A 1-11-different roles of a physician

Different Roles of a Physician

Relations between functions and objectives of a health system

Stewardship(oversight)

Financing(collecting, poolingAnd purchasing)

Creating resources(investment

And training)

Delivering services(provision)

Responsiveness(to non-medical

expectations)

Fair (financial)contribution

Health

Functions the system performs Objectives of the system




And training)



expectations)


HealthDelivering services(provision)

Relations between functions and objectives of a health systemFunctions the system performs Objectives of the system

Intervention LevelProblem Level

Individualized Solo-rider Traditional Mode of Practice (Main Role of GPs, Specialists)Horizontally Integrated Clinical Care System; Case Management (Main Role of Family Physicians)

Physicians as Health Advocates (Main Role of Family Physicians, Accessory Role of Clinical Specialists)

Main Role of Social Health WorkersAccessory but Increasingly Important Role of Family Physicians

Limited Disease Management in Catchment Area or Defined Population(Accessory Role of Family Physicians)

Health Risk Management; Assessment of Epidemiologic Indices, Health Literacy Initiatives, Behavior Change CampaignsAccessory Role of Family Physicians; Main Role of Epidemiologists (Community Assessment) and Community Medicine Specialists (Community Interventions))

Main Role of Local Governments’ Welfare AuthoritiesAccessory Role of Physicians as Community Leaders




And training)



expectations)


Health



Health Technology Assessment:Public and Administrative Policies

Clinical Policies: Clinical Practice Guidelines

Main Role of Epidemiologists, Community Medicine Specialists, and Health Policy Experts

Main Role of Epidemiologists (Community Assessment) and Community Medicine Specialists (Community Interventions))

Main Role of Welfare Economists and Social Policy Experts




And training)



expectations)


HealthCreating resources

(investment And training)


Accessory Role of GPs as preceptors, facilitators, and mentors in GP, or Mid-care-providers training Courses e.g. Office Based Training




And training)



expectations)


HealthCreating resources

(investment And training)


Dr. Shahram Yazdani 17

Audience Method Research Needs

Industrial

Clinical

ManagerialAdministrative

PolicymakingLegislative

Basic Biomedical Research

Clinical Research

Health Services Research

Marketable Product

EffectivenessEthics

Patient Preference

Program EvaluationPractice VariationCost-Effectiveness

Problem DefinitionAffirmation of Assumed Causes

Policy Ideas

Range of Research Needs

Health Policy Analysis

Policy Makers

Managers

Service Professionals

Decision Makers

Solutions

Problem

s

ResearchersMission Oriented

Discovery Driven

ResearchFunders

Applications

Discovery

Issues and Priorities

Service Delivery

Problems

Dx, Tx, Px

Incentives

ResearchableQuestions

KnowledgePurveyors

Stories

Facts

Ideas

Best Practice

Evidences

AnecdotesInterestsWantsValuesMyths

Interventions

Knowledge Brokers

Solutions




And training)



expectations)


Health



Accessory Role of GPs as: •“Cost Containment Agents” (e.g. Gatekeepers), •“Financial Risk Takers” (e.g. Per-capita Contracted GPs) or •“Allocation Agents” (Fund-holder GPs)

Thank You !Any Question?

Education

A 1-11-different roles of a physician