A Survey of University of Medical Sciences’ Administrators and GPs on the Current and Ideal Role of General Practitioners in Iran

AUTHORS

Bijan Geraili 1 , * , F Azizi 2 , S.H Yazdani 3 , A Amini 4 , A Mortazavi 5 , M Hosseinzadeh 6

1 GP,Lorestan University of Medical Sciences and Health Services

2 Professor, Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University (M.C.)

3 Associate professor, Education Development Center, Shahid Beheshti University (M.C.)

4 Assisstant professor, Tabriz university of medical sciences and health services

5 Faculty member, Education Development Center, Shahid Beheshti University (M.C.)

6 Member , Education Development Center, Shahid Beheshti University (M.C.)

How to Cite: Geraili B, Azizi F, Yazdani S, Amini A, Mortazavi A, et al. A Survey of University of Medical Sciences’ Administrators and GPs on the Current and Ideal Role of General Practitioners in Iran, J Med Edu. 2009 ; 13(1 & 2):e105386. doi: 10.22037/jme.v13i1,2.1130.

ARTICLE INFORMATION

Journal of Medical Education: 13 (1 & 2); e105386
Published Online: July 25, 2009
Article Type: Research Article
Received: July 25, 2009
Accepted: July 25, 2009
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Abstract

Background and purpose: roles and tasks of intended graduates direct medical eductionist for developing the right curriculum. In Iran there has been no systematic study on defining GPs roles. This study is an attempt to systematically clarify the roles of GPs in Iran.Methods: In this questionnaire – based survey executive directors of Universities of medicine of Iran and general practitioners participated. The subjects were selected through stratified sampling procedure. A semi-structured questionnaire was developed which covered the goals and functions of health system as mentioned in World Health Report 2000. For content validity a panel of experts including health care professionals, biostatisticians, and psychometrist evaluated the questionnaire. For the reliability of the questionnaire a pilot study was carried out. Chronbach’s coeficient were calculated as 0.89 .The final revision of the questionnaire included 15 roles in current and ideal states. The respondent should score each role in both states in a range of 0-100.Results: Of 94 subjects who received the questionnaire, 71 (80%) completed and returned it. Of all subjects 42.2% were female and 57.8% were male. Of all subjects 25% were faculty members. The subjects believe that in the current state “health care provision” (85.4±18.6) “health center administration” (57.8±24.8), and “leading clinical services and coordinating patients care” (47.6±26.8) are more evident while “fund holding” had the lowest rank(5.0±10.0). They believed that in an ideal national health system physicians should play most of these roles in various extents.Conclusion: The participants believed that GPs should play other roles beyond the clinical care provision to enable health system respond to community needs and expectations. The graduate medical degree should be reformed if the gradates are going to play these new roles.

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  • © 2009, Journal of Medical Education. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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