Evidence map›Paper›PMID 34686165›Full record

ArticleBMC public health2021

Challenges to manage pandemic of coronavirus disease (COVID-19) in Iran with a special situation: a qualitative multi-method study.

Hamidreza Khankeh, Mehrdad Farrokhi, Juliet Roudini, Negar Pourvakhshoori, Shokoufeh Ahmadi, Masoumeh Abbasabadi-Arab, Nader Majidi Bajerge, Babak Farzinnia, Pirhossain Kolivand, Vahid Delshad and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  13. COVID-19 Pandemic Risk Assessment: Systematic Review.Risk management and healthcare policy · 2024
    Review
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  16. Management of COVID-19 and vaccination in Nepal: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
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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

17 authors at 7 institutions in 2 countries.

Hamidreza KhankehHealth in Emergency and Disaster Research Center, the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Mehrdad FarrokhiHealth in Emergency and Disaster Research Center, the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. me.farrokhi@uswr.ac.ir.
Juliet RoudiniHealth in Emergency and Disaster Research Center, the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Negar PourvakhshooriDepartment of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Shokoufeh AhmadiHealth in Emergency and Disaster Research Center, the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Masoumeh Abbasabadi-ArabNational Emergency Medical Organization, Ministry of Health and Medical Education, Tehran, Iran.
Nader Majidi BajergeHealth in Emergency and Disaster Research Center, the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Babak FarzinniaSchool of Public Health, Qom University of Medical Sciences, Qom, Iran.
Pirhossain KolivandNational Emergency Medical Organization, Ministry of Health and Medical Education, Tehran, Iran.
Vahid DelshadHealth in Emergency and Disaster Research Center, the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Mohammad Saeed KhanjaniDepartment of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Sadegh Ahmadi-MazhinDepartment of Nursing, Dezful University of Medical Sciences, Dezful, Iran.
Ali Sadeghi-MoghaddamDepartment of Nursing, Dezful University of Medical Sciences, Dezful, Iran.
Saiedeh BahrampouriHealth in Emergency and Disaster Research Center, the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Ulrich SackInstitute of Clinical Immunology, Medical Faculty, University of Leipzig, Leipzig, DE, Germany.
Marcus StueckDPFA Academy of Work and Health, Leipzig, Germany.
Bernd DomresSurgery Department, University of Tubingen, Tübingen, Germany.
University of Social Welfare and Rehabilitation Sciences · IRDezful University of Medical Sciences · IRMinistry of Health and Medical Education · IRGuilan University of Medical Sciences · IRLeipzig University · DEQom University of Medical Science and Health Services · IRUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the unprecedented expansion of COVID-19 in the world since December 2019, Iran's health system, like other countries, faced various challenges in managing the disease, which led to numerous experiences and lessons learned. This study was conducted to identify these challenges regarding unique political, economic, and cultural issues, which could help other countries with similar situations.

methodsThe present study was performed using a qualitative multi-method approach with a content analysis method. The data were collected through in-depth and semi-structured interviews and focused group discussions with 60 key persons who were selected purposefully, including policymakers, health care workers, and affected people by the disease, and the review of all available national reports between February 21, 2020, and March 22, 2021. The data collection and analysis were done simultaneously.

resultsIdentified critical challenges for the management of COVID-19 in the health system were limited evidence and scientific controversies, poor social prevention and social inequalities, burnout and sustained workload among healthcare workers, improper management of resources and equipment, the lack of a guideline for contact tracing, and patient flow management, and mental health problems in the community.

conclusionsAccording to our results, measures should be taken to conduct a continuous comprehensive risk assessment and develop a national response plan with an emphasis on precise contact tracing, active screening, patient flow, paying attention to the psychological and social dimensions of the disease, and also transparency of social inequalities in the face of risk factors of the COVID-19. Also, the social protection programs should become a vital tool for policymakers and supporting the vulnerable groups using the capacity of the community and international cooperation to develop a vaccine, which is difficult to procure due to the sanctions.

Indexed as

COVID-19PandemicsHumansIranQualitative ResearchSARS-CoV-2ChallengeCOVID-19IranLessons learnedMulti-method study

Identifiers

PMID34686165
PMCPMC8532398
OpenAlexW3133734662

What OpenQuestion holds

Textmetadata
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.