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

Abstract

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.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.

The Womens’ Attitude and Practice towrads Childbearing

“…Attitude scores after scoring were placed in three levels of good, average, and poor. To describe the attitude status, considering that the minimum and maximum attitude scores of the subjects were 12 and 60, respectively, contractually obtaining less points and equal to 50% of the total score represents a weak attitude [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] , a score between 51-75% of the total score represents a moderate attitude [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] , and more than 75% of the total score was considered a good attitude 46 . In this method, obtaining higher scores indicates a more positive attitude towards childbearing.…”

The challenges of rural family physician program in Iran: a discourse analysis of the introduction to criticizing power imbalance between rural health and mainstream urban health

“…A rural FPP, if necessary, should refer the patients to higher levels of service so as to maintain and improve their health; however, they will remain responsible for following up the health practices. 5 The family physician (FP) is responsible for managing the healthcare team 6 (Sarani et al 2016). Gradually, this program also failed to promote public health, develop social equity, and establish a universal health care system.…”