Evaluation of physicians and paramedical doctor's viewpoints on the family physician as a lost link in the medical system of Iran

More than half of (54.1%) answered "very low" or "not at all" to the question of any need to the individuals for cultural background about family physicians specialty (Table 14).

Table 14: The cultural background need to the family physicians specialty

 The cultural background need to
 the specialty of family physician
Number %
 Very much 27 7
 Fair 152 39
 Very low 182 46
 Not at all 29 8
 Total 390 100

In response to the question about the best ratio of family physicians to each 100,000, no correct explanation was obtained and the range was 1 to 20000 with a mean of 461 and mode of 100.

Seventy nine percent felt that less than or equal to 100 family physicians must be trained per 100,000 population (Table 15).

Table 15: The courses to be included in family physician specialty

 The courses to be included in family
 physician curriculum
Number %
 Internal Medicine, Pediatrics 10 10
 Internal Medicine, Pediatrics,
 Ophthalmology, ENT, Ob & Gyn,
 Psychiatric
301 76
 Internal Medicine + Pediatrics,  
 Psychiatric
76 19
 Internal Medicine, Pediatrics,
 Ophthalmology, ENT, Ob & Gyn,
 Psychiatric + Surgery and
 Rehabilitation
7 1.8
 Total 394 100

Generally, 42% of the individuals answered for 20-100 and 37% for less than 10 and 79.3% for less than 100 and more than 50% for less than 50 family physicians (Table16).

Table 16: The number of family physicians to be trained for each 100000 persons

 The number of family physicians to
 be trained for each 100,000 people
Number %
 >10 110 37
 20-100 123 42
 100-1000 49 17
 >1000 12 4
 Total 294 100

Discussion.

The awareness of the physicians and related medical group about establishing a family physician specialty was acceptable. Regarding our results, the specialty could be effective to evaluate the health status of the population, to provide appropriate referrals and also to help solve the family problems concerning treatment and health issues. The most important problem in this respect was cultural differences which could be solved by mass media and collaboration of subspecialty centers to offer priority to the patients served and referred by family physicians.