Evidence map›Paper›PMID 41287039›Full record

ArticleBMC primary care2025

Facilitators and challenges of using eHealth for primary health care delivery during disasters: a qualitative study of health care providers' perceptions and experiences.

Maryam Nikfard, Abbas Ali Dehghani Tafti, Ibrahim Salmani, Mohammad Reza Khajehaminian, Hamid Reza Dehghan, Mahsa Khodayarian

Abstract read
In one paragraph

Article in BMC primary care, 2025. 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

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. 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

6 authors.

Maryam NikfardDepartment of Health in Disaster and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Abbas Ali Dehghani TaftiDepartment of Health in Disaster and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Ibrahim SalmaniDepartment of Health in Disaster and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mohammad Reza KhajehaminianDepartment of Health in Disaster and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. khajehaminian@gmail.com.
Hamid Reza DehghanDepartment of Health Technology Assessment, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mahsa KhodayarianDepartment of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe frequency and intensity of disasters and their impacts on global population health are on the rise. Health systems often face disruptions during disasters due to infrastructure damage and the sudden surge in patient numbers. These disruptions are exacerbated by the lack of sufficient capacity, resources, and tools needed to respond effectively to disasters. Primary Health Care (PHC), as the first point of public contact with the health system, plays a key role in providing integrated health services. Also eHealth technologies help ensure the continuity of essential health services and fill existing gaps in health care delivery. This research aims to explore the perceptions and experiences of the health care providers to understand the facilitators and challenges of using eHealth to deliver primary health care in times of disasters and health emergencies.

methodsThis qualitative study was conducted through semi-structured interviews with senior managers, experts, and health care providers, selected through purposive sampling. The data were analyzed using thematic content analysis with inductive approach in MAXQDA 2020.

resultsThe facilitators were categorized into six areas: health network infrastructure, the health information system (SIB), health care providers, mobile health capabilities, community participation, and intersectoral collaborations. The associated challenges were identified in six categories: challenges related to the SIB system, technical challenges, health system challenges, health care providers, community challenges, and the inherent aspects of disasters.

conclusionsStrengthening the health information system, improving technical infrastructure, fostering intersectoral collaborations, and increasing community engagement are essential steps. Additionally, empowering HCPs and addressing the inherent challenges of disasters can improve the resilience and responsiveness of health systems to deliver PHC in disasters and health emergencies. This understanding of facilitators and challenges provides a framework for improving PHC delivery through eHealth in future disaster scenarios, ensuring resilient, equitable, continuous, and accessible health services.

Indexed as

Attitude of Health PersonnelDisastersHealth PersonnelPrimary Health CareTelemedicineHumansInterviews as TopicQualitative ResearchChallengeDisasterEHealthFacilitatorHealth care providersHealth emergencyPrimary health care

Identifiers

PMID41287039
PMCPMC12642073

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.