ArticleJournal of education and health promotion2020
A comprehensive model of health education barriers of health-care system in Iran.
Article in Journal of education and health promotion, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Workload and emerging challenges of community health workers in low- and middle-income countries: A mixed-methods systematic review.PloS one · 2023Pooled it
- Bridging the Digital Divide in Diabetes Care With an AI-Powered Health Coaching Intervention: Qualitative Formative Study.JMIR diabetes · 2026Article
- Bridging the gap: summative content analysis of understanding barriers in elderly patient education from nurses' perspectives.BMC nursing · 2025Article
- Tailoring Educational Content for T2DM Patients: A Qualitative Study on Preferences for Interactive Multimedia Applications.Journal of the ASEAN Federation of Endocrine Societies · 2025Article
- The effect of educational intervention based on intervention mapping approach on increasing the communication skills of community health workers.Journal of education and health promotion · 2025Article
- An explanation on the process of production to the utilization of patient education media in chronic diseases in Iran: Protocol for a grounded theory study.Journal of education and health promotion · 2023Article
- Communication barriers to education to referrals from the perspective of referrals to health centers and health care providers.Journal of public health research · 2022Article
- The relationship between empowerment and job burnout in auxiliary health workers in 2019.Journal of education and health promotion · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccording to the importance of health education (HE) in disease control and prevention and inadequacy of HE in the Iran's health-care system, clarifying the HE barriers is necessary.
objectivesThis study aimed to clarifying the comprehensive model of HE barriers of health-care system in Iran.
methodsThis qualitative study was conducted in 2019. Twenty-one health experts and physicians at different levels of the health system, a former health deputy of the Ministry of Health, and 26 community health workers (CHWs) were selected through purposive sampling. Data were collected through semi-structured individual interviews and group discussions and analyzed simultaneously by conventional content analysis.
resultsFive themes were extracted including individual barriers (most important categories: inadequate ability of CHWs in HE, poor motivational factors at individual level, and educator's wrong beliefs), interpersonal (most important categories: weakness of other health-care providers in the education of CHWs, lack of proper understanding by health authorities of scientific and correct HE, inappropriate communication, unrealistic expectations from CHWs, problems with monitoring and supervision, poor work commitment, and client-related problems), organizational (most important categories: high workload of CHWs, problems related to educational resources, inappropriate attitude of managers and officials, and inappropriate evaluation and monitoring), community (most important categories: not believing CHWs by people, people's disinterest and lack of motivation in education, cultural problems, problems with the Internet and virtual social networks, and weak cross-sectoral cooperation), and contextual barriers (most important categories: barriers related to universities, broadcasting, the nature of HE science, as well as gap between practical education and theory).
conclusionConsidering the multidimensional barriers such as individual, interpersonal, organizational, community, and contextual barriers, compiling and executing a comprehensive document with the participation of authorities, specialists, and service providers is recommended to remove barriers. This is in line with the Ottawa Charters' "reorienting health services."
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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.