عباس یزدان پناه

In Iran, the family physician program has been implemented as a pilot since 2008. There are challenges in the implementation of this plan in Minab City, Hormozgan Province, south of Iran. The present study aims to investigate these challenges.

This qualitative study was conducted during 2022-2023. The participants were 10 experts (the family physician program experts, the head of the health and treatment network, physicians, and health care workers in Minab City). The sampling was done using a purposive sampling method until reaching the saturation stage. Semi-structured interviews and field notes were used to collect information. Data analysis was done using thematic content analysis method. 

We extracted five main themes and 10 categories including human resources (midwives/health care workers, physicians/specialists, managers), credits (salary payment, amenities), rules (physicians/specialists, patients, midwives/health care workers), system security (staff), and standard policy (health system policy), as well as 20 sub-categories. 

The family physician program in Minab City has faced challenges due to reasons such as low budget, improper management, and insufficient justification of the staff. It is recommended to solve these challenges so that the residents of this city can benefit from this plan.

Electronic prescribing has been implemented in many countries, with its first application in outpatient care. In Iran, electronic prescribing has been seriously implemented for two years now, and while it has been successful in some regions, it has also faced challenges. Identifying these challenges and determining their causes can not only help address the problems faced by physicians but also significantly contribute to the improvement of the electronic prescribing program. The present study aimed to investigate the challenges faced by physicians in electronic prescribing in Ahvaz County in 2024.

This qualitative study was conducted in Ahvaz County, Khuzestan Province, Iran, in 2024, with a population of physicians. Participants were 33 individuals selected using a purposive sampling method. Data collection methods included semi-structured interviews with physicians, field notes, and recording reminders based on the principle of data saturation.

The data analysis process yielded four main themes (inconsistencies in drug coding, lack of security in electronic prescription systems, lack of legal regulations and non-acceptance of electronic prescribing by physicians) and 11 categories (inconsistency of some codes, duplicate codes, differences in the type of registration of a drug, absence of some codes for some drugs, lack of coordination between insurers, factors related to insurance organizations, inconsistency of patient information) and 21 subcategories.

Physicians face numerous challenges due to various reasons, such as inconsistencies in insurance systems in drug coding, the use of different prescriptions by insurance organizations, the lack of integration between insurance and pharmacy systems, frequent internet outages, lack of coordination between pharmacies and physicians, excessive or incorrect drug dispensing by some pharmacies. Addressing these challenges can pave the way for the success of the electronic prescribing program in Ahvaz.

Breastfeeding for the first six months and continued breastfeeding for 2 years or more is a good way to feed the baby. The empowering of mother’ breastfeeding is one of the important factors in promoting breastfeeding, and identifying its facilitating factors can help develop effective policies and interventions. This study was conducted to investigate the related factors in empowering mothers for breastfeeding in Shiraz Mother and Child Hospital in 2018.

The present study was descriptive qualitative research with a phenomenological approach in which 12 participants were interviewed through semi-structured interview. Content analysis was carried out to analyze the collected data. To analyze the data, each interview was transcribed and codified. Finally, all thematic structures were analyzed, compared and contrasted and the main themes were determined.

Following the acquisition of breastfeeding skills in the hospital, participants cited breastfeeding counseling in health centers as an important factor in facilitating their empowerment in breastfeeding and their breastfeeding continuation. Further analysis revealed that "the mother's decision to breastfeed" along with her perception (self-efficacy and confidence in her capability to breastfeed), "positive cultural attitudes and participation of spouse and family in breastfeeding" "Breastfeeding" (training the spouse and his presence while loving the breastfeeding wife), "Public education and sharing information" (a successful personal relationship between the mother and her friends) and "The role of the midwife and other health care staff (encouraging mothers and increasing their tendancy to breastfeed "provides a good ground for constant breastfeeding.

The four main principles including " health care personnel", "cultural factors" and "individual factors" and training factors have been extracted from the interviews conducted. These principles illustrate the dimensions which facailitate empowerment of women in lactation. Findings indicate that hospital breastfeeding services play a key role in mothers’ ability to breastfeed. Referring those who have problems in breastfeeding to the breastfeeding counseling unit will help mothers breastfeed.

The health of police staff plays a key role in increasing their productivity to ensure the security of society. Therefore, the present study was conducted to determine the general health status of police and identify some of the factors affecting it.

This cross-sectional study was conducted in 2018 on 354 personnel of Kohgiluyeh and Boyer-Ahmad (Iran) police command who were selected by stratified random sampling. Data were collected using a standard public health questionnaire.

The mean score of general health in the components of physical disorders, anxiety, social disorders and depression were 5.96±0.26, 6.16±0.28, 7.22±0.18 and 3.50±0.29, respectively. In these components, 61%, 53.4%, 45.5% and 79.7% of police were in the healthy category, respectively. There was also a statistically significant difference between the variables of gender, work experience, education degree and age with general health and related components, while there was no significant difference between the total general health score and monthly income, service categories and organizational rank.

Given that police personnel’s health are at risk for the nature of their profession and this affects the quality of their work, it seems that in order to be more productive, plans should be made to improve their health.

About half a million women worldwide die annually from complications of pregnancy or lack of midwifery care, 99% of which occur in developing countries. High-quality service often leads to customer satisfaction. Staff play a significant role in improving the quality of care. Given the importance of this issue in improving macroeconomic and international indicators, we decided to review the quality of midwifery care in Iran.

After searching 950 articles with these keywords: quality, care, midwifery and satisfaction in the search engines of Sciencedirect, Iranmedex, SID, Magiran, Google Scholar, Pubmed and IranDoc, about 28 articles were finally selected and the results were filmed.

Studies reported the quality of prenatal care, pregnancy, postpartum and family planning at a moderate level, so that the weakest quality was observed in the fourth stage of labor. Satisfaction of pre-natal services, labor and childbirth, post-partum and family planning was stated at a high and very high level, and the satisfaction with the pre-natal period was higher than the labor.

The quality of midwifery care was at a moderate level and its satisfaction was high. Therefore, high satisfaction does not always mean high quality of service, as motherschr('39') satisfaction may be due to their low expectation. Therefore, in order to evaluate the quality of midwifery services, in addition to obtaining satisfaction, international standards must always be considered.