ArticleBMC health services research2022
Challenges of the organizational structure of county health network in Iran: findings from a qualitative study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Sustainable financing in Iran's health system: a policy analysis of agenda-setting through Kingdon's multiple streams framework.Health economics review · 2026Article
- Wage gap among Iranian nurses: a decomposition analysis in Southern Iran.Human resources for health · 2026Article
- The agenda-setting process for urban family physician program within Iran's health insurance.BMC public health · 2025Article
- Moral disengagement in critical care nurses: a conventional content analysis.BMC medical ethics · 2025Article
- Enhancing the implementation and integration of mHealth interventions in resource-limited settings: a scoping review.Implementation science : IS · 2024Article
- Enhancing the Implementation and Integration of mHealth Interventions in Resource-Limited Settings: A Scoping Review.Research square · 2024Article
- Article
- Evaluating primary care networks in low-income and lower middle-income countries: a scoping review.BMJ global health · 2023Article
- Challenges of middle-aged men in utilizing new health services from primary health care providers' perspective: a qualitative study.BMC primary care · 2022Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary healthcare with the right structure is the base for any highly efficient healthcare system to achieve better health outcomes at the lowest cost. Challenges of this system, including structural weaknesses, are one of the factors of inefficiency. Therefore, the purpose of this study was to identify challenges of the organizational structure of county health network in Iran.
methodsAn exploratory qualitative face-to-face semi-structured interviews were carried out with 21 key informants including experts and managers in Ahvaz-Iran. Purposive sampling method with maximum diversity were used. Interviews were recorded digitally and transcribed verbatim. Interview transcripts were analyzed based on a thematic analysis approach via NVivo-11.
resultsIn analysis of the interviews, after removing the duplicate codes and merging similar items, finally 6 main challenges and 56 sub-themes were obtained. The themes of structural challenges included formalization, complexity, centralization, culture, environment, and resources.
conclusionsBased on the present situation, the challenges in the current organizational structure and a change in the goals and strategies of the healthcare system in Iran, the appropriate structure needs to be designed and implemented at different levels in accordance with the goals and strategies. The separation and independence of health centers management and hospitals (treatment) in the county can provide a basis for understanding the challenges to the provision of health services.
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