Skip to main content
. 2025 Jan 25;25:143. doi: 10.1186/s12913-025-12291-x

Table 4.

Subtheme weight per criterion

Subtheme weight per criterion Weight of sub-theme Sub-theme Theme
Weight of theme
Feasibility Time Equity Acceptability by providers Political acceptance Cost Effectiveness Health problem burden
0.935 0.812 0.941 0.969 0.774 0.911 0.942 0.971 0.901 Sustainable financing

Financing

0.889

0.935 0.718 0.882 0.909 0.709 0.882 0.875 0.971 0.884 Allocation of financial credit to insurers
0.870 0.781 0.941 0.909 0.741 0.882 0.914 0.914 0.881 Participation of all insurance funds in the program implementation
0.806 0.843 0.823 0.787 0.741 0.647 0.828 0.828 0.787 Management of conflicts of interest in the pharmaceutical industry

Stewardship

0.796

0.806 0.843 0.823 0.696 0.709 0.852 0.885 0.914 0.839 Management of the conflict of interests of the specialist
0.903 0.781 0.970 0.939 0.645 0.852 0.942 1 0.899 Selection of managers with a systems thinking perspective
0.870 0.937 0.941 1 0.451 0.852 0.857 0.914 0.849 Continuity of policies after the change of governments
0.838 0.937 0.941 0.939 0.741 0.911 0.885 0.885 0.879 Controlling the pressure of external factors
0.870 0.843 0.911 0.879 0.838 0.941 0.914 0.942 0.904 Strengthening the link between evidence and policy
0.838 0.875 0.705 0.727 0.741 0.823 0.657 0.8 0.765 Localization of policies based on regional characteristics
0.935 0.812 0.882 0.969 0.741 0.882 0.885 0.914 0.884 Specifying the Program steward
0.903 0.75 0.852 0.878 0.806 0.823 0.914 0.885 0.866 Publication of transparent management guidelines
0.903 0.875 0.941 0.939 1 0.911 0.942 0.942 0.934 Creating more interaction between programme actors
0.967 0.875 0.852 0.878 0.806 0.882 0.885 0.857 0.879 Determining the role of stakeholders
0.838 0.906 0.941 0.848 0.677 0.970 0.942 0.857 0.880 The need to involve upstream institutions in policy development
1 1 0.970 1 0.838 1 1 1 0.980 Community based education

Human Resource

0.844

0.870 0.843 0.882 0.939 0.709 0.794 0.857 0.885 0.846 Providing incentives to service providers
0.645 0.718 0.617 0.757 0.709 0.705 0.714 0.771 0.706 Formation of family physician cooperatives
0.935 0.968 0.911 0.909 0.870 0.882 0.885 0.942 0.910 Community outreach and education

culture building

0.852

0.838 0.781 0.764 0.787 0.774 0.735 0.8 0.828 0.794 Grant privileges to the recipients of the service
0.870 0.937 0.941 1 0.612 0.882 0.971 1 0.909 Integration of the information systems

Information System

0.924

1 0.906 0.970 1 0.580 0.970 0.971 1 0.940 Providing suitable electronic infrastructure
0.942 0.781 0.882 0.909 0.903 0.941 0.885 0.885 0.894 Establishment of family physician organizations

Structure

0.894

0.838 0.718 0.941 0.909 0.806 0.823 0.942 0.942 0.882 Accurately determine physician capitation payments

Payment

0.805

0.967 0.75 0.970 0.969 0.612 0.882 0.857 0.942 0.881 Separation of the salary of the health care worker from the physicians
0.741 0.718 0.911 0.939 0.741 0.735 0.885 0.8 0.807 Pay to physician based on a combination of capitation and performance
0.741 0.562 0.588 0.666 0.677 0.676 0.628 0.628 0.652 Adjusted capitation payment to family physician cooperatives
0.903 0.843 0.911 0.909 0.838 0.735 0.885 0.914 0.868 Studying the effectiveness of program implementation in multiple versions

Monitoring & Control

0.872

0.935 0.937 0.941 0.878 0.903 0.911 0.942 0.971 0.935 Monitor the program with the right tools
0.870 0.906 0.852 0.787 1 0.882 0.885 0.914 0.892 Joint supervision of insurance and the ministry of health
0.903 0.812 0.852 0.636 0.741 0.735 0.771 0.8 0.791 Formation of non-governmental accreditation organization
1 0.812 0.941 0.696 0.709 0.911 0.942 1 0.915 Playing the real role of insurance

Function Of Insurance Organizations

0.896

0.967 0.875 0.970 0.727 0.709 0.823 0.885 0.914 0.876 Delegation of authority to insurance companies
0.935 0.843 0.941 0.818 0.612 0.882 0.857 0.914 0.865 Decision on continuation of the programme

Iimplementation

0.854

0.870 0.843 0.882 0.848 0.741 0.823 0.885 0.857 0.854 Strengthening the sociological approach and two-way referral in the family physician
0.838 0.906 0.941 0.909 0.870 0.764 0.885 0.914 0.872 Develop and implement the programme at national level
0.741 0.781 0.794 0.767 0.645 0.911 0.828 0.914 0.819 Mandatory referral in the health system
0.870 0.906 1 0.909 1 0.941 0.914 0.914 0.928 Availability of a physicians
0.709 0.5 0.558 0.484 0.709 0.558 0.714 0.742 0.657 Eliminate fee for service payments for family physician services
0.838 0.906 0.911 0.909 0.935 0.911 0.857 0.866 0.882 Increase the depth of service coverage
1 0.935 0.941 0.969 0.967 0.911 0.914 0.942 0.944 Developing an action plan to implement the program