Family physician model in the health system of selected countries: A comparative study summary
نویسندگان
1 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
3 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
4 Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
doi
چکیده
BACKGROUND: In the 21st century, with the epidemiological and demographic transition andthe changing nature of diseases and the increase in the burden of chronic diseases, the need tostrengthen primary health care and the development of the family medical program as a strategy isfelt significantly.AIM: The purpose of this study is to compare the model of implementation of family physicianprogram (FPP) in the United States, England, Germany, Singapore, Turkey, Egypt, and Iran.MATERIALS AND METHODS: This is a comparative study that examines the model of familyphysician implementation in selected countries. Data for each country were gathered from thevalid databases, were compared according to the comparative table, and analyzed by a frameworkapproach. In order to assure the validity of data, the researchers referred to the websites of theselected nations’ Ministry of Health and also cross‑checked the findings with reports published bythe World Health Organization.RESULTS: In this study, we used the Control Knobs framework to compare countries’ FPPs becausethe framework can demonstrate all necessary features of national health system programs. Thisframework includes governance and organization, regulation, financing, payment, and behaviorin each country. The results of this study show that although the principles of FPP in the selectedcountries are almost common, they use different methods in FPP implementation.CONCLUSIONS: As the success of any policy depends on the political, economic, social, andcultural context of each country, considering these factors and reinforcing each of the control knobsare critical to the success of the family physician’s policy implementation.
