Effective factors on the utilization of health population covered by the urban family physician program in Iran

authors:

avatar Mohammad Javad Kabir , avatar Hassan Ashrafian Amiri , avatar Seyed Mozafar Rabiee , avatar Kourosh Farzin , avatar Zara Hassanzadeh-Rostami , avatar Seiyed Davoud Nasrollahpour Shirvani , * , avatar Bita Sanghestani

Koomesh: Vol.22, issue 1; 130-137
published online: March 01, 2020
article type: Research Article
received: May 02, 2018
accepted: August 01, 2019

how to cite: Kabir M J, Ashrafian Amiri H, Rabiee S M, Farzin K, Hassanzadeh-Rostami Z, et al. Effective factors on the utilization of health population covered by the urban family physician program in Iran. koomesh. 2020;22(1):e153159. 

Abstract

Introduction: The urban family physician program for increase the utilization of health services has been implemented in Fars and Mazandaran provinces since 2012. In this way, this study aimed to determine the benefit level for population covered by the urban family physician program in Iran. Materials and Methods: This cross-sectional study was conducted in 2017. Participants on the households covered by the urban family physician program were selected by random cluster sampling. The data collection tool was a researcher-made questionnaire consisting of 2 parts: individual variables and benefit level of health services with 33 open and closed questions its validity and reliability were confirmed. Results: Among 1768 households with a population of 5628 people, 5521(98.1%) had one type of basic insurance. 0.31% of the people who had supplementary insurance. The average time between the home and the work place for the family physician was 18.6±18.9 minutes on foot and 5.7±5.1 by car. Correspondingly, 75.8% of those who had basic insurance were visited at least once by their family physician. The average family physician visits for participants over 15 years old was 5.14 times per year. Factors such as health records, household size, supplementary insurance, illness, education, occupation, physician replacement, availability time, and familiarity with the Family Physician Program were effective in terms of coverage of the affected population with a meaningful level (P

References

  • 1.

    Mc Laughlin C, Wyszewianski L. Access to care: remembering old lessons. Health Serv Res 2002; 37: 1441-1443.

  • 2.

    Bahri N, Arabnejad BA, Bahri N, Eshaghi F, Fathi Najafi T, Larki M. Objective structured clinical evaluation for assessment of the quality of practice of health practitioners during preconception, prenatal and postnatal cares. Koomesh 2015; 17: 45-53. (Persian).

  • 3.

    Wang SY, Chen LK, Hsu S, Wang SC. Health care utilization and health outcomes: a population study of Taiwan. Health Policy Plan 2012; 27: 590-599.

  • 4.

    Al-Abri R, Al-Balushi A. Patient satisfaction survey as a tool towards quality improvement. Oman Med J 2014; 29: 3-7.

  • 5.

    Ghadamgahi HB, Norouzi K, Mohammadi F, jandaqhi J. Status and determinants of health services utilization among elderly rural habitants in the Iranian population. Koomesh 2018; 20: 779-785. (Persian).

  • 6.

    Kurspahi-Muji A, Muji A. Preventive health services utilization in patients treated by family physicians. Med Glas (Zenica) 2019; 16: 10.17392/1027-19.

  • 7.

    Abate AT, Ayisa AA, W/Mariam TG. Reproductive health services utilization and its associated factors among secondary school youths in woreta town, south gondar, North west ethiopia: a cross sectional study. BMC Res Notes 2019; 12: 10.1186/s13104-019-4129-z.

  • 8.

    Nasrollahpour Shirvani SD, Mikanik E, Ashrafian Amiri H, Kabir MJ, Jafari N, Tahmasbi B, et al. Evaluation of the referral system situation in family physician program in northern provinces of Iran: 2012-2013. J Mazandaran Univ Med Sci 2014; 23: 27-35. (Persian).

  • 9.

    Damari B, Vosough Moghaddam A, Rostami Gooran N, Kabir MJ. Evaluation of the urban family physician and referral system program in Fars and Mazandran provinces: history, achievements, challenges and solutions. J School Public Health Institut Public Health Res 2016; 14: 17-38. (Persian).

  • 10.

    Ali Akbari Saba R, Safakish M. Utilization of health services in the Iran. J Statistics 2015; 16: 9-14. (Persian).

  • 11.

    Motlagh ME, Torkestani F, Nasrollahpour Shirvani SD, Ashrafian Amiri H, Rabiee SM, Radpooyan L, Assessment of prenatal and postnatalcare in the first level of network system of Iran: 2015. Esfahan Padideh Gooya 2016. (Persian).

  • 12.

    Nooraiee Motlagh S, Saber Mahani A, Barooni M, Asadi Lari M, Vaez Mahdavi MR, Hadian M. Determining Factors related to health services utilization. RJMS 2015; 21: 61-72. (Persian).

  • 13.

    Ebadi Fard Azar F, Rezapour A, Abbasi Broujeni P, safari H, Moeeni Naeeni M. Utilization of health care services in the state of Isfahan. Jhosp 2011; 10: 23-32. (Persian).

  • 14.

    Nasrollahpour Shirvani SD, Kabir MJ, Ashrafian Amiri H, Rabiee SM, keshavarzi A, Kourosh F. Experience of implementation of urban family physician program in Iran. 1st ed. Tehran Health Insurance Organiz Iran 2017. (Persian).

  • 15.

    Lotfi F, Nouraei Motlagh S, Mahdavi G, Keshavarz K, Hadian M, Abolghasem Gorji H. Factors affecting the utilization of outpatient health services and importance of health insurance. Shiraz Med J August 2017; 18: e57570 (Persian).

  • 16.

    Saxena D, Vangani R, Mavalankar DV, Thomsen S. Inequity in maternal health care service utilization in gujarat: analyses of district-level health survey data. Glob Health Action 2013; 6: 1654-9880.

  • 17.

    Agunwa CC, Obi IE, Ndu AC, Omotowo IB, Idoko CA, Umeobieri AK, et al. Determinants of patterns of maternal and child health service utilization in a rural community in south eastern Nigeria. BMC Health Serv Res 2017; 17: 715.

  • 18.

    Ngendo Mwami M, Odhiambo Oleche M. Determinants of utilization of health care services in Kenya. Int J Acad Res Busines Soc Sci 2017; 7: 132-156.

  • 19.

    Saurina C, Vall-Llosera L, Saez M. Factors determining access to and use of primary health care services in the Girona HealthRegion (Spain). Eur J Health Econ 2012; 13: 419-427.

  • 20.

    Liang W, Burner CB, Rowland JH, Mcropot NJ, Eggert H, Hwang YT, et al. Communication between physicians and older women with localized breast cancer: implications for treatment and patient satisfaction. J Clin Oncol 2002; 20: 1008-1016.##https://doi.org/10.1200/JCO.20.4.1008.

  • 21.

    Butow PN, Dowestt S, Hagerty R, Tattersall MH. Communicating prognosis to patients with metastatic disease: what do they really want to know? Support Care Cancer 2002; 10: 161-168.##.