Evidence map›Paper›PMID 33088449›Full record

ArticleInternational journal of preventive medicine2020

How health transformation plan was designed and implemented in the Islamic Republic of Iran?

Iraj Harirchi, Mohammad Hajiaghajani, Aliakbar Sayari, Rassoul Dinarvand, Haniye Sadat Sajadi, Mahdi Mahdavi, Elham Ahmadnezhad, Alireza Olyaeemanesh, Reza Majdzadeh

Abstract read
In one paragraph

Article in International journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  14. Healthcare priority-setting criteria and social values in Iran: an investigation of local evidence.International journal of technology assessment in health care · 2023
    Review
  15. Article
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  19. Article
  20. Informal Payments for Outpatient Health Care: Country-Wide Evidence from Iran.Medical journal of the Islamic Republic of Iran · 2022
    Article
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

9 authors.

Iraj HarirchiCancer Research Centre of Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad HajiaghajaniDepartment of Cardiology, School of Medicine, Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Aliakbar SayariDepartment of Pediatric Gastroenterology, School of Medicine, Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Rassoul DinarvandNanotechnology Research Centre, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Haniye Sadat SajadiKnowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran.
Mahdi MahdaviResearch Group of Health Stewardship, National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Elham AhmadnezhadSecretariat on Health Observatory, National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Alireza OlyaeemaneshResearch Group of Health Economic, National Institute for Health Research, Health Equity Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Reza MajdzadehKnowledge Utilization Research Center, Community Based Participatory Research Center, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Following his inauguration in late 2013, President Rouhani aimed to boost quality and equity in the health care delivery system. To fulfill this aim, a set of interventions, called Health Transformation Plan (HTP), were implemented. So far, it has been a heated debate whether HTP breathes a spirit of a new reform. HTP has targeted long-standing historical deficits of the Iranian health system as well as urgent problems, both of which have been, to some extent, resolved. To decrease Out-Of-Pocket (OOP) health expenditures, HTP has presented new financing mechanisms to expand a safety net to Iranian citizens fundamentally. HTP also encompassed interventions to overcome problems in the provision of health care by recruitment of health workforces, establishing new health facilities, and expanding primary health care to urban and peri-urban areas. Furthermore, performance indicators including access, quality, and patient satisfaction have been affected. Given these changes, HTP is entitled to be a health system reform. However, a new agenda within HTP is required so that the Iranian health system can obtain better value for money that is to be spending on it.

Indexed as

Health care reformhealth systemhealth system strengtheningUniversal health coverage

Identifiers

PMID33088449
PMCPMC7554432

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.