly selected from MoHME database.MethodDeveloped questionnaire was distributed to GPs. Results were analysed by ordinal regression model.ResultsStudy results confirmed that ‘type of employer’ had the most significant effect on GPs’ preferences (β=0.86). Then attributes including ‘allocating quota for being accepted in medical specialty’ (β=0.78), ‘increased length of contract’ (β=0.00.42) and ‘capitation payment+15% bonus’ had respectively the great effects on participants’ decision. Findings also revealed that a scenario of contracting with medical council was 2.4 times more likely to be chosen by GPs compared with a scenario of contracting with a medical university. Furthermore, a scenario that allocated a quota for admission to medical specialty courses was 2.18 times more probable to be preferred by them (p<0.001).ConclusionSuccessful implementation of family medicine requires development of suitable solutions for attracting and attaining GPs in the programme. It seems that using a variety of incentives and applying them in physicians’ work contract would be helpful in this regard.

scholarly journals Negative Effects and Factors Associated with Postpartum Depression on both Vaginal and Cesarean Delivery Groups

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Hadi Razmyar ◽  
Shiva Radvar
Keyword(s):  
Postpartum Depression ◽  
Unplanned Pregnancy ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Psychiatric Medication ◽  
Negative Effects ◽  
Cross Sectional ◽  
Phone Calls ◽  
Significant Difference

Background and objectives: Postpartum depression is highly prevalent and a broad range of causes including types of delivery are introduced as its source.  This study aimed to investigate the relationship between types of delivery and the prevalence of postpartum depression. Methods: This cross-sectional study was carried out in the maternity ward of Sina hospital, Mashhad, in 2014.  To this end, 300 women referring to delivery ward were selected through convenient sampling and examined 4 times (immediately after childbirth, 4 weeks after the first assessment, 6 weeks after the second assessment, and 8 weeks after the third assessment) using a demographic questionnaire and Beck’s Depression Inventory. In this regard, the first assessment was conducted in person and other assessments were conducted by researcher through making phone calls. Those mothers taking psychiatric medication, having children with serious physical health problem, and having obtained a score above 14 for the first assessment based on the Beck’s Depression Inventory as well as those for whom it was not possible to making phone calls were excluded from the study. Data was analyzed using the SPSS software and the confidence level was set at .05. Findings: There was no significant difference between two groups in terms of education, occupation, economic status, being satisfied with their husbands’ support and family and planned and unplanned pregnancy. The prevalence of depression was 10.3 percent two weeks after childbirth and it was 13 percent for mothers during the 8th weeks after childbirth. However, this difference was not statistically significant. Conclusions: The postpartum depression of high prevalence; therefore, adjusting each of the relevant factors is useful for reducing the incidence of depression.

Socio-Economic, Psychosocial, Lifestyle and Community Factors do not Explain Ethnic Inequalities in Obesity in Disadvantaged Israeli Mothers

2019 ◽  
Vol 49 (4) ◽  
pp. 899-919
Author(s):  
Varda Soskolne ◽  
Michal Cohen-Dar ◽  
Samira Obeid ◽  
Nitsa Cohen ◽  
Mary C J Rudolf
Keyword(s):  
Social Work ◽  
Multinomial Logistic Regression ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Self Report ◽  
Lifestyle Behaviour ◽  
Cross Sectional ◽  
Community Factors ◽  
Ethnic Inequalities

Abstract Guided by the psycho-social environment approach to explaining health inequalities, this cross-sectional study aimed to assess the contribution of individual and community factors to explaining ethnic inequalities in overweight and obesity between Arab and Jewish mothers of young children in Israel. Data (N = 946, 371 Jewish, 575 Arab mothers) were collected by self-report questionnaire in mid-2015 as part of a special ‘Preparation for School’ project for children aged 5–6 years from twenty Mother and Child Health clinics in towns and villages of lowest socio-economic ranking in northern Israel. Multinomial logistic regression models were conducted to assess the effect of socio-economic status (SES), psychological, lifestyle behaviour and community food-related practices on mediating the association of ethnicity with overweight and obesity. Overweight and obesity were significantly higher among Arab mothers. The strength of the association of ethnicity with overweight [(odds ratio) OR = 1.80, 95 per cent confidence interval (CI) = 1.31, 2.47] or obesity (OR = 2.14. 95 per cent CI = 1.44, 3.18) remained constant after SES, and other variables were included in two steps. The persistence of ethnic inequalities suggests that the variables included in the analysis did not explain inequalities in this disadvantaged population. Social work may contribute to understanding additional explanatory variables that have the potential to be amenable to change by multidisciplinary and social work interventions.

scholarly journals Do Diabetes Mellitus Differences Exist within Generations? Three Generations of Moluccans in the Netherlands

2021 ◽  
Vol 18 (2) ◽  
pp. 493
Author(s):  
Adee Bodewes ◽  
Charles Agyemang ◽  
Anton E. Kunst
Keyword(s):  
Diabetes Mellitus ◽  
The Netherlands ◽  
First Generation ◽  
Second Generation ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Three Generations ◽  
Health Database

Background: Diabetes mellitus (DM) is known to be more prevalent among migrants compared to their host populations. It is unclear whether DM prevalence differs between generations among migrants. We investigated the differences in DM prevalence among three generations of Moluccans, who have been living for over 65 years in the Netherlands, compared to the Dutch population. Methods: In this cross-sectional study, data of a healthcare insurance database on hospital and medication use (Achmea Health Database) were used. The dataset contained 5394 Moluccans and 52,880 Dutch persons of all ages. DM differences were assessed by means of logistic regression, adjusting for age, sex, urbanization, and area socio-economic status. Results: The prevalence of DM was higher in all generations of Moluccans compared to the Dutch. The adjusted odds ratios (AORs) for DM were significantly higher in total group of Moluccans compared to the Dutch (AOR 1.60, 95% CI 1.42–1.80) and across the first and second generation of Moluccans compared to the Dutch (first generation (1.73, 1.47–2.04) and second generation (1.44, 1.19–1.75). Higher AOR were found for first generation men (1.55, 1.22–1.97) and first (1.90, 1.52–2.37) and second (1.63, 1.24–2.13) generation Moluccan women compared to the Dutch. AOR for the third generation Moluccans was increased to a similar extent (1.51, 0.97–2.34), although not statistical significant. Conclusions: Our findings show higher odds of DM across generations of Moluccans compared to the Dutch. DM prevention strategies for minorities should be targeted at all migrant generations in host countries.

scholarly journals Awareness about Management of Tooth Avulsion among Dentists in Jazan, Saudi Arabia

2018 ◽  
Vol 6 (9) ◽  
pp. 1712-1715 ◽  
Author(s):  
Redhwan Abdullah Alaslami ◽  
Fahiem M. M. Elshamy ◽  
Essamet M. Maamar ◽  
Yahya H. Ghazwani
Keyword(s):  
General Practitioners ◽  
Critical Time ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Tooth Avulsion ◽  
Professional Characteristics ◽  
Tooth Replantation ◽  
Dental Practitioners ◽  
General Dentists

AIM: This study aimed to evaluate the awareness amongst dentists working in Jazan, a city in K.S.A., about their potential role in the treatment of traumatic tooth avulsion injuries. MATERIAL AND METHODS: A cross-sectional study was performed and all dentists in Jazan, K.S.A. were invited to participate in this study. Data was collected through a self-administrated questionnaire. A total of 200 dental practitioners answered the questionnaire. The intern/general practitioners were 75%, and the specialists were 25%. The variables comprised socio-demographic information, professional characteristics and information regarding the awareness towards the management of tooth avulsion. RESULTS: A total of 200 dental practitioners answered the questionnaire. The intern/general practitioners were 75%, and the specialists were 25%. (44.3%) were aware of the critical time for avulsed tooth replantation while 71.8% of females did not know about the critical time for avulsed tooth replantation. 50.0% of the specialists reported that less than 30 min was needed for avulsed tooth replantation, while 59.3% of interns/general dentists advised less than 60 minutes. CONCLUSION: A statistically significant result was observed regarding the best storage medium, a critical time for avulsed tooth replantation and tooth management before replantation.

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