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

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