Volume 28, Issue 2 (9-2026)
yafte 2026, 28(2): 88-92 |
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Behzadifar M. Family Physician: The Great Test of Health Governance in Iran. yafte 2026; 28 (2) :88-92
URL: http://yafte.lums.ac.ir/article-1-3980-en.html
URL: http://yafte.lums.ac.ir/article-1-3980-en.html
Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
Abstract: (2 Views)
For nearly two decades, the family physician program has been proposed as one of the most transformative initiatives for Iran's health system. Conceived as the cornerstone of an efficient, equitable, and preventive healthcare model, this program promises to replace fragmented, reactive care with a continuous, coordinated, and patient-centered approach. It aims to strengthen primary healthcare, streamline the referral system, reduce unnecessary costs, and ultimately restore dignity and clarity to patients navigating a complex medical landscape. Despite its undeniable advantages and repeated emphasis in national development plans, the program remains largely unimplemented. This persistent delay reflects deeper governance challenges rather than technical or financial barriers alone. The absence of a unified, cross-sectoral commitment has fragmented responsibilities among various institutions, while policy incoherence and short-term decision-making have undermined long-term planning. Furthermore, inadequate investment in infrastructure development, particularly the establishment of an integrated electronic health record system, has hindered the seamless coordination required for effective implementation of this program. The success of the family physician program hinges on a fundamental shift in health governance. This requires a clear strategic vision, sustainable resource allocation, transparent accountability mechanisms, and active engagement of all stakeholders, including healthcare providers, insurers, and the public. Equally important is investment in human capital, empowering general practitioners through targeted training and creating meaningful career pathways that enhance their motivation and professional standing. Public awareness and cultural acceptance are also essential to transform the community's understanding of health from a curative to a preventive paradigm. The family physician program is not merely a policy option; it is a critical test of Iran's capacity for strategic governance in health. The window of opportunity remains open, but decisive action cannot be postponed any longer.
Type of Study: Original Research |
Subject:
قلب و عروق
Received: 2026/09/12 | Accepted: 2026/09/1 | Published: 2026/09/1
Received: 2026/09/12 | Accepted: 2026/09/1 | Published: 2026/09/1
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