جستجوی مقالات مرتبط با کلیدواژه « گیرندگان خدمت » در نشریات گروه « پزشکی »

From 2011 to 2013 some efforts had been made in Iran to implement urban family physician program. The aim of this study was to determine the viewpoints of managers, providers, and clients of health care services about the problems in the implementation of urban family physician program in Iran.
This study was a qualitative study. Data were collected through holding 21 sessions of focus group discussions and 37 individual interviews with managers, providers, and clients of health care services in Alborz, West Azerbaijan, and Kurdistan Provinces in 2014. Data were analyzed by means of content analysis method.
According to the results of this study, the problems on the implementation of urban family physician program in Iran can be classified into seven categories including: financial, cultural, educational, motivational, structural, administrative, and contextual problems.
We propose definition and stabilization of the financial resources and establishment of appropriate rules for payments to solve financial problems, and also training of general population and staffs and involvement of the mass media in training to solve the cultural problems. In order to solve the educational problems reforms in medical curriculum are recommended. Motivational problems can be solved via encouraging the private sector and experts to take part in the program and also through guaranteeing the continuity of the program. Establishment of appropriate organizations and provision of protocols are recommended to solve the structural problems. Finally, to overcome the contextual problems it is suggested to promote cross-sectoral and inter-sectoral coordination and also attract support from policy-makers.

Patient satisfaction is an indicator of the health services that is increasingly important in today's competitive world and perhaps the simplest method for evaluation of family physician program. This study aimed to determine the level of satisfaction of service recipients in urban areas in Fasa, Iran, with implementation of the Family Physician Program.
This descriptive cross-sectional study was carried on the 411 patients for whom family physician program was implemented in 2014. Data were collected by a valid and reliable demographic and satisfaction questionnaire in 6 dimensions (care and reverence, trust and belief in his performance, waiting time, availability and timely access to a doctor in time, usefulness of actions, payment costs and paramedical unit performance and on time accessibility, professional services and emergency). Data were analyzed using SPSS software version 18 using independent-samples t-test, chi square test, and ANOVA.
Only 1.7% of people had little satisfaction. However, the majority of people expressed consent in all aspects of the Satisfaction of the Family Physician Project. The highest levels of satisfaction were observed in care, respect, trust and belief and the emergency services were observed in the lowest level of satisfaction.
Good satisfaction after implementing the family physician program shows the successfulness of the program. Therefore, implementation of family physician program will be a significant milestone for other cities but in order to increase the satisfaction of the emergency services and relevant programs, revision seems necessary in order to improve some of the indices of people satisfaction.

Caregivers awareness about family physician program is necessary to achieve its success and goals. This study was conducted to determine the caregivers’ awareness about family physician in urban areas of Fasa.
This cross-sectional study was carried out on 411 patients referring to family physician clinics affiliated to Fasa University of Medical Sciences in winter 2014. The data were collected by a valid and reliable two-part questionnaire including demographic characteristics and 10 questions on people’s awareness about family physician program. The data were analyzed by using SPSS software version 19 by independent t-test, one-way ANOVA test, and chi square test. P-value less than 0.05 was considered significant.
17.3%, 61.5%, and 21.2% of people reported appropriate intermediate, and poor awareness about the program, respectively. The mean awareness score was 58/7 ± 14.5 (based on the score 100). But the mean score of the awareness about the rules and the referral system were higher compared to the awareness of how to get services in non-working hours from doctor, emergency services, hospitalization, and laboratory (9/15 ± 3/67 against 9/16 ± 2/50).
The majority of participants in Fasa family physician program reported average knowledge about this program; therefore, it is essential to improve people knowledge in order to succeed in this program.

Providing health services is one of the most important priorities of a health system. Since the hospital organization is the prominent sector in a health system, the quality of services has higher impact from the point of view of service providers and patients. The aim of this was to study the prioritization and agreement of hospital service providers and receivers towards 6 dimensions- human resources, equipment and physical space, information, communication and training, access to service and care, respect towards values and emotional support, and system management and coordination.
In this descriptive-analytical study the quality criteria of hospital services from the perspective of 377 service providers and receivers were studied. Samples were selected using multi-stage sampling. Data was collected by a researcher-made questionnaire to prioritize quality standards from the point of view of service providers and receivers. The content of the questionnaire was confirmed using content, with acceptable significant level (p The most agreement in six dimensions were allocated to dimension of human resource including sub dimensions as knowledge, expertise, and skills of physicians, nurses and other caregivers (80%). In human resource dimension, both service providers and recipients had the same opinion on the first and second priorities. In dimension of equipment and physical space, information, communication and education, emotional support and respect for the values both service providers and recipient were agreed on the second and third priorities.
Determination of quality criteria according to the views of service providers and receivers on various communities with regard to social, economic and cultural is very important. Therefore, it is desirable to start plan the health services, particularly hospital services to be noted. By setting quality standards and incorporate it in the assessment and accreditation of hospitals can ensure to achieve the goal of improving the quality of hospital services.

Background and Measuring the satisfaction of service recipients and service providers is one of the main key indices for evaluation of rural family physician program. So far, 10 years has passed since this program was implemented and different results have been published. In this study we aimed to estimate the overall level of both service recipients and service providers’ satisfaction using meta-analysis. National and international databases were reviewed and articles published in March 2005 to April 2015 were identified. We also investigated the study references and interviewed some researchers to enhance the search sensitivity. Eligible papers for final meta-analysis were selected after quality assessment and application of inclusion/exclusion criteria. There was a significant heterogeneity between the results of the studies, therefore, random effects model was applied to estimate the total level of stakeholder satisfaction using Stata SE. V.11. This meta-analysis included 18 relevant studies investigating the satisfaction level of 8009 service recipients and 921 service providers. Total levels of satisfaction among service recipients and service providers regarding the rural family physician program were estimated to be 54.03% (40.6- 67.4) and 50.4% (27.8-73.03), respectively. The current study showed a moderate level of satisfaction regarding the rural family physician program among stakeholders.

Family Physician program is one of the most important programs in the health sector of Iran. Since satisfaction can affect the efficacy, quantity and quality of health services, the present study was designed to determine the satisfaction rate of service recipients in Kerman from Family Physician program. This cross-sectional study was performed on 370 individuals in the rural districts of Kerman where family physician program had been implemented. Multistage clustering method was applied for sampling and data collection was done using a questionnaire. Data were analyzed using descriptive statistics and statistical tests such as Chi- square, t- test and one way ANOVA. The mean age of participants was 36.3 ±10.1 years. Satisfaction was favorable in 18.72%, relatively favorable in 60.85% and unfavorable in 20.43%. Satisfaction showed a significant relationship with marital status and level of education; that is, maximum satisfaction was observed in married subjects and minimum in those with university degrees. But satisfaction had no significant relationship with age or gender. In general, the level of satisfaction among recipients of family physician program was relatively favorable; of course, along with the raising expectations of people, maintaining the present status and even improving this service is necessary.

Quality study is very important given that the issue of quality is a great health challenge in most communities. Satisfaction of service''s recipients accounts for a main part in this regard and it is an important tool to measure quality of health and medical services. This study aimed at measuring the quality of the services provided by family physician team from recipients'' perspective.

Present descriptive and cross-sectional study was conducted in autumn 2009 in Ajabshir city. Study population included all the service recipients of family physician and the sample comprised of 140 individuals selected by random classification method. Data collection instruments were researcher designed questionnaires that measured 9 aspects of quality. Collected data were analyzed using statistical tests by SPSS 15.

Mean score for quality of services provided by family physicians was 45. 17±11. 16 and satisfaction rate from quality of these services was 10 percent. 35. 7% of the subjects were dissatisfied with the services. Among the studied indices، efficiency had the highest mean score of 64. 3±13. 4 and the highest satisfaction rate (70. 7%). On the other hand، the lowest mean score (28. 4 ±12. 3) and satisfaction rate (0%) was related to availability.

Performance of some services provided by family physician was found to be poor and level of quality was not desirable. Planning to improve some indices such as «availability» and «amenities» by authorities can improve quality of services provided by family physicians and satisfaction among services'' recipients.

The quality of communication skills of health care providers has a significant impact on patient treatment consequences. The present research has been conducted to check the relationship of communication skills on the rate of patients’ satisfaction in the clinics of one of the hospitals in Isfahan. This research was a descriptive-analytical study. The used tool was a standard checking list for evaluating the patients’ satisfaction and also the researcher-made checking list for the measurement of effective communication skills. The checking list was completed by the researcher in the clinics by using the comments of patients or their relatives. Sampling was performed by using the regular random sampling method. The researcher-made checking list for the measurement of effective communication skills was confirmed by the experts with the face validity, structure, content, and reliability (α = 87%). After visiting the patient by the physician, the mentioned list was filled by using the patients’ comments, and the collected data was analyzed by SPSS software version 16 with calculating the Pearson correlation coefficient and α2. The study showed that there was a significant relationship between the application of communication skills in the five areas of verbal, body language, effective communicating, establishment, patient privacy and patient participation, except for eye communication of the physician with patients’ satisfaction (P-value < 0.05). Using the communication skills by physicians is associated with patients’ satisfaction, and it is the cause of increasing the acceptance of the physician by the patient. Therefore, it is suggested that the opportunity to improve the communication skills should be provided in addition to clinical skills in continuing education programs for the medical community.

The satisfaction of service recipients is an important subject in health care evaluation and its analysis can be used in development and enhancement of acceptable activities or promote weak programs to a suitable range. In this study, the level of satisfaction in service recipients of health centers with family physician program in Northern provinces of Iran was evaluated. This study was cross-sectional descriptive-analytic performed during 2008 in rural regions and towns with an under 20000 population in Northern provinces of Iran. For sampling, at first 20% of health centers in which family physician program was doing were selected by chance (108 centers by Randomized systematic selection). In each center 7-10 service recipients (1057 persons) were interviewed and filled out a questionnaire. Data were analyzed by Chi-square, Fisher's Exact and Kendall's Test in SPSS. In this survey 709(66%) of interviewed individuals were female and 346 (34%) were male. The mean age was 37.6 years. There was no significant relationship between sex and the level of satisfaction, but age had significant relationship. The most of recipients (32.5%) could read and write and were passed primary school. The level of education and total satisfaction had reverse significant relationship. There was a significant relationship between type of assurance and the level of satisfaction. The level of satisfaction showed significant difference in different Universities. There was no significant relationship between location of house and job and the level of satisfaction. In general, the level of satisfaction in recipients was good, therefore managers of health centers should save the present situation although notification to needs and demands and improvement of services is essential.