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
The aim of our study was to investigate the effect of coping strategies, personality trait and social support as the main social and psychological factors on infertility stress. This study was conducted on 201 infertile Iranian women referred to the Vali-e-Asr Reproductive health Research Center, and completed the following questionnaires: The fertility problem inventory, measuring perceived infertility related stress [Newton CR, 1999], big five factor personality questionnaire [Farahani, 2009], multidimensional scale of perceived social support MSPS [Zimmet 1988], and multidimensional assessment of coping [Endler, 1990].The results were then analyzed using the Pearson Correlation and stepwise regression. Infertility stress has negative and significant relation with emotion-oriented coping method, perceived social support and bring extrovert. It has a positive, significant relation with emotion-oriented coping method, obsessive compulsive disorder [OCD]. The results of the stepwise regression showed that emotion-oriented coping method, OCD and being extrovert are suitable predictors of infertility stress. About 22% of the infertility stress variance was explained by coping strategies and personality trait. Therefore our result demonstrates the importance of social and psychological factors on experiencing the infertility stress