Implementing the Full-time Practice in Iran Health System; Perceptions of the Medical University Chancellors on its Challenges, Consequences and Effective Solutions

Authors

1 Associate Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

2 Department of Health Economics, Ministry of Health and Medical Education, Tehran, Iran

3 General Physician, Department of Health Economics, Ministry of Health and Medical Education, Tehran, Iran

4 Assistant Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Department of Health Economics, Ministry of Health and Medical Education, Tehran, Iran

5 Professor of General Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Deputy Director, Ministry of Health and Medical Education, Tehran, Iran

Abstract

Background & Aims: Full-time Practice is one of the main objectives of Iranian Ministry of Health and Medical Education (MOHME) and a priority in Iran 5th development program. The aim of this study was to explore the perception of the chancellors at Iran universities of medical sciences, regarding the challenges, possible negative consequence and their suggestions for improving the implementation of this program. Methods: In the 68th meeting of Iran medical university chancellors held in 2011 by Iranian Ministry of Health and Medical Education, a semi-structured questionnaire was completed by chancellors. The gathered data were analyzed. Results: In Medical University Chancellors’ poin of view, the need for increasing the share of healthcare budget from the gross domestic product (GDP), inefficient tariff and payment system, and difficulty in obtaining collaboration with other stakeholders are the main challenges of full-time practice program in Iran. It is suggested that this program should be implemented gradually in a specific set of Iran hospitals that have already gained more autonomy. In addition, inappropriate implementation of this program might read to unexpected and unread transfer of the experienced and high skilled physicians for public and private hospitals. Conclusion: Full-time practice has several important challenges that should be considered during its implementation. This program should be implemented gradually with other joint program especially with improvement of payment methods.

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