System Based Practice in Iran: A Qualitative Research

Systems-based practice (SBP) is one of the six competencies introduced to assess the competency of physicians in America. In this study, we aimed to define the characteristics of SBP for general practitioners in Iran using content analysis in order to gain maximum qualitative data.
A qualitative content analysis was conducted and the units of analysis were ministry documents, interviews with four managers, one expert and five general and family physicians. Inductive analysis process was mainly performed by open coding, abstraction, categorization, and definign themes using the iterative method.
65 codes were placed in 16 sub-categories and 7 categories. Three themes emerged: Effective role playing in inter-professional team, balanced decision between patient needs and system goals, and acting
for system improvement. These themes were accompanied by meaning units that clarified their meaning.
The exact definition of these themes in Iran could facilitate SBP training as well as evaluation.