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Family Physician Implementation and Preventive Medicine; Opportunities and Challenges

Authors
Journal
International Journal of Preventive Medicine
2008-7802
Publisher
Medknow Publications
Publication Date
Keywords
  • Editorial
Disciplines
  • Economics
  • Education
  • Medicine

Abstract

Review of Iran's experiences regarding health following Islamic Revolution suggests that two major events influenced on health system structure; establishment of Primary Health Care (PHC)[1] and integration of medical education in former ministry of health and formation of Ministry of Health and Medical Education (MOHME).[2] Both of these important developments began in the first decade after the revolution resulting from immediate needs of the country and spirit of social justice that dominated the country. In fact, these two major events occurred for development of health services to disadvantages parts of the country, especially rural and remote areas, as well as provision of human resources for delivering necessary health services. Outcome of development, in various social and economical aspects, and interventions in the health system had sharp improvements in important health indicators such as maternal mortality,[3] life expectancy,[4] control of infectious diseases[5] and provision of manpower.[6] After three decades, now the country is on the verge of running family physician and referral system plan in the cities, which is the third milestone in the restructuring of health services. Of course to achieve this point, years of planning and dialogue in the country's high levels of policymaking have been done. Iran initiated implementation of this plan in rural areas,[7] secondly, cities with less than 50 thousand population were covered and now it has been generalized to the entire country, including major cities. In fact, it is the most important reform plan in the health sector, which has also been done in different countries.[8] Reforms in the health sector are important due to several reasons including advent of advanced technologies, which are mainly expensive and increase the cost of treatment and diagnosis costs.[9] It is believed that health suffers from market failure. That, which is due to information asymmetries between service recipients and providers, justifies the need for a regula

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