Factors Related To Retention Of Family Physicians In Their Work Place In Boushehr In 2016
Introduction: Success of primary healthcares in form of therapeutic- healthy netwrok system causes application of four
fundamental principles in health & treatment system of the country meaning social justice, inter-sector cooperation, public
participation and using proper technology in all stages of rural family physician program. family physician program was
created in health system of the country in 2005 with aim of increasing public access to continuious and comprehensive
health servirces. Accroding to instructions of implementation of rural insurance program, family physician is considered as
the manager of health team and he/she should know completely the area where he/she is working in order to improve
services in the society and to promote public health and he/she should take stepts for reduction of problems in the region by
suing proper interventions. This requires the long term placement of family physician in health& treatment centers.
Therefore, increasing retention of family physician is one of important factors in promotion of the program. One of the
challenges of family physician program is the missing of doctors especially in poor regions and identification of
organizational factors effective on retention of doctors help health system to change current processes as best as possible and
to reach the aims of family physician program. Therefore, it can attract more resources in addition to more appropriate and
available services in the region and prevent lack of physicians in health-treatment centers. It also reduces public
dissatisfaction from lack of physician and dissatisfaction resulted from this in the personnel working in the program. The
present research aims to determine factors influencing on tendency of family physician for staying at their work place and to
present proper strategies for increasing efficiency and productivity of centers for rural health services and cities with less
than 20000 people in Boushehr.
Method: this is a descriptive-applied research that was completed in spring 2016 in centers for comprehensive health
services in Boushehr. The population under study is all family physicians under coverage of medical science university of
Boushehr and they were chosen and studied by census. Information was gathered by a three -part questionnaire consisting of
61 items. Information was obtained by interviews. Then they were coded and analyzed by SPSS software, descriptive
statistic, tables of data frequency distribution, dispersal and central indices, mean, standard deviation, median, mode.
Results: among 122 doctors participated in the plan, 62% of them were women (75 persons) and 38% of them was men (47
persons) and 17% of them experienced detachment from family physician program. A significant relationship was found
between regional poverty and retention of family physician in the work place, between salary and retention of family
physician in the work place and also between being native and retention of family physician in the work place (P<0.05). No
significant relationship was found between the time of paying salary and retention of family physician in the work place and
between residential facilities and retention of family physician in the work place (P>0.05).
Conclusion: tendency of the physician for leaving the program can be due to the deep gap between rural and urban regions,
lack of presence of the native doctor in family physician program, and lack of sufficient salary. The conditions of retention
can be provided by preparing facilities such as residential place of the doctor, compensating services by planning a payment
& reward system such as increasing rewards and specialty contribution of the family physician and removing deprivation
from the region.
Keywords- Retention, Family Physician, Work Place, Centers For Comprehensive Health Services