Reviewing the Challenges of Family Physician Program from the Perspective of Managers and Doctors in North Khorasan province 2017

The family physician program, which was implemented in the country from 2005, was aimed at reforming the health system of the country. The aim of this study was to determine the challenges of rural family physicians from the viewpoint of managers and practitioners working in the North Khorasan province in 1395
This research is a descriptive-analytic study. In this study, a questionnaire was used to determine the challenges of family physician program from the viewpoint of managers and practitioners working, in nine comprehensive planning areas, health insurance system, compensation services, performance evaluation, facilities and amenities, Recruiting and maintaining human resources, information system, culture and financing. The questionnaires were used for all 65 family physician and 86 family physicians from North Khorasan. The findings of this quantitative study were analyzed using descriptive statistics and Chi-square and Mann-Whitney tests at a significant level of 0.05.
The biggest challenge was observed in comprehensive planning (3.79 ± 0.72). Also, Maximum means difference in challenges between director and physicians was in compensation (0.97 ± 0.11).The biggest challenges from the perspective of family doctors was in the areas of compensation (4.01±0.79). The biggest challenges from the perspective of directors were in the areas of finance (3.73±0.77).
Considering that most of the challenges identified in this study are important and approved by managers and physicians. By utilizing the results of this study and similar studies, attention should be paid to the clarity in policy guidelines and memoranda, attention to the motivational needs and educational needs of family physicians, review and improve the methods for collecting environmental information and Evidence-based decision making in order to addresses the issues and challenges of family physician policy.