ArticleBMC health services research2019
Policy analysis of the Iranian Health Transformation Plan in primary healthcare.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled 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.
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.
Who cites it
33 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- A systematic review and meta-analysis of healthcare service quality in Iran using the SERVQUAL model: a comparison before and after the Health Transformation Plan.BMC health services research · 2026Pooled it
- Barriers to utilization of primary healthcare services: a systematic review of experiences in ten selected countries.International journal of public health · 2026Pooled it
- Challenges and Weaknesses of Leadership and Governance-related Health Policies in Iran: A Systematic Review.Archives of Iranian medicine · 2024Pooled it
- Analysis and evolution of health policies in Iran through policy triangle framework during the last thirty years: a systematic review of the historical period from 1994 to 2021.Journal of preventive medicine and hygiene · 2023Pooled it
- The Experiences of Strategic Purchasing of Healthcare in Nine Middle-Income Countries: A Systematic Qualitative Review.International journal of health policy and management · 2023Pooled it
- Individual and institutional capacity-building for evidence-informed health policy-making in Iran: a mix of local and global evidence.Health research policy and systems · 2022Pooled it
- Challenges and opportunities in financing urban primary healthcare in Iran: pathways to universal health coverage.BMC primary care · 2026Article
- Health worker's knowledge, attitude, and practice regarding household preparedness based on the DART program: A cross-sectional study.Journal of education and health promotion · 2026Article
- Navigating policy making in a complex health system landscape: insight from Iran's health ministers.Archives of public health = Archives belges de sante publique · 2025Article
- Assessing the performance of public-private partnerships in non-communicable disease management with a mixed-methods approach.Scientific reports · 2025Article
- Primary health care reforms: a scoping review.Primary health care research & development · 2025Article
- Helicopter emergency medical services in Eastern Iran: a 4-year cross-sectional study of time intervals and mission profiles.BMC emergency medicine · 2025Article
- Agenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams framework.Health research policy and systems · 2024Article
- Halting and re-issuing of the Zambia community health strategy (2017-2021): a retrospective analysis of the policy process and implications for community health systems.BMC health services research · 2024Article
- Challenges in institutionalizing evidence-informed priority setting for health service packages: a qualitative document and interview analysis from Iran.Health research policy and systems · 2024Article
- Evaluation of the primary health care expansion program with public-private partnership in slum areas from the perspective of stakeholders: a qualitative study.BMC primary care · 2024Article
- Equity in the geographical distribution of general practitioners in Iran.PLOS global public health · 2024Article
- Network analysis of Iranian's health insurance ecosystem before and after the introduction of Universal Health Insurance law.Global health research and policy · 2023Article
- Policy analysis of the protection of Iranian households against catastrophic health expenditures: a qualitative analysis.BMC health services research · 2023Article
- Iranian primary health care network: challenges and ways forward.Primary health care research & development · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth systems reform is inevitable due to the never-ending changing nature of societal health needs and policy dynamism. Today, the Health Transformation Plan (HTP) remains the major tool to facilitate the achievements of universal health coverage (UHC) in Iran. It was initially implemented in hospital-based setting and later expanded to primary health care (PHC). This study aimed to analyze the HTP at the PHC level in Iran.
methodsQualitative data were collected through document analysis, round-table discussion, and semi-structured interviews with stakeholders at the micro, meso and macro levels of the health system. A tailored version of Walt & Gilson's policy triangle model incorporating the stages heuristic model was used to guide data analysis.
resultsThe HTP emerged through a political process. Although the initiative aimed to facilitate the achievements of UHC by improving the entire health system of Iran, little attention was given to PHC especially during the first phases of policy development - a gap that occurred because politicians were in a great haste to fulfil a campaign promise.
conclusionsHealth reforms targeting UHC and the health-related Sustainable Development Goals require the political will to improve PHC through engagements of all stakeholders of the health system, plus improved fiscal capacity of the country and financial commitments to implement evidence-informed initiatives.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.