ArticleKorean journal of family medicine2017
Does Economic Instability Affect Healthcare Provision? Evidence Based on the Urban Family Physician Program in Iran.
Article in Korean journal of family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Insufficient evidence on the effectiveness of family physician program in Iran: a systematic review of existing literature.BMC public health · 2026Pooled it
- Direct and indirect effects of economic sanctions on health: a systematic narrative literature review.BMC public health · 2024Pooled it
- Hospitals during economic crisis: a systematic review based on resilience system capacities framework.BMC health services research · 2022Pooled it
- Assessing intervention effects on healthcare-related financial protection in low- and middle-income countries: a rapid evidence review.Health policy and planning · 2026Review
- The effect of family physician program and health transformation plan on utilization and cost of health services.Cost effectiveness and resource allocation : C/E · 2025Article
- Measuring the catastrophic cost of diagnosis, treatment, care, and support on people and families affected by tuberculosis in Iran and Afghanistan.IJID regions · 2025Article
- The COVID-19 Pandemic Economic Implications in Iran: A National Survey Assessing Catastrophic Health Expenditures.Interdisciplinary perspectives on infectious diseases · 2025Article
- The challenges of urban family physician program over the past decade in Iran: a scoping review and qualitative study with policy-makers.Journal of preventive medicine and hygiene · 2023Article
- Effect of two major health reforms on health care cost and utilization in Fars Province of Iran: family physician program and health transformation plan.BMC health services research · 2020Article
- The preferred role of nurses in family physician team.AIMS public health · 2020Article
- Measuring inequalities in the selected indicators of National Health Accounts from 2008 to 2016: evidence from Iran.Cost effectiveness and resource allocation : C/E · 2020Article
- Viewpoint: Primary care in Iran needs a paradigm shift.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe main aim of this study was to evaluate the achievements of some important goals of Iran's urban family physician plan. This plan was implemented when the country experienced economic instability. We examine whether an economic crisis affects the efficacy of a healthcare program.
methodsWe used the household income and expenditures survey data for 2011 (before program implementation) and 2012 (after program implementation). Changes in out-of-pocket payments and healthcare utilization were investigated using the propensity score matching estimator. Furthermore, changes in inequality in these two dimensions were examined.
resultsNo changes in out-of-pocket payments and healthcare utilization were found after the implementation of this program; however, inequality in out-of-pocket payments increased during the reform.
conclusionThe urban family physician program was not implemented completely and many of its fundamental settings were not conducted because of lack of necessary healthcare infrastructure and budget limitations. Family physician programs should be implemented under a strong healthcare infrastructure and favorable economic conditions.
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