Evidence map›Paper›PMID 37351027›Full record

ReviewInternational journal of preventive medicine2023

Near Two Decades of the Family Physician Program in Iran and the Structural Challenges: A Systematic Review.

Abtin Heidarzadeh, Bita Hedayati, Mark K Huntington, Zahra Hamidi Madani, Babak Farrokhi, Farzad Mohseni, Ideh Dadgaran, Roksana Mirkazemi

Abstract readReview
In one paragraph

Review in International journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Abtin HeidarzadehDepartment of Community and Family Medicine, School of Medicine, Guilan University of Medical Science and Health Services, Rasht, Iran.
Bita HedayatiFarzanegan Nik Andish Institute for the Development of Knowledge and Technology, Tehran, Iran.
Mark K HuntingtonUniversity of South Dakota Sanford School of Medicine, Sioux Falls Family Medicine Residency, Pierre Rural Family Medicine Residency program, Vermillion, United States.
Zahra Hamidi MadaniReproductive Health Research Center, Department of Obstetrics and Gynecology, Al Zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Babak FarrokhiHealth Network Administration Center, Undersecretary for Health Affairs, Ministry of Health and Medical Education, Tehran, Iran.
Farzad MohseniHealth Department of Guilan University of Medical Sciences, Rasht, Iran.
Ideh DadgaranMedical Education Research Center, Education Development Center, Guilan University of Medical Sciences, Rasht, Iran.
Roksana MirkazemiFarzanegan Nik Andish Institute for the Development of Knowledge and Technology, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The family physician program (FPP) is one of the most significant health care reforms in Iran; however, many studies showed that this program has not been able to achieve its intended objectives because of a variety of challenges. This program, despite the existing challenges, is going to be expanded across the country. To improve the likelihood of its success, identification of the structural and infrastructural challenges is necessary. This systematic review was conducted to assess the structural and infrastructural challenges of FPP in Iran. This systematic review of the literature was conducted in order to investigate the infrastructure and structure needs of the current program in Iran. All published articles related to the FPP in Iran were the subject of this study. The eligibility criteria included original articles, reviews, or case studies published in English or Persian during 2011-2021 related to the challenges in the referral system of FPP in Iran. Data were extracted based on Sample, Phenomenon of Interest, Design, Evaluation, Research type technique and were reported based on the structure of Preferred Reporting Items for Systematic Reviews and Meta-Analyses. International credible scholarly databases were searched. The search strategy was defined based on keywords and the search syntax. This study identified different challenges of the referral system in the areas associated with legal structure, administration, and social structure. The identified challenges in this program should be addressed in order to ensure that this program will lead to improved quality of care and equity in Iran health care system.

Indexed as

Familyhealth plan implementationhealth systems planmanaged care programsphysicians

Identifiers

PMID37351027
PMCPMC10284205

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.