{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:27:00Z","timestamp":1787840820310,"version":"build-2784847793"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Urban Family Physician Program (UFPP) passed the first ten years of its age in Iran. In this study, we aimed to determine the strengths and challenges of this program from the viewpoints of family physician (FP) teams to address comprehensive evidences and solutions for its improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this qualitative study, using purposeful sampling, 58 members of FP teams from ten cities of Fars province were interviewed. In-depth semistructured phone interviews were performed. The trustworthiness of data was checked using Guba and Lincoln criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Interviewees\u2019 mean years of working in UFPP was 6.9 \u00b1 3.5 years. Themes of challenges included: Inefficient governance, Challenging information system, Fragile financing system, Inefficient service provision, Inefficient Health Workforce, and Inadequate medical products and technologies. Themes of strengths included: Improving governance, Comprehensive information system, Improved quality of service delivery, Improved health workforce conditions, Curbing the costs of health systems, and Capability of application of new technologies. The bulk of views were toward challenges compared with the strengths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>After the first decade of running UFPP and regardless of some contradictory opinions among family physician teams, the challenges of this program outweigh its strengths. These evidences address the need for a fundamental reform in this program.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijpvm.ijpvm_34_24","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T12:00:54Z","timestamp":1745496054000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Scrutinizing the Perspective of Family Physician Teams After the first Decade of Implementation of Urban Family Physician Program: A Thematic Qualitative Study from Iran"],"prefix":"10.4103","volume":"16","author":[{"given":"Behnam","family":"Honarvar","sequence":"first","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamran","family":"Bagheri Lankarani","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Joulaei","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saeed","family":"Shahabi","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milad","family":"Ahmadi Marzaleh","sequence":"additional","affiliation":[{"name":"Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasamin","family":"Kaheni","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niloofar Rambod","family":"Rad","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra Zarei","family":"Jeliani","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"},{"name":"Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh","family":"Shaygani","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"},{"name":"Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majid Najafi","family":"Kalyani","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maedeh","family":"Hajiaghaei","sequence":"additional","affiliation":[{"name":"Shiraz Medical Council, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh Zarei","family":"Jeliani","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran"},{"name":"Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4]]},"reference":[{"key":"R1-20250825","first-page":"665","article-title":"Family physician implementation and preventive medicine;opportunities and challenges","volume":"3","author":"Majdzadeh","year":"2012","journal-title":"Int J Prev Med"},{"key":"R2-20250825","doi-asserted-by":"crossref","first-page":"180","DOI":"10.4103\/2249-4863.141594","article-title":"Role of family medicine education in India's step toward universal health coverage","volume":"3","author":"Rahman","year":"2014","journal-title":"J Family Med Prim Care"},{"key":"R3-20250825","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1093\/fampra\/cmy035","article-title":"The challenges of the family physician policy in Iran:A systematic review and meta-synthesis of qualitative researches","volume":"35","author":"Behzadifar","year":"2018","journal-title":"Family Pract"},{"key":"R4-20250825","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1093\/heapol\/czq036","article-title":"Expediency and coincidence in re-engineering a health system:an interpretive approach to formation of family medicine in Iran","volume":"26","author":"Takian","year":"2011","journal-title":"Health Policy Plan"},{"key":"R5-20250825","first-page":"286","article-title":"Primary health care in Africa:Do family physicians fit in?Br J Gen Pract","volume":"60","author":"De Maeseneer","year":"2010"},{"key":"R6-20250825","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2296-13-32","article-title":"What challenges hamper Kenyan family physicians in pursuing their family medicine mandate?A qualitative study among family physicians and their colleagues","volume":"13","author":"Van der Voort","year":"2012","journal-title":"BMC Fam Pract"},{"key":"R7-20250825","doi-asserted-by":"crossref","first-page":"75","DOI":"10.5114\/fmpcr.2020.92511","article-title":"The Gatekeeper Model:Patient's view on the role of the family physician","volume":"22","author":"Verulava","year":"2020","journal-title":"Fam Med Prim Care Rev"},{"key":"R8-20250825","first-page":"126","article-title":"Evaluating the implementation of family physician program in urban and rural areas of Mazandaran province based on process approach","volume":"22","author":"Abedi","journal-title":"J Babol Univ Med Sci 2020"},{"key":"R9-20250825","first-page":"109","article-title":"Family physician program in Fars province:A Ten-year-old Journey in Iran","volume":"48","author":"Imanieh","year":"2023","journal-title":"Iran J Med Sci"},{"key":"R10-20250825","article-title":"Challenges of implementing family physician program in urban communities:A qualitative study","author":"Hajibadali","year":"2022","journal-title":"Research Square"},{"key":"R11-20250825","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12913-021-07367-3","article-title":"Underlying factors and challenges of implementing the urban family physician program in Iran","volume":"21","author":"Mehrolhassani","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"R12-20250825","first-page":"446","article-title":"Challenges of family physician program in urban areas:A qualitative research","volume":"20","author":"Sarvestani","year":"2017","journal-title":"Arch Iran Med"},{"key":"R13-20250825","doi-asserted-by":"crossref","first-page":"36","DOI":"10.4103\/jehp.jehp_211_18","article-title":"Challenges and strengths of implementing urban family physician program in Fars Province, Iran","volume":"8","author":"Fardid","year":"2019","journal-title":"J Educ Health Promot"},{"key":"R14-20250825","first-page":"3351","article-title":"Doing a thematic analysis:A practical, step-by-step guide for learning and teaching scholars","volume":"9","author":"Maguire","year":"2017","journal-title":"AISHE-J"},{"key":"R16-20250825","first-page":"26","article-title":"Expanding approaches for research:Understanding and using trustworthiness in qualitative research","volume":"44","author":"Stahl","year":"2020","journal-title":"J Dev Educ"},{"key":"R17-20250825","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1001\/jama.2013.281053","volume":"310","year":"2013","journal-title":"JAMA"},{"key":"R18-20250825","first-page":"E232","article-title":"The challenges of urban family physician program over the past decade in Iran:A scoping review and qualitative study with policy-makers","volume":"64","author":"Lankarani","year":"2023","journal-title":"J Prev Med Hyg"},{"key":"R19-20250825","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/2008-7802.173793","article-title":"Satisfaction and dissatisfaction toward urban family physician program:A population based study in Shiraz, Southern Iran","volume":"7","author":"Honarvar","year":"2016","journal-title":"Int J Prev Med"},{"key":"R20-20250825","first-page":"41","article-title":"Five years after implementation of urban family physician program in fars province of Iran:Are people's knowledge and practice satisfactory?Int J Prev Med","volume":"9","author":"Honarvar","year":"2018"},{"key":"R21-20250825","doi-asserted-by":"crossref","first-page":"46","DOI":"10.4103\/2008-7802.158172","article-title":"Knowledge and practice of people toward their rights in urban family physician program:A population-based study in Shiraz, Southern Iran","volume":"6","author":"Honarvar","year":"2015","journal-title":"Int J Prev Med"},{"key":"R22-20250825","first-page":"278","article-title":"Rewards and challenges of family practice:Web-based survey using the Delphi method","volume":"53","author":"Manca","year":"2007","journal-title":"Can Fam Physician"},{"key":"R23-20250825","first-page":"14","article-title":"Practical considerations of \u201cOne Singaporean, One Family Doctor\u201c\u2013Challenges ahead and recommendations","volume":"49","author":"Meng","year":"2023","journal-title":"The Singapore Family Physician"},{"key":"R24-20250825","first-page":"1077","article-title":"Family medicine practice in primary healthcare service delivery in India:Barriers and challenges","volume":"3","author":"Dogra","year":"2016","journal-title":"J Fam Med"},{"key":"R25-20250825","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4102\/phcfm.v11i1.2009","article-title":"Roles and challenges of family physicians in Uganda:A qualitative study","volume":"11","author":"Besigye","year":"2019","journal-title":"Afr J Prim Health Care Fam Med"},{"key":"R26-20250825","first-page":"211","article-title":"The strengths and weaknesses of urban family physician program during 2012-2016 from the viewpoint of policymakers, administrators and services Recipients in Shiraz:A qualitative study","volume":"9","author":"Mohammadi","year":"2022","journal-title":"Health Manag Inform Sci"},{"key":"R27-20250825","first-page":"101","article-title":"Development of the local urban family physician model","volume":"12","author":"Roudbari","year":"2022","journal-title":"Ann Med Health Sci Res"}],"container-title":["International Journal of Preventive Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijpvm.ijpvm_34_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:29:30Z","timestamp":1787837370000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijpvm.ijpvm_34_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":26,"URL":"https:\/\/doi.org\/10.4103\/ijpvm.ijpvm_34_24","relation":{},"ISSN":["2008-7802","2008-8213"],"issn-type":[{"value":"2008-7802","type":"print"},{"value":"2008-8213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-01-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}