SJSN HEALTH REVIEW WITH FAMILY DOCTOR SERVICES

National Social Assurance System (NSAS) has been valid from January 1, 2014 , with PT.ASKES as the Health Social Assurance Agency. The Preparation to welcome the validity of the National Social Assurance System (NSAS) has been doing. Until now the regulation of laws has not come yet to the procedures and technical guidelines. The health services on NSAS primary physician that is comprehensive became a choice by applying the pattern of health care family physician. Based on the regulation of laws, reference books, seminar materials and especially experience as a general practice physician who served patients with pre-paid system for almost 15 years, providing input like problems that can arise and the alternative solutions in order to support NSAS work better, maintained the quality and continuity, seeking the least possible service problems especially on the family physician service

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

Evidence Based Health Policy Management and Economics ◽

10.18502/jebhpme.v3i2.1216 ◽

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.

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Effect of the Implementation of the Family Physician Program 2015 on Fair Accessibility for People to Health Care Services in the Sistan Region

Global Journal of Health Science ◽

10.5539/gjhs.v8n12p20 ◽

2016 ◽

Vol 8 (12) ◽

pp. 20 ◽

Cited By ~ 1

Author(s):

Mohammad Sarani ◽

Azizollah Arbabisarjou ◽

Soleyman Saravani ◽

Ali Miri ◽

Aziz Shahrakivahed

Keyword(s):

Health Care ◽

Primary Health Care ◽

Family Physician ◽

Health Care Services ◽

Family Doctor ◽

Public Access ◽

Human Beings ◽

Care Services ◽

Primary Health ◽

The Family

<p>Equitable access to primary health care is an indispensable right and a basic need of all human beings. Currently, the development of any society is judged based on the level of public access to primary health care services. This comparative study attempted to examine the fairness accessibility of people in Sistan to health care services through Family Physician Program 2015.</p><p>This was a descriptive, analytical research focusing on the level of equitable public access to primary health care in Sistan. Samples were taken from all the service-providing centers. Data were collected through HNIS software, network management center to analyze the gathered data. The results showed that prior to the implementation of the family doctor plan (before 2005), there was a doctor for every 9545 people, a midwife for every 10,000 people and one paramedic for 1,111 people. After beginning the family doctor plan, the figures showed that there was one doctor or MD for every 3387 people and one midwife for every 2916 people, and one health worker for every 549 rural residents. The implementation of the family physician program was an opportunity for the health system in Sistan region, where the appropriate resources management and equitable distribution of health care services throughout the region could facilitate accessibility to identical services.</p>

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The Family Doctor and Patients' Secrets

Psychiatry in Medicine ◽

10.2190/967f-ttvr-bb0j-01va ◽

1971 ◽

Vol 2 (2) ◽

pp. 98-107 ◽

Cited By ~ 1

Author(s):

Michael Balint

Keyword(s):

Medical Practice ◽

Family Physician ◽

Family Doctor ◽

The Family ◽

Patient’S History

One of the most difficult decisions for the family physician is when and to what extent to inquire into his patients' private thoughts and emotions. Asking too many questions may be just as hazardous as asking too few. The delicate art of timing requires that the physician “listen with his third ear,” and know his patient, the family, and himself. The experience of psychoanalysts can be of considerable help to physicians in helping them to recognize and use important cues in the patient's history and conversation that can be relevant to understanding and treating problems encountered in medical practice.

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Cancer Patient’s Contribution to Reduce Chemotherapy Related Burden of Travel: What Would Chemotherapy Patients Agree to Do?

The Open Public Health Journal ◽

10.2174/1874944501609010009 ◽

2016 ◽

Vol 9 (1) ◽

pp. 9-15

Author(s):

P. Groux ◽

S. Anchisi ◽

T. Szucs

Keyword(s):

Cancer Treatment ◽

Travel Time ◽

Private Practice ◽

Family Doctor ◽

Alternative Solution ◽

Drug Intake ◽

The Family ◽

Chemotherapy Patients ◽

Alternative Solutions ◽

At Home

Objective: Many patients describe travel to cancer treatment as inconvenient and a practical hardship and it may be perceived or experienced as a barrier to treatment. We investigated whether all patients who came for chemotherapy would theoretically accept an alternative solution to reduce the number of journeys. The aim was to characterize and quantify the acceptance of these alternatives and to identify groups of patients who could be interested in alternative solutions. Method: All patients coming in February 2012 for chemotherapy to one of the four centres of the hospital or to the unique private practice were asked to answer a survey. Eight options to reduce the number of travels were proposed to patients undergoing chemotherapy with five possible answers “Yes”, “rather yes”, “rather no”, “No” and “I don’t know”. Impact of travel time, gender, age and the number of persons living in the same household on the results was analysed. Results: 130 patients (62%) answered all requested questions. Acceptance of offered options varies from not acceptable at all to acceptable for a small majority of patients. Distance to travel impacts the answers for some options. Conclusion: Some alternatives were acceptable for some groups of patients. Particularly the transfer of the drug intake to the practice of the family doctor or preferably at home of the patient enjoyed some acceptance. These options should be investigated in further studies.

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Health care team in rural areas – past, present and future

Romanian Journal of Medical Practice ◽

10.37897/rjmp.2015.3.7 ◽

2015 ◽

Vol 10 (3) ◽

pp. 255-259

Author(s):

Afilon JOMPAN ◽

Keyword(s):

Health Care ◽

Rural Areas ◽

Family Doctor ◽

Health Indicators ◽

Health Care Team ◽

Care Team ◽

Family Assistance ◽

The Family ◽

Care Family

The role of the family doctor in a properly established health system is to provide primary health care, family assistance and nursing. Today it is inconceivable that, in absence of the health care team, to meet its obligations and health indicators to be improved.

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