This document discusses the different roles that physicians can play in a healthcare system. It outlines several key functions that a healthcare system performs, including stewardship, financing, creating resources, delivering services, and responsiveness. For each function, it then describes the main roles of different types of physicians, such as family physicians, clinical specialists, epidemiologists, and others. The roles range from directly delivering clinical services to individuals, to more broad roles in areas like health advocacy, disease management, health policy, resource investment and training, and community assessment and interventions.

1. Different Roles of a Physician

2. Relations between functions and objectives of a health system
Stewardship
(oversight)
Financing
(collecting, pooling
And 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

3. Stewardship
(oversight)
Financing
(collecting, pooling
And purchasing)
Creating resources
(investment
And training)
Delivering services
(provision)
Responsiveness
(to non-medical
expectations)
Fair (financial)
contribution
Health
Delivering services
(provision)
Relations between functions and objectives of a health system
Functions the system performs Objectives of the system

4. Intervention Level
Problem Level

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

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

7. Main Role of Social Health Workers
Accessory but Increasingly Important Role of Family Physicians

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

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

10. Main Role of Local Governments’ Welfare Authorities
Accessory Role of Physicians as Community Leaders

11. Stewardship
(oversight)
Financing
(collecting, pooling
And purchasing)
Creating resources
(investment
And training)
Delivering services
(provision)
Responsiveness
(to non-medical
expectations)
Fair (financial)
contribution
Health
Stewardship
(oversight)
Relations between functions and objectives of a health system
Functions the system performs Objectives of the system

12. Health Technology Assessment:Public and Administrative Policies
Clinical Policies: Clinical Practice Guidelines
Main Role of Epidemiologists, Community Medicine Specialists,
and Health Policy Experts

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

14. Main Role of Welfare Economists and Social Policy Experts

15. Stewardship
(oversight)
Financing
(collecting, pooling
And purchasing)
Creating resources
(investment
And training)
Delivering services
(provision)
Responsiveness
(to non-medical
expectations)
Fair (financial)
contribution
Health
Creating resources
(investment
And training)
Relations between functions and objectives of a health system
Functions the system performs Objectives of the system
Accessory Role of GPs as preceptors, facilitators,
and mentors in GP, or Mid-care-providers training
Courses e.g. Office Based Training

16. Stewardship
(oversight)
Financing
(collecting, pooling
And purchasing)
Creating resources
(investment
And training)
Delivering services
(provision)
Responsiveness
(to non-medical
expectations)
Fair (financial)
contribution
Health
Creating resources
(investment
And training)
Relations between functions and objectives of a health system
Functions the system performs Objectives of the system

17. Dr. Shahram Yazdani 17
Audience Method Research Needs
Industrial
Clinical
Managerial
Administrative
Policymaking
Legislative
Basic Biomedical
Research
Clinical Research
Health Services
Research
Marketable Product
Effectiveness
Ethics
Patient Preference
Program Evaluation
Practice Variation
Cost-Effectiveness
Problem Definition
Affirmation of Assumed Causes
Policy Ideas
Range of Research Needs
Health Policy
Analysis

18. Policy Makers
Managers
Service Professionals
Decision Makers
Solutions
Problems
Researchers
Mission Oriented
Discovery Driven
Research
Funders
Applications
Discovery
Issues and
Priorities
Service
Delivery
Problems
Dx, Tx, Px
Incentives
Researchable
Questions
Knowledge
Purveyors
Stories
Facts
Ideas
Best Practice
Evidences
Anecdotes
Interests
Wants
Values
Myths
Interventions
Knowledge Brokers
Solutions

19. Stewardship
(oversight)
Financing
(collecting, pooling
And purchasing)
Creating resources
(investment
And training)
Delivering services
(provision)
Responsiveness
(to non-medical
expectations)
Fair (financial)
contribution
Health
Financing
(collecting, pooling
And purchasing)
Relations between functions and objectives of a health system
Functions the system performs Objectives of the system
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)

20. Thank You !
Any Question?