title: Evaluation of an urban phase of the specialized care program for diabetes in iran: providers' perspectives.
abstract: BACKGROUND
  To develop and implement more effective programs of health care delivery to prevent and control diabetes, Iran has developed and implemented the urban phase of the specialized care program for diabetic's patients. Deeply understanding the views and experiences of various stakeholders in this program can assist policy makers to identify the program's strengths and weaknesses and enable them to develop action plans. Hence, the present study aimed to evaluate the planning and establishing of this program from the perspective of providers.
  
  
  METHODS
  A qualitative study was applied using documents review and face-to-face semi-structured interviews with the program leads and relevant executive managers of the local medical universities. Thematic analysis was used to analyze the data.
  
  
  RESULTS
  Three main themes and nine subthemes were explored, including program planning (the content and the strengths, weaknesses, and corrective measures), implementation (executive mechanisms at the university level, establishment of referral system, collaboration between deputies of health and treatment, information dissemination mechanisms, satisfaction measurement and strengths, weaknesses and corrective measures), and result (implementation results).
  
  
  CONCLUSIONS
  The urban phase of the specialized care program for diabetic's patients has been a good base to improve continuity of care, which emphasizes on controlling and prevention of occurrence or progression of chronic complications of diabetes. This model can also be used for better management of other chronic disease. However, there are still issues that should be considered and improved such as allocation of guaranteed resources, more trained health professionals, and more evidence based guidelines and protocols, better collaboration among medical universities' deputies, clearer payment system for program evaluation and better information management system.
authors.affiliation: Department of Health Services Management, Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Ravaghi
authors.affiliation: Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Haniye Sadat
authors.initials: HS
authors.lastname: Sajadi
authors.affiliation: Ministry of Health and Medical Education, Tehran, Iran.
authors.forename: Marjan
authors.initials: M
authors.lastname: Ghotbi
authors.affiliation: Shantou University Medical College, Shantou, China.
authors.forename: Sima
authors.initials: S
authors.lastname: Sarvarizadeh
authors.affiliation: Department of Health Services Management, Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Nasrin
authors.initials: N
authors.lastname: Sharbafchizadeh
authors.affiliation: Ministry of Health and Medical Education, Tehran, Iran.
authors.forename: Jamshid
authors.initials: J
authors.lastname: Kermanchi
keywords: Diabetes mellitus; Iran; integrated delivery systems; program evaluations