ABSTRACT
@#Background and objective: A successful family physician program needs ongoing and full cooperation between people and the organizations in charge. Ensuring the satisfaction of family physicians through improvement of the underlying factors could motivate them to provide high-quality services. This study aimed to determine the family physicians’ satisfaction level with the factors affecting the dynamism of the urban family physicians program in the Fars and Mazandaran provinces of Iran. Method: This cross-sectional study was carried out in urban areas in the Fars and Mazandaran provinces in 2016. The sample consisted of 143 and 96 family physicians, respectively, in Fars and Mazandaran provinces and was selected using the stratified random sampling method. Data were collected using a questionnaire and included both sociodemographic variables and factors assessing the family physicians’ satisfaction levels. Each factor was scored based on a Likert scale from 0 to 5 points, and any satisfaction level higher than 3 out of 5 was equated with being satisfied. Results: The overall satisfaction levels among family physicians in Fars and Mazandaran provinces were 2.77±0.53 and 3.37±0.56, respectively, revealing a statistically significant difference between provinces (p<0.001). Moreover, the mean satisfaction scores for the performances of healthcare centers, insurance companies, specialists, healthcare workers, and the population covered were 2.78±0.1, 2.54±0.9, 2.52±0.8, 4.24±0.07, and 2.96±0.8, respectively. The family physicians’ levels of satisfaction were significantly correlated with population size (p=0.02, r= -0.106), and willingness to stay in an urban family physician program (p<0.001, r= +0.398). Conclusion: This study revealed that family physicians exhibited a low level of satisfaction with the urban family physician program. Given the direct association between family physicians’ satisfaction levels and retention in the program, it is expected that family physicians will no longer stay in the program, and it is likely to have subsequent executive problems.
ABSTRACT
Introduction: Electronic health record is electronic data of [entire life of a person] registered by healthcare providers and shared in different health centers. The electronic health record has been announced to all medical universities of the country since 2015 by launching the Integrated Health System [SIB]. This study aimed to determine the satisfaction of urban family physicians and health care providers in Fars and Mazandaran provinces from SIB
Methods: This cross-sectional study was conducted in the winter of 2016 on urban family physicians and health care providers who were selected by systematic random sampling. Data collection tool was a researcher-made questionnaire consisting of 2 parts: demographic variables with 8 open and closed questions and satisfaction with 8 closed questions on Likert scale. The validity and reliability of the questionnaire were confirmed.
Results: The total number of 464 participants included 236 [50.9 percent] physicians and 228 [49.1 percent] health care providers. From these, 273[58.8 percent] were employed in Fars province and 191[41.2 percent] in Mazandaran province. The majority of participants [65.5 percent] were women. mean score of satisfaction of SIB [from 5 points] in general was 2.94+/-0.8, and it was 2.89+/-0.8 in the Fars and 3.03+/-0.7 in the Mazandaran provinces. Mean score of satisfaction was 2.75+/-0.7 in urban family physicians and 3.04+/-0.8 in health care providers. Satisfaction level showed significant difference based on participants' type of occupation [P=0.0001] and province [P=0.122]
Conclusion: The results showed that the satisfaction of employees was lower than the average level. It is recommended to redesign the structure of SIB more consistent with the needs of employees and with a user-oriented approach