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Presenting a Quaternary Prevention Model for the Rural Family Physician Program in Iran with an Interpretive Structural Modeling Approach

BACKGROUND: Due to its ethical approach and its protection of patients and their interests, quaternary prevention can increase the quality-of-service provision and decrease costs and the wastage of resources. The present study used interpretive structural modeling (ISM) to classify the effective fac...

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Autores principales: GhorbaniNia, Rahil, Hekmat, Somayeh Noori, Dehnavieh, Reza, Bahaadinbeigy, Kambiz, Arab-Zozani, Morteza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580201/
https://www.ncbi.nlm.nih.gov/pubmed/37855013
http://dx.doi.org/10.4103/ijpvm.ijpvm_116_22
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author GhorbaniNia, Rahil
Hekmat, Somayeh Noori
Dehnavieh, Reza
Bahaadinbeigy, Kambiz
Arab-Zozani, Morteza
author_facet GhorbaniNia, Rahil
Hekmat, Somayeh Noori
Dehnavieh, Reza
Bahaadinbeigy, Kambiz
Arab-Zozani, Morteza
author_sort GhorbaniNia, Rahil
collection PubMed
description BACKGROUND: Due to its ethical approach and its protection of patients and their interests, quaternary prevention can increase the quality-of-service provision and decrease costs and the wastage of resources. The present study used interpretive structural modeling (ISM) to classify the effective factors and determine a quaternary prevention model for Iran's Rural Family Physician Program. METHODS: This study was a qualitative study with an ISM approach. Twenty-five health system experts and faculty members participated in the study. The interrelationships between the factors were determined using ISM, and after classification, the driving and dependence power of the factors were specified using MICMAC analysis. RESULTS: The 20 factors were classified into five levels. The results indicated that patient interest and vulnerable groups had the highest effectiveness, and officials' and policymakers' commitment to providing serious support for family physicians had the highest affectability. The factors were placed into the two groups of linkage and dependence based on the MICMAC analysis. CONCLUSIONS: The new technologies are costly and sometimes only suitable for a specific group of patients. Costs and the issues of induced demand and defensive medicine necessitate a different view of health service distribution. The preventive and strategic view and the comprehensiveness of family physician services make quaternary prevention possible by providing high-risk and vulnerable groups with essential services based on patient needs and conditions with more benefit than harm.
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spelling pubmed-105802012023-10-18 Presenting a Quaternary Prevention Model for the Rural Family Physician Program in Iran with an Interpretive Structural Modeling Approach GhorbaniNia, Rahil Hekmat, Somayeh Noori Dehnavieh, Reza Bahaadinbeigy, Kambiz Arab-Zozani, Morteza Int J Prev Med Original Article BACKGROUND: Due to its ethical approach and its protection of patients and their interests, quaternary prevention can increase the quality-of-service provision and decrease costs and the wastage of resources. The present study used interpretive structural modeling (ISM) to classify the effective factors and determine a quaternary prevention model for Iran's Rural Family Physician Program. METHODS: This study was a qualitative study with an ISM approach. Twenty-five health system experts and faculty members participated in the study. The interrelationships between the factors were determined using ISM, and after classification, the driving and dependence power of the factors were specified using MICMAC analysis. RESULTS: The 20 factors were classified into five levels. The results indicated that patient interest and vulnerable groups had the highest effectiveness, and officials' and policymakers' commitment to providing serious support for family physicians had the highest affectability. The factors were placed into the two groups of linkage and dependence based on the MICMAC analysis. CONCLUSIONS: The new technologies are costly and sometimes only suitable for a specific group of patients. Costs and the issues of induced demand and defensive medicine necessitate a different view of health service distribution. The preventive and strategic view and the comprehensiveness of family physician services make quaternary prevention possible by providing high-risk and vulnerable groups with essential services based on patient needs and conditions with more benefit than harm. Wolters Kluwer - Medknow 2023-08-28 /pmc/articles/PMC10580201/ /pubmed/37855013 http://dx.doi.org/10.4103/ijpvm.ijpvm_116_22 Text en Copyright: © 2023 International Journal of Preventive Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
GhorbaniNia, Rahil
Hekmat, Somayeh Noori
Dehnavieh, Reza
Bahaadinbeigy, Kambiz
Arab-Zozani, Morteza
Presenting a Quaternary Prevention Model for the Rural Family Physician Program in Iran with an Interpretive Structural Modeling Approach
title Presenting a Quaternary Prevention Model for the Rural Family Physician Program in Iran with an Interpretive Structural Modeling Approach
title_full Presenting a Quaternary Prevention Model for the Rural Family Physician Program in Iran with an Interpretive Structural Modeling Approach
title_fullStr Presenting a Quaternary Prevention Model for the Rural Family Physician Program in Iran with an Interpretive Structural Modeling Approach
title_full_unstemmed Presenting a Quaternary Prevention Model for the Rural Family Physician Program in Iran with an Interpretive Structural Modeling Approach
title_short Presenting a Quaternary Prevention Model for the Rural Family Physician Program in Iran with an Interpretive Structural Modeling Approach
title_sort presenting a quaternary prevention model for the rural family physician program in iran with an interpretive structural modeling approach
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580201/
https://www.ncbi.nlm.nih.gov/pubmed/37855013
http://dx.doi.org/10.4103/ijpvm.ijpvm_116_22
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