Evidence map›Paper›PMID 36617866›Full record

ReviewPrimary health care research & development2023

Iranian primary health care network: challenges and ways forward.

Leila Doshmangir, Ahmad Shirjang, Abraham Assan, Vladimir Sergeevich Gordeev

Open access · goldAbstract readReview
In one paragraph

Review in Primary health care research & development, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  10. Navigating policy making in a complex health system landscape: insight from Iran's health ministers.Archives of public health = Archives belges de sante publique · 2025
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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

4 authors at 3 institutions in 3 countries.

Leila DoshmangirTabriz Health Services Management Research Center, School of Management& Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0001-5197-8437
Ahmad ShirjangNational Center for Health Insurance Research, Tehran, Iran.ORCID 0000-0002-9383-4631
Abraham AssanGlobal Policy and Advocacy Network (GLOPLAN), Accra, Ghana.
Vladimir Sergeevich GordeevInstitute of Population Health Sciences, Queen Mary University of London, London, UK.ORCID 0000-0003-3906-2316
Global Water Partnership · GHQueen Mary University of London · GBTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to explore the current challenges of Iran's Iranian Primary Health Care (PHC) network and possible ways forward.

backgroundPHC network was established in 1985. It remains a core instrument of health care delivery. However, it faces several challenges that can threaten its effective functioning.

methodsWe conducted face-to-face semi-structured interviews with 26 key stakeholders. We used the deductive content analysis approach. World Health Organization's health system framework guided our analyses. Data were analysed using MAXQDA software. To enhance data triangulation, we reviewed PHC national related plans, bylaws, and national and international published reports.

findingsPHC network experiences financial challenges and fails to respond fully to the emerging population's needs due to unfair distribution of resources and a lack of community health workers for PHC and a sustainable financing model for PHC. Furthermore, the insurance package is not well integrated into the PHC network system. Policy interests and resource commitments for innovative, preventive, and health promotion initiatives are lacking. Innovative, preventive, and health promotion initiatives should become the highest priority for policymakers. Well-trained community health professionals, active community participation, private sector engagements and active involvement of non-government organisations are fundamental for a well-functioning PHC network in Iran, especially to foster the delivery of evidence-based initiatives.

Indexed as

Delivery of Health CarePrimary Health CareGlobal HealthHumansIrancommunity healthfamily physicianfamily practicehealth policy and system researchIranprimary health care

Identifiers

PMID36617866
PMCPMC9884526
OpenAlexW4313816690

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.