fa پزشکی خانواده: یک مرور مفهومی عمومى General مروری Review <b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> برنامه پزشکی خانواده یک رویکرد ارائه خدمات یکپارچه در سطح اول ارائه خدمات سلامت است. مفهوم پزشکی خانواده در نظام مراقبت</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">های بهداشتی اولیه همواره چالش</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">برانگیز بوده است. این مطالعه با هدف تبیین اصول و مفاهیم پزشکی خانواده انجام شد. </span></span><br> <b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">روش کار:</span></span></b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> این پژوهش به روش مرور مفهومی انجام شد. پایگاه</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">های داده الکترونیکی انگلیسی</span></span> <span dir="LTR" style="font-size:10.0pt">Pubmed</span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">، </span></span><span dir="LTR" style="font-size:10.0pt">Sience</span> <span dir="LTR" style="font-size:10.0pt">Direct</span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">، </span></span><span dir="LTR" style="font-size:10.0pt">Scopus</span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">، </span></span><span dir="LTR" style="font-size:10.0pt">Web</span> <span dir="LTR" style="font-size:10.0pt">Of</span> <span dir="LTR" style="font-size:10.0pt">Science</span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> و موتورهای جستجوگر </span></span><span dir="LTR" style="font-size:10.0pt">Google</span> <span dir="LTR" style="font-size:10.0pt">Scholar</span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" style="font-size:10.0pt">Google</span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> جستجو شدند. محدودیت زمانی در جستجوی مطالعات قرار داده نشد. تعداد 73 مقاله و سند برای مرور نهایی انتخاب و وارد مطالعه شدند. </span></span><br> <b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">یافته</span></span></b><b><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span></b><b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">ها:</span></span></b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> پزشکی خانواده، برنامه</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">ای مبتنی بر جامعه برای ارائه خدمات سلامت است که در آن تیم پزشکی خانواده آموزش دیده، خدمات اولیه بهداشتی و درمانی را به</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">صورت جامع، هماهنگ، مستمر و فرد محور به همه افراد در هر سن و جنس با هدف تأمین، حفظ و ارتقای سلامتی مردم جامعه ارائه می</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">کند. جامعیت، تداوم، هماهنگی، بیمارمحوری، و آموزش و یادگیری و رشد از اصول مهم برنامه پزشکی خانواده است. پیش</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نیازهای برنامه پزشکی خانواده شامل حاکمیت و رهبری، تأمین مالی، نیروی انسانی، تجهیزات و ملزومات، اطلاعات، ارائه خدمات سلامت و عوامل سیاسی، اجتماعی، اقتصادی و فناوری است. برنامه پزشکی خانواده بر دسترسی، کیفیت، کارآیی، عدالت، تاب</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">آوری و پایداری خدمات سلامت و در نهایت، سلامت مردم و پاسخگویی و محافظت مالی نظام مراقبت</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">های بهداشتی اولیه اثر می</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">گذارد. </span></span><br> <b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نتیجه</span></span></b><b><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span></b><b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">گیری:</span></span></b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> اجرای موفق برنامه پزشکی خانواده نیازمند شناخت اصول و پیش</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نیازهای آن است. فراهم بودن پیش</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نیازها و ارزشیابی مستمر برنامه پزشکی خانواده با استفاده از معیارهای استاندارد، دستیابی به اهداف برنامه را تسهیل می</span></span><span dir="LTR" style="font-size:14.0pt"><span calibri="" style="font-family:">‌</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">کند. </span></span><br> <b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">واژگان</span></span></b><b> </b><b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">کلیدی:</span></span></b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> پزشکی خانواده، پزشک خانواده، مفاهیم، اصول</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span> <span style="unicode-bidi:embed"><b><span lang="EN-GB" style="font-size:11.0pt">Introduction:</span></b><span lang="EN-GB" style="font-size:11.0pt"> Family practice is an integrated service delivery approach at the first level of health care delivery, in which the family physician and his team members are responsible for providing comprehensive, continuous, coordinated and individual and family-based health services. However, the concept of family practice in the primary health care system has always been challenging. The aim of this study was to explain the principles and concepts of family practice.</span></span><br> <span style="unicode-bidi:embed"><b><span lang="EN-GB" style="font-size:11.0pt">Methods:</span></b><span lang="EN-GB" style="font-size:11.0pt"> This research was conducted using conceptual review method. Four electronic databases (Pubmed, Science Direct, Scopus, and Web Of Science) and Google Scholar and Google search engines were searched. Finally, 73 articles and documents were selected for final review.</span></span><br> <span style="unicode-bidi:embed"><b><span lang="EN-GB" style="font-size:11.0pt">Results:</span></b><span lang="EN-GB" style="font-size:11.0pt"> Family practice is a community-based program for health services delivery in which a trained family medical team provides comprehensive, coordinated, continuous, and patient-centered primary health care services to all people of all ages and genders to promote, restore, and maintain their health. Comprehensiveness, continuity, coordination, and patient-centeredness are main principles of the family practice program. Prerequisites for a family practice program include governance and leadership, financing, manpower, equipment and supplies, service delivery, information, and political, social, economic, and technological factors. A family practice program affects the accessibility, quality, efficiency, equity, resilience and sustainability of health services and, ultimately, people health and the responsiveness and financial protection of the primary health care system.</span></span><br> <span style="unicode-bidi:embed"><b><span lang="EN-GB" style="font-size:11.0pt">Conclusion:</span></b><span lang="EN-GB" style="font-size:11.0pt"> The family practice program has had many achievements. Successful implementation of this program requires understanding its principles and prerequisites. The availability of prerequisites and ongoing evaluation of the family practice program facilitates the achievement of its goals.</span></span><br> <b><span dir="LTR" lang="EN-GB" style="font-size:11.0pt">Keywords:</span></b><span dir="LTR" lang="EN-GB" style="font-size:11.0pt"> Family practice, Family physician, Concepts, Principles</span><br> <br> <span style="color:#2980b9;"><span style="unicode-bidi:embed"><b><span lang="EN-GB" style="font-size:11.0pt">Please cite this article as follows:</span></b></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif">Mosadeghrad AM, Aarabi M, Abbasi M.&nbsp; Family practice: A Conceptual Review. Hakim Health Sys Res.&nbsp; 2021;24(2):172-191<b><span lang="FA" style="font-family:"Arial",sans-serif"></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-family:"Arial",sans-serif"></span></b></span></span></span></span></span><br> <span style="unicode-bidi:embed"><b><span lang="EN-GB" style="font-size:8.0pt">*Corresponding Author:</span></b><span lang="EN-GB" style="font-size:8.0pt"> Health economics and management department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Tel: +98-2142933006, Email: Mahdiabbasi365@yahoo.com</span></span><br> <br> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span> پزشکی خانواده, پزشک خانواده, مفاهیم, اصول Family Medicine, Family Physician, Family Practice, Concepts, Principles 172 191 http://hakim.tums.ac.ir/browse.php?a_code=A-10-860-21&slc_lang=fa&sid=1 Ali Mosadeghrad علی محمد مصدق راد mosadeghrad@gmail.com No Ph.D. Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. استاد، گروه علوم مدیریت و اقتصاد بهداشت، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، تهران، ایران. Mohsen Aarabi محسن اعرابی mohsen_aarabi@yahoo.com No Ph.D. Assistant Professor, Department of Family Medicine, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. استادیار، گروه پزشکی خانواده، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران. Mehdi Abbasi مهدی عباسی mahdiabbasi365@yahoo.com Yes Ph.D. student, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran دانشجوی دوره دکتری، گروه مدیریت و اقتصاد بهداشت، دانشگاه علوم پزشکی تهران، تهران، ایران.