Evidence map›Paper›PMID 40551159›Full record

ArticleHealth research policy and systems2025

Understanding challenges of primary healthcare financial resource allocation in Iran.

Somayeh Mahdiyan, Mostafa Amini-Rarani, Reza Rezayatmand, Nasrin Shaarbafchizadeh

Abstract read
In one paragraph

Article in Health research policy and systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Somayeh MahdiyanHealth Management & Economics Research Center, Isfahan University of Medical Science, Hezar Jerib Ave, Isfahan, 8174673461, Iran.ORCID http://orcid.org/0000-0003-2030-4960
Mostafa Amini-RaraniSocial Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID http://orcid.org/0000-0002-4809-2237
Reza RezayatmandHealth Management & Economics Research Center, Isfahan University of Medical Science, Hezar Jerib Ave, Isfahan, 8174673461, Iran. reza.rezayatmand@gmail.com.ORCID http://orcid.org/0000-0002-9907-3597
Nasrin ShaarbafchizadehHospital Management Research Center, Health Management Institute, Iran University of Medical Sciences, Rashid Yasemi St. Valiasr Ave., Tehran, Iran. nshaarbafchi@gmail.com.ORCID http://orcid.org/0000-0001-7104-2214

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary healthcare (PHC) is essential for health systems worldwide, and resource allocation is vital for sustainability. However, various challenges hinder the allocation process, negatively affecting health outcomes. Therefore, this study explored the current challenges related to financial resource allocation within the PHC system in Iran. MATERIALS AND

methodsThis study is a qualitative descriptive study conducted on the basis of the guide provided by Villamin et al. Data were collected through semi-structured interviews. Accordingly, 20 interviewees were selected via a purposive and snowball sampling approach. The interviewees were experts in budgeting, primary healthcare, and health policies. This study was conducted in 2024. Data were collected between May 2024 and October 2024. The interviews continued until the saturation point was reached. The interview data were analysed via an inductive thematic analysis approach. MAXQDA version 2020 and Microsoft Excel were used for data extraction.

resultsThe challenges associated with financial resource allocation were categorized into five main themes, eight subthemes, and 25 codes. Themes (subthemes) included the population base (demographic and geographical), health needs (epidemiological), governance (policymaking and political), implementation (process-related and management) and impact (financial).

conclusionsThe findings provide a comprehensive set of challenges for allocating financial resources to PHC. Addressing these challenges is essential for health system managers, policymakers and political leaders. Additionally, awareness of PHC financial resource allocation challenges and how to address them clearly demands a multifaceted approach. Successful outcomes depend on collaboration amongst managers at the health system's macro, meso, and micro levels. Such cooperation will be instrumental in creating an effective allocation of financial resources that supports the ongoing development and sustainability of PHC initiatives.

Indexed as

Health Care RationingHealth PolicyPrimary Health CareResource AllocationBudgetsDelivery of Health CareHumansInterviews as TopicIranPolicy MakingQualitative ResearchAllocationChallengesFinancial resourcesIranPrimary healthcareQualitative studies

Identifiers

PMID40551159
PMCPMC12183854

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.