Family Medicine Program in Iran: SWOT Analysis and TOWS Matrix Model

  • Hossein DARGAHI Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Ali DARRUDI Department of Health Care Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Rostam ZALVAND Department of Health Care Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Keywords: Family medicine program; SWOT analysis; TOWS matrix strategy; Attending physicians; Iran

Abstract

Abstract Background: We aimed to determine strength, weakness, opportunities and threats analysis and intended to present strengths, weaknesses, opportunities and threats matrix model for appropriate implementation of Family medicine program in Iran. Methods: This was a descriptive-analytical and cross-sectional study. All attending physicians in 30 health care centers of Tehran University of Medical Sciences, Tehran, Iran were asked to present and prioritized their views about strengths, weaknesses, opportunities, and threats factors of family medicine program in Iran in 2015. Then, the prioritization of these factors was showed by weighted score of each factor. Finally, the respondents determined four groups of TOWS model including SO, ST, WO, and WT strategy for development of family medicine in Iran. Results: Totally, the respondents expressed 44 factors as strengths, weaknesses, opportunities, and threats of family medicine program and prioritized these factors and suggested 30 TOWS matrix strategy for efficient implementation of this program. Conclusion: There were many internal and external factors that impress the implementation of family medicine program. There is a gap between the ideal and the current situation of this program. We suggest the health care system policy makers notice the TOWS matrix strategies determined for improvement of family medicine program in Iran.      Keywords: Family medicine program; SWOT analysis; TOWS matrix strategy; Attending physicians; Iran  

References

1. Asadi S (2014). Family physician assessment implementation based on the model (SWOT) in Iran. The Journal of Medical Educa-tion and Development, 6(2): 72-7.
2. Pederson KM, Anderson JS, Sondergaard J (2012). General Practice and Primary health Care in Denmark. J Am Board Fam Med, 25: S34-38.
3. Starfield B, Shi L, Macinko (2005). Contribu-tion of primary care to health systems and health. Milbank Q, 83(3): 453-502.
4. Gill JM, Bagley B (2013). Practice transfor-mation? Opportunities and costs for primary care practices. Ann Fam Med, 11(3): 202-54.
5. Sinsky CA, Willard-Grace R, Sehutzbank AM et al (2013). In search of joy in prac-tice: a report of 23 high-functioning pri-mary care practices. Ann Fam Med; 11(3): 272-8.
6. Donahne K, Newton WP, Lefebvre A, Ple-scia M (2013). Natural history of practice transformation: development and initial testing of an outcomes-based model. Ann Fam Med, 11(3): 212-19.
7. Shaw K, Ohman-Strickland PA, Piasecki A et al (2013). Effects of facilitated team meeting and learning collaborative on colorectal cancer screening rates in prima-ry care practices: a cluster randomized tri-al. Ann Fam Med, 11(3): 220-28.
8. Culler SD, Parchman ML, Lozano-Romero R (2013). Cost estimates for operating a primary care practice facilitation program. Ann Fam Med, 11(3): 207-11.
9. Ismaeili R, Hadian M, Rashidian A, Ghaderi H (2014). Family medicine in Iran: facing the health system challenges. Glob J Health Sci, 7(3):260-6.
10. Wun Y, Lam TP, Lam K, Goldberg D, Li D, Yip K (2011). Introducing family medicine in a pluralistic health care sys-tem: how patients and doctors see it. Fam Pract, 28(1): 49-55.
11. Beasley JW, Hankey TH, Erickson R et al (2004). How many problems do family physicians manage at each encounter? A WReN Study. Ann Fam Med, 2(5): 405-10.
12. Lankarani KB, Alavian SM, Haghdust AA (2010). Family medicine in Iran: success despite challenges. Lancet, 376(9752): 1540-41.
13. Takian A (2009). Implementation of family medicine in Iran: identification of facilita-tors and obstacles. Ph.D Thesis, London School of Hygiene & Tropical Medicine. Doi: 10.17037/PuBS.00878723.
14. Shalileh K, Mahanian A (2010). Family phy-sicians′ satisfaction in Iran: a long path ahead. Lancet, 376(9740): 515.
15. Amiri M, Raei M, Chaman R, Nasiri E (2012). Family physician: the mutual satis-faction of physicians and health care team members. RJMS, 18(92): 23-30.
16. Majdzadeh R (2012). Family physicians im-plementation and preventive medicine: opportunities and challenges. IJPM, 3(10): 665-69.
17. Majiidi A, Noori N, Shahandeh KW, Jam-shidi E, Majdzadeh R (2014). Are people in Tehran prepared for the family physi-cian prpgram? IJPM, 5(8): 984-91.
18. LeBaron SWM, Schultz SH (2005). Family medicine in Iran: the birth of a new spe-cialty. Fam Med, 37(7): 502-5.
19. Khayatzadeh-Mahani A, Takian A (2014). Family physician program in Iran: con-siderations for adapting the policy in ur-ban setting. Arch Iran Med, 17(11): 776-78.
20. Monograph on the Internet: Anonymous (2012). Operational guide for family phy-sician project implementation. Version 2. Ministry of Health, Tehran, Iran, PP.: 1-14.
21. Allender S, Cavill N, Parker M, Foster C (2009). Tell us something we don′ t al-ready know or do! - the response of planning and transport professionals to public health guidance on the built envi-ronment and physical activity. J Public Health Policy, 30(1): 102-16.
22. Crabtree BF, Miller WL, Tallia AF, Cohen DJ, Bloom BD, Mcllvaia HE et al (2005). Delivery of clinical preventive services in family medicine offices. Ann Fam Med, 3(5): 430-35.
23. Monograph on the Internet: Anonymous (2016). SWOT analysis: Discover new opportunities, manage and eliminate threats. Mindtools: essential skills for an excellent career. www.mindtools.com
24. Monograph on the Internet: Anonymous (2017). SWOT: the high-level self exam that boosts your button line. Healthcare Success. Available from: www.healthcaresuccess.com
25. Monograph on the Internet: Anonymous (2017). The TOWS matrix: putting a SWOT analysis into action. Available from: www.volunteerhub.com
26. Proctor T (2000). Strategic marketing man-agement for health management: cross impact matrix and TOWS. J Manag Med, 14(1): 47-56.
27. Dargahi H, Darrudi AR (2019). Performance assessment of health care centers in South Tehran Health Network. Manage Strat Health Syst, 3(4): 267-75.
28. Shariati M, Moghimi D, Rahbar MR et al (2014). Family medicine in health care system map of Islamic Republic of Iran 1404. Health Care Research National In-stitute, Ministry of Health, Tehran, Iran, PP:.1-25.
29. Hajinejad A, Eslamfard F (2013). Formulat-ing strategies for the development of treatment tourism in Shiraz, Iran using a strategic planning approach. JRUMS, 12(8): 641-54 .
30. Jannati A, Maleki M, Gholizadeh M, Nari-mani M, Vakkili S (2010). Assessing the strategies & weaknesses of family medi-cine program. Journal of Knowledge & Health, 38(4): 22-35.
31. Nasrollahpour Shirvani M, Ashrafian Amiri H, Motlagh M et al (2010). Evaluation of function of referral system in family phy-sician program in Northern Province of Iran. Journal of Babol University of Medical Sci-ences, 11(6): 46-52.
32. Managheb SE, Jafarian J, Firouzi H (2007). The effect of communication skills train-ing based on Calgary-Cambridge guide-line on knowledge, attitude and practice of family physicians of Jahrom University of Medical Sciences. Pars Journal of Medical Sciences, 6(16): 74-85.
33. Raeissi P, Ghorbani A, Tabarraie Y (2012). Factors determining satisfaction with family practitioners program from the perspective of rural insurance card hold-ers affiliated with Sabzewar University of Medical Sciences. Journal of Health Admin-istration, 15(49): 69-76.
34. Takian A, Rashidian A, Kabir MJ (2010). Expediency and coincidence in re-engineering health system: an interpretive approach to formation of family medi-cine in Iran. Health Policy Plan, 26(2): 163-73.
35. Gene-Badia J, Ascaso C, Escaramis Babiano G et al (2007). Personalized care, access, quality and team coordination are the main dimensions of family medicine out-put. Family Practice, 24(1): 71-47.
36. Dieleman M, Cuong PV, Anh LV, Marti-neau T (2003). Identifying factors for job motivation of rural health workers in North Vietnam. Hum Resour Health, 1(1): 10.
37. Mehralhasani MH, Jafari Syrizi M, Pourhos-seini SS, Yazdi Feyzabadi V (2013). Per-formance challenges of family medicine policy and rural insurance in Kerman Province of Iran. Health and Development Journal, 1(3): 16-25.
38. Nasiripour A, Motaghi M, Navvabi N (2014). The performance of referral sys-tem from the perspective of family physi-cians of Kashan University of Medical Sciences 2007-2012. Journal of Health Pro-motion Management, 3(3): 58-68.
39. Monograph on the Internet: Anonymous (2017). SWOT: the high-level self exam that boosts your button line. Healthcare Success. www.healthcaresuccess.com
40. Monograph on the Internet: Anonymous (2017). The TOWS matrix: putting a SWOT analysis into action. www.volunteerhub.com
Published
2019-06-03
How to Cite
1.
DARGAHI H, DARRUDI A, ZALVAND R. Family Medicine Program in Iran: SWOT Analysis and TOWS Matrix Model. Iran J Public Health. 48(6):1140-1148.
Section
Original Article(s)