Evidence map›Paper›PMID 38961415›Full record

ArticleBMC complementary medicine and therapies2024

Evidence-based practice in traditional persian medicine (TPM): a stakeholder and social network analysis.

Seyed Reza Abdipour Mehrian, Shahadat Uddin, Zahra Ghahramani, Reza Moshfeghinia, Saeed Shahabi, Aliakbar Haghdoost, Golsa Mesbahi, Mahmoud Khodadost, Mohammad Hashem Hashempur, Mojtaba Heydari and 5 more

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In one paragraph

Article in BMC complementary medicine and therapies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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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

1 citing paper in PubMed.

  1. Review
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

15 authors.

Seyed Reza Abdipour MehrianHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Shahadat UddinComplex Systems Research Group, Faculty of Engineering & IT, The University of Sydney, Darlington, Australia.
Zahra GhahramaniHematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza MoshfeghiniaStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Saeed ShahabiHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Aliakbar HaghdoostInstitute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Golsa MesbahiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Mahmoud KhodadostBeheshti Shahid University of Medical Sciences, Medicine Traditional Iranian of Department, Tehran, Iran.
Mohammad Hashem HashempurResearch Center for Traditional Medicine and History of Medicine, Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Mojtaba HeydariResearch Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Morteza MojahediTraditional Medicine and History of Medical Sciences Research Center, Babol University of Medical Sciences, Babol, Iran.
Majid NimrouziEssence of Parsiyan Wisdom Institute, Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Mehdi PasalarResearch Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Hossein Molavi VardanjaniHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. hosseinmolavi@ymail.com.
Kamran Bagheri LankaraniHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. kblankarani@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe utilization of complementary and alternative medicine (CAM) is experiencing a global surge, accompanied by the adoption of national CAM policies in numerous countries. Traditional Persian medicine (TPM) is highly used as CAM in Iran, and the ongoing scientific evaluation of its interventions and the implementation of evidence-based medicine (EBM) encounters various barriers. Therefore, comprehending the characteristics and interactions of stakeholders is pivotal in advancing EBM within TPM policies. In this study, we utilized both classical stakeholder analysis and social network analysis to identify key stakeholders and potential communication patterns, thereby promoting EBM in TPM policy-making.

methodsA cross-sectional nationwide stakeholder analysis was conducted in 2023 using snowball sampling. The interviews were carried out using a customized version of the six building blocks of health. Data were collected through semi-structured interviews. Stakeholders were assessed based on five factors (power, interest, influence, position, and competency). The connections and structure of the network were analyzed using degree, betweenness, closeness centrality, and modularity index to detect clusters of smaller networks.

resultsAmong twenty-three identified stakeholders, the Ministry of Health and Medical Education (MOHME) and the Public were the most powerful and influential. The Iranian Academy of Medical Sciences was the most competent stakeholder. Social network analysis revealed a low density of connections among stakeholders. Pharmaceutical companies were identified as key connectors in the network, while the Public, supreme governmental bodies, and guilds acted as gatekeepers or brokers. The MOHME and Maraji were found to be high-ranking stakeholders based on four different centrality measures.

conclusionThis study identifies powerful stakeholders in the network and emphasizes the need to engage uninterested yet significant stakeholders. Recommendations include improving competence through education, strengthening international relations, and fostering stronger relationships. Engaging key connectors and gatekeepers is essential for bridging gaps in the network.

Indexed as

Medicine, TraditionalSocial Network AnalysisAdultCross-Sectional StudiesEvidence-Based MedicineEvidence-Based PracticeFemaleHumansIranMaleMiddle AgedStakeholder ParticipationEvidence-based practiceSocial network analysisStakeholderTraditional persian medicine

Identifiers

PMID38961415
PMCPMC11223371

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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.