Abstract

<p>Equitable access to primary health care is an indispensable right and a basic need of all human beings. Currently, the development of any society is judged based on the level of public access to primary health care services. This comparative study attempted to examine the fairness accessibility of people in Sistan to health care services through Family Physician Program 2015.</p><p>This was a descriptive, analytical research focusing on the level of equitable public access to primary health care in Sistan. Samples were taken from all the service-providing centers. Data were collected through HNIS software, network management center to analyze the gathered data. The results showed that prior to the implementation of the family doctor plan (before 2005), there was a doctor for every 9545 people, a midwife for every 10,000 people and one paramedic for 1,111 people. After beginning the family doctor plan, the figures showed that there was one doctor or MD for every 3387 people and one midwife for every 2916 people, and one health worker for every 549 rural residents. The implementation of the family physician program was an opportunity for the health system in Sistan region, where the appropriate resources management and equitable distribution of health care services throughout the region could facilitate accessibility to identical services.</p>

Highlights

  • A family doctor holds at least a Doctorate of Medicine (M.D) in medical professions as well as a valid certification

  • The results showed that before the family doctor plan there has been a physician for every 9545 people, one midwife for every 10,000 people and one paramedic per 1,111 people

  • The coverage or the availability of primary health care services, including home health care, urban health centers, rural health centers, and non-annex health centers were 84.3% before Family Physician Program (FPP), while after the start of the plan, the statistics revealed a doctor for every 3387 people, one midwife per 2916 people, and a rural health worker for every 549 people

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Summary

Introduction

A family doctor holds at least a Doctorate of Medicine (M.D) in medical professions as well as a valid certification. The care services differ from those of other professional groups, since it serves to evaluate the public assess to services, efforts to establish justice in the enjoyment of health facilities, effort to respond to the needs of society, regardless of the financial, economic, gender, race and other conditions. He has a duty to assess the living conditions of target groups and curtail the health risk factors through top priority (Takian, 2015)

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