Evidence map›Paper›PMID 29871679›Full record

ArticleBMC health services research2018

Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran.

Peivand Bastani, Mahnaz Samadbeik, Rassoul Dinarvand, Sara Kashefian-Naeeini, Soudabeh Vatankhah

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Peivand BastaniHealth Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Mahnaz SamadbeikSocial Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran. mahbeik@yahoo.com.ORCID 0000-0002-4756-2364
Rassoul DinarvandDepartment of Pharmaceutical Sciences, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Sara Kashefian-NaeeiniDepartment of English, Faculty of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Soudabeh VatankhahDepartment of Health Service Management, School of Management and Medical Informatics, Iran University of Medical Sciences, Tehran, Iran.
Shiraz University of Medical Sciences · IRIran University of Medical Sciences · IRLorestan University of Medical Sciences · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIranian health sector encountered many challenges in resource allocation and health service purchasing during the past decades, the aim of this study was to determine the main challenges of the present process of health service purchasing for national policymakers and other developing countries with the same setting.

methodsIt was a qualitative study carried out via the complete content analysis of all relevant national documents from 2007 to 2014. In order to retrieve the related documents, we searched the official websites related to the Ministry of Health and Medical Education, four main Iranian insurance organizations, the Health Committee of the Parliament Profile, strategic vice president's site and Supreme Insurance Council. After recognition of documents, their credibility and authenticity were evaluated in terms of their publication or adjustment. For the analysis of documents, the four step-Scott method was used applying MAXQDA version 10.

resultsFindings illustrated that health service purchase challenges in the country can be classified in 6 main themes of policy-making, executive, intersectional, natural, legal and informational challenges with 26 subthemes. Furthermore, 5 themes of Basic Benefit Package, Reimbursement,Decision making, Technology and Contract are considered as the main Challenges in pharmaceutical purchasing area containing 13 relevant subthemes.

conclusionsIt seems that according to documents, Iran has faced many structural and procedural problems with the purchase of the best health interventions. So it is highly recommended to consider consequences derived from the present challenges and try to use these evidences in their policy making process to decrease the existed problems and move to better procurement of health interventions.

Indexed as

DocumentationClinical Decision-MakingDeveloping CountriesGovernment AgenciesHealth ServicesHumansInsurance, HealthIranPharmaceutical PreparationsPolicy MakingPurchasing, HospitalQualitative ResearchPharmaceutical PreparationsHealth care servicesInsurance companiesIranPharmaceuticalsPurchasingQualitative document analysis

Identifiers

PMID29871679
PMCPMC5989418
OpenAlexW2805899714

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.