Monitoring Performance of Family Physicians in Yazd

The goal of health system reform in Iran is embarking on a series of continued changes for improving efficiency, fixing justice for people's use of health services, protecting people against financing dangers due to disease, and reforming payment system. Family physician program is selected as the base of health system reform. For this cross- sectional study (in 1387), 36 family physicians were selected. Data gathering was done through a standard questionnaire provided by ministry of health and medical education (including 5 aspects: management, performance, contract & guideline, social cooperation and results). Chi-square test and descriptive tables were used to analyze the data through SPSS software 11.5. The study of the average score of the cities, job level and work record in 5 aspects indicated that Abarkouh (99.48), heads of centers (91.68), and physicians with job background between 10-20 months (97.73)had the best performance, while Mehriz (85.38), public physicians (90.16), physicians with job background of lower than 10 months (86.73) had the worst performance.There was a significant difference between work city and family physician's scores in social cooperation. The findings showed the necessity of documenting and prioritizing the whole area problems and inadequacies of centers, observance of the referral system according to standards of state and country by physicians, creating electronic health folder for the whole dependent population, increasing communication between health team, people and state attendant, making use of people participation, solving livelihood problems of health team members and paying their salary and benefits on time,...