Presenting a quaternary prevention model for the rural family physician program in Iran with an interpretive structural modeling approach

Rahil GhorbaniNia; Somayeh Noori Hekmat; Reza Dehnavieh; Kambiz Bahaadinbeigy; Morteza Arab-Zozani

doi:10.4103/ijpvm.ijpvm_116_22

Users Online: 1841

ORIGINAL ARTICLE

Year : 2023 | Volume : 14 | Issue : 1 | Page : 108

Presenting a quaternary prevention model for the rural family physician program in Iran with an interpretive structural modeling approach

Rahil GhorbaniNia¹, Somayeh Noori Hekmat², Reza Dehnavieh³, Kambiz Bahaadinbeigy⁴, Morteza Arab-Zozani⁵
¹ Faculty of Management and Medical Information Sciences, Department of Health Management and Policy and Economics, Kerman, Iran
² Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
³ Health Foresight and Innovation Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
⁴ Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
⁵ Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran

Correspondence Address:
Somayeh Noori Hekmat
Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman
Iran

Source of Support: None, Conflict of Interest: None

Check

DOI: 10.4103/ijpvm.ijpvm_116_22

Background: Due to its ethical approach and its protection of patients and their interests, quaternary prevention can increase the quality-of-service provision and decrease costs and the wastage of resources. The present study used interpretive structural modeling (ISM) to classify the effective factors and determine a quaternary prevention model for Iran's Rural Family Physician Program. Methods: This study was a qualitative study with an ISM approach. Twenty-five health system experts and faculty members participated in the study. The interrelationships between the factors were determined using ISM, and after classification, the driving and dependence power of the factors were specified using MICMAC analysis. Results: The 20 factors were classified into five levels. The results indicated that patient interest and vulnerable groups had the highest effectiveness, and officials' and policymakers' commitment to providing serious support for family physicians had the highest affectability. The factors were placed into the two groups of linkage and dependence based on the MICMAC analysis. Conclusions: The new technologies are costly and sometimes only suitable for a specific group of patients. Costs and the issues of induced demand and defensive medicine necessitate a different view of health service distribution. The preventive and strategic view and the comprehensiveness of family physician services make quaternary prevention possible by providing high-risk and vulnerable groups with essential services based on patient needs and conditions with more benefit than harm.

[FULL TEXT] [PDF]*

Table of Contents

Similar in PUBMED

Search Pubmed for

Search in Google Scholar for

Related articles

Citation Manager

Access Statistics

Reader Comments

Email Alert *

Add to My List *

* Requires registration (Free)

Article Access Statistics

Viewed	276

Printed	38

Emailed	0

PDF Downloaded	47

Comments	[Add]