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Journal of Health Sciences and Surveillance System، جلد ۱۱، شماره ۴، صفحات ۷۵۰-۷۵۹
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عنوان انگلیسی Implementing Quaternary Prevention Using the Rural Family Physician Program in Iran: Grounded Theory
چکیده انگلیسی مقاله Background: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system.Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and experts, were selected by purposive and theoretical sampling using the snowball approach until data saturation. The data were collected through semi-structured interviews. The interviews took 20 to 60 minutes each, based on the circumstances and the participant’s willingness to continue. Data analysis was performed along with data collection by Strauss and Corbin’s constant comparative analysis. Using Lincoln and Guba criteria, the accuracy and strength of this research were confirmed.Results: The dimensions model of quaternary prevention using family physicians in Iran were specified in six axial categories: causal conditions, contextual conditions, intervening conditions, strategies, and outcomes. The phenomenon was the promotion of quaternary prevention, including defining quaternary prevention, family physicians, the philosophy of quaternary prevention, and the philosophy of family physicians—social, political, economic, cultural, and technological conditions as contextual and intervening conditions. Causal conditions were doctors, patients, and the health system. Two main strategies were intersectoral administration and intra-sectoral governance. Outcomes included efficiency and the provision of security for society.Conclusion: For quaternary prevention promotion and to offer ethically and rationally acceptable scientific services to the people, it is necessary to promote the position of the family physician as the primary implementer of quaternary prevention in healthcare. Getting to the PHC umbrella is achieved through intra-sectoral leadership and inter-sectoral governance, which supports the patient and reduces unnecessary care.
کلیدواژه‌های انگلیسی مقاله Family physician, Grounded theory, Quaternary prevention, Qualitative research
نویسندگان مقاله Rahil Ghorbani Nia |
Department of Health Management and Policy and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran

Somayeh NooriHekmat |
Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Reza Dehnavieh |
Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Kambiz BahaadinBeigi |
Medical Informatics Research Center, Kerman University of Medical Sciences, Kerman, Iran

Morteza Arab-Zozani |
Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran

نشانی اینترنتی https://jhsss.sums.ac.ir/article_49624_74c145355dc068872563223a6c6ee1ec.pdf
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