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Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians

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...

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Autores principales: Bayati, Mohsen, Rashidian, Arash, Yazdi-Feyzabadi, Vahid, Delavari, Sajad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386937/
https://www.ncbi.nlm.nih.gov/pubmed/35978402
http://dx.doi.org/10.1186/s12962-022-00373-0
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author Bayati, Mohsen
Rashidian, Arash
Yazdi-Feyzabadi, Vahid
Delavari, Sajad
author_facet Bayati, Mohsen
Rashidian, Arash
Yazdi-Feyzabadi, Vahid
Delavari, Sajad
author_sort Bayati, Mohsen
collection PubMed
description 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 a sample of 666 GPs, using convenience sampling, filled a self-report questionnaire. 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 enter in 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.
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spelling pubmed-93869372022-08-19 Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians Bayati, Mohsen Rashidian, Arash Yazdi-Feyzabadi, Vahid Delavari, Sajad Cost Eff Resour Alloc Research 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 a sample of 666 GPs, using convenience sampling, filled a self-report questionnaire. 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 enter in 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. BioMed Central 2022-08-17 /pmc/articles/PMC9386937/ /pubmed/35978402 http://dx.doi.org/10.1186/s12962-022-00373-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bayati, Mohsen
Rashidian, Arash
Yazdi-Feyzabadi, Vahid
Delavari, Sajad
Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians
title Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians
title_full Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians
title_fullStr Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians
title_full_unstemmed Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians
title_short Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians
title_sort influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on iranian physicians
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386937/
https://www.ncbi.nlm.nih.gov/pubmed/35978402
http://dx.doi.org/10.1186/s12962-022-00373-0
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