Abstract
Background:In response to the current fragmented context of health systems, it is essential to support the revitalization of primary health care in order to provide a stronger sense of direction and integrity. Around the world, family medicine recognized as a core discipline for strengthening primary health care setting.Objective:This study aimed to understand the perspectives of policy makers and decision makers of Iran’s health system about the implementation of family medicine in Iran urban areas.Materials/Patients and Methods:This study is a qualitative study with framework analysis. Purposive semi-structured interviews were conducted with Policy and decision makers in the five main organizations of Iran health care system. The codes were extracted using inductive and deductive methods.Results:According to 27 semi-structured interviews were conducted with Policy and decision makers, three main themes and 8 subthemes extracted, including: The development of referral system, better access to health care and the management of chronic diseases.Conclusion:Family medicine is a viable means for a series of crucial reforms in the face of the current challenges of health system. Implementation of family medicine can strengthen the PHC model in Iran urban areas. Attempting to create a general consensus among various stakeholders is essential for effective implementation of the project.
Highlights
Thirty seven years after the Alma Ata Declaration, policy-makers come to believe more and more that it is essential to support the revitalization of primary health care (PHC) in order to restore more sense of direction and integrity in the current fragmented context of health systems
According to 27 semi-structured interviews were conducted with Policy and decision makers, three main themes and 8 subthemes extracted, including: The development of referral system, better access to health care and the management of chronic diseases
Family medicine is a viable means for a series of crucial reforms in the face of the current challenges of health system
Summary
Thirty seven years after the Alma Ata Declaration, policy-makers come to believe more and more that it is essential to support the revitalization of primary health care (PHC) in order to restore more sense of direction and integrity in the current fragmented context of health systems. They believe investing in PHC-based reforms lead to the sustainable development of health system and leads to the achievement of better and more rationally distributed outcomes (WHO, 2008). Family medicine recognized as a core discipline for strengthening primary health care setting
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