Evidence map›Paper›PMID 40453107›Full record

ArticleJournal of patient experience2025

Factors Influencing Paternalistic Clinical Environment in Iran: An Exploratory Research Brief.

Mohsen Khosravi, Ehsan Shamsi Gooshki, Ramin Ravangard, Zahra Kavosi, Payam Shojaei, Milad Ahmadi Marzaleh, Sajad Delavari

Abstract read
In one paragraph

Article in Journal of patient experience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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. Article
  2. Review
  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

7 authors.

Mohsen KhosraviStudent Research Committee, Department of Health Services Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-0576-7660
Ehsan Shamsi GooshkiMedical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Ramin RavangardHealth Human Resources Research Center, Department of Health Services Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Zahra KavosiHealth Human Resources Research Center, Department of Health Services Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Payam ShojaeiDepartment of Management, Shiraz University, Shiraz, Iran.
Milad Ahmadi MarzalehDepartment of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Sajad DelavariHealth Human Resources Research Center, Department of Health Services Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-5539-9026

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to explore the factors that contribute to the presence of paternalism within the Iranian healthcare system. The study was conducted in 2024, conducting 15 semi-structured interviews. The study sample comprised chronic disease patients discharged from a major public hospital in southwestern region of Iran. The interview sample consisted of approximately 54% males with a mean age of 46 years. About 46% of the participants had diabetes, while the remainder had cardiovascular disorders. After completion of the interviews and the subsequent data gathering, Braun and Clarke's method was utilized in order to conduct a thematic analysis on the acquired data. The thematic analysis presented several themes including 'patient trust in physicians', 'lack of patient empowerment', 'patient psychological and communication barriers', and 'healthcare system and infrastructure limitations'. While, the latter theme was the most frequently addressed theme of factors by the study participants, 'limitations in governmental hospitals' was the most frequently addressed item among the sub-themes of the study findings. The presence of paternalism in Iran's healthcare system was delineated to be primarily influenced by the existing limitations in the Iranian healthcare system and its infrastructure. Further research is necessary to investigate and elaborate on this phenomenon in greater detail.

Indexed as

chronic diseasedelivery of health carepaternalismpatient-centered carepatient participation

Identifiers

PMID40453107
PMCPMC12125512

What OpenQuestion holds

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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.