Iranian Journal of Public Health 2017. 46(5):585-590.

Which Health Cares Are Related to the Family Physician? A Crit-ical Interpretive Synthesis of Literature
Shahram YAZDANI, Maryam AKBARILAKEH

Abstract


Background: This study provided the theoretical basis for program development through a new conceptualization of the concept of family physician related health care.

Methods: Critical interpretive synthesis (CIS) was used to carry out qualitative analysis and synthesis of the literature from 2006 until 2015. At the beginning of CIS, the search strategy was designed to access electronic databases such as CINAHL, Medline, Cochrane library, PsycINFO, Embase, EBMreviews, and Thomson scientific web of science database. The main review question was the clarification of the health care related to family physician in health system, which produced over related 750 articles; 60 articles related to the research objective were studied by purposive sampling. After identifying the main categories and sub-categories, synthesis of the contradictory findings in different studies was conducted. New concepts and relationships between concepts were created using CIS of documentation related to the place of family physician in health system.

Results: To define the original position of family physician in health system, clarify its related health care and determine its boundaries from other health care providers, and its use in the design and development of family physician’s educational program, a frame of concepts related to the main concept and question was created. A more useful means of understanding family physician is offered by the synthetic constructs of this framework.

Conclusion: The theoretical conceptualization of family physician position and duties in the health system can be an appropriate guide for educational program and curricula in our context.

 


Keywords


Family practice; Family physician educational program; Iran

Full Text:

PDF

References


Claus V (2013). "On Living a Long, Healthy, and Happy Life, Full of Love, and with no Regrets, until Our Last Breath". Interview; Online publisher: 18. November 2013, Verhaltenstherapie, 23: 287–289.

Jadad AR, O'Grady L (2008). "How should health be defined?” BMJ, Dec 10: 337:a2900.

Starfield B, Shi L (2002). Policy relevant determinants of health: an international perspective. Health Policy, 60(3): 201-18.

Kutzin J (2013). Health financing for universal coverage and health system performance: concepts and implications for policy. Bulletin of the World Health Organization, 91: 602-611.

Shi L, Macinko J, Starfield B, Wulu J, Regan J, Politzer R (2003). The relationship between primary care, income inequality, and mortality in the United States, 1980–1995. J Am Board Fam Pract, 16: 412–422.

Dixon-Woods M, Bonas S, Booth A et al (2006). How can systematic reviews incorporate qualitative research? A critical perspective. Qualitative Research, 6 (1):27-44.

Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A (2005). Synthesizing qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy, 10 (1): 45–53.

Yazdani S, AkbariLakeh M, Ahmady S, Foroutan S. A, Afshar L (2015). Concept Analysis: Value Based Curriculum. Biosci Biotech Res Asia, 12(spl.edn.1).

Yazdani S, Akbari lake M, Ahmady S, Forootan A, Afshar L (2015). Critical Interpretive Synthesis of the Concept of Value in Medical Education. Res Dev Med Edu, 4(1):31–4.

Franks P, Fiscella K (1998). Primary care physicians and specialists as personal physicians. Health care expenditures and mortality experience. J Fam Pract, 47: 105-109.

Pasarín MI, Berra S, González A, Segura A, Tebé C, García-Altés A, Vallverdú I, Starfield B. (2013). Evaluation of primary care: The "Primary Care Assessment Tools - Facility version" for the Spanish health system. Gac Sanit, 27(1):12–18.

Weinick RM, Krauss NA (2000). Racial/ethnic differences in children’s access to care. Am J Public Health, 90 (11):1771-4.

Forrest CB, Starfi eld B (1998). Entry into primary care and continuity: the effects of access. Am J Public Health, 88(9):1330-6.

Christakis DA, Wright JA, Zimmerman FJ, Bassett AL, Connell FA (2003). Continuity of Care Is Associated With Well-Coordinated Care. Ambul Pediatr, 3(2):82-6.

Weinberger M, Oddone EZ, Henderson WG (1996). Does increased access to primary care reduce hospital readmissions? For The Veterans Affairs Cooperative Study Group on Primary Care and Hospital Readmission. N Engl J Med, 30; 334(22):1441-7.

Jatrana S1, Crampton P (2009).Primary health care in New Zealand: who has access? Health Policy, 93(1):1-10.

Morgan ED, Pasquarella M, Holman JR (2004).Continuity of Care and Patient Satisfaction in a Family Practice Clinic. J Am Board Fam Pract, 17(5):341-6.

Woodward CA, Abelson J, Tedford S, Hutchison B (2004). What is important to continuity in home care? Perspectives of key stakeholders. Soc Sci Med, 58(1):177-92.

Gill JM, Mainous AG 3rd, Nsereko M (2000). The effect of continuity of care on emergency department use. Arch Fam Med, 9(4):333-8.

Rothwell PM (2005). Treating individuals 2. Subgroup analysis in randomised controlled trials: importance, indications, and interpretation. Lancet, 8-14; 365(9454):176-86.

Kravitz RL, Duan N, Braslow J (2004). Evi-dence-based medicine, heterogeneity of treatment effects, and the trouble with averages. Milbank Q, 82(4):661-87.

Oleszczyk M, Svab I, Seifert B, Krztoń-Królewiecka A, Windak A (2012). Family medicine in post-communist Europe needs a boost. Exploring the position of family medicine in healthcare systems of Central and Eastern Europe and Russia. BMC Fam Pract, 12;13:15.

Osman H, Romani M, Hlais S (2011). Family Medicine in Arab Countries. Fam Med,43(1):37-42.

Nothnagle M, Sicilia JM, Forman S et al; STFM Group on Hospital Medicine and Procedural Training (2008). Required Procedural Training in Family Medicine Residency: A Consensus Statement. Fam Med, 40(4):248-52.

Kelly BF, Sicilia JM, Forman S, Ellert W, Nothnagle M (2009). Advanced Procedural Training in Family Medicine: A Group Consensus Statement. Fam Med, 41(6):398-404.


Refbacks

  • There are currently no refbacks.


Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.