Evidence map›Paper›PMID 41466228›Full record

ArticleBMC complementary medicine and therapies2025

Barriers and facilitators to integrating Persian medicine into primary health care in Iran: a qualitative study from the perspective of community health workers and community health supervisors.

Reyhaneh Mostafanejad, Jafar Sadegh Tabrizi, Alireza Bagherzadeh-Karimi, Sayyedeh Mobina Izadkhah, Rahim Khodayari-Zarnaq

Abstract read
In one paragraph

Article in BMC complementary medicine and therapies, 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

5 authors.

Reyhaneh MostafanejadTabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Jafar Sadegh TabriziTabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Alireza Bagherzadeh-KarimiResearch Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Sayyedeh Mobina IzadkhahDepartment of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Rahim Khodayari-ZarnaqDepartment of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran. rahimzarnagh@gmail.com.

Funding

Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. 72673
6 · The paper itself

Abstract

BACKGROUND AND

objectivePrimary health care (PHC) systems are increasingly challenged by the rising burden of chronic diseases and the growing demand for personalized care. Persian Medicine (PM), with its constitution-based approach and rich historical foundation, holds significant potential as a complementary strategy in population health management within the PHC framework. This study aimed to explore the barriers and facilitators to integrating PM into the PHC system from the perspectives of Community Health Workers (CHWs) and Community Health Supervisors (CHSs).

methodsA qualitative descriptive design with thematic analysis was employed. Data were collected through semi-structured interviews with 18 CHWs and CHSs in Primary Healthcare Centers (PHCs) in Tabriz, Iran. Purposive sampling with maximum variation was used to ensure diversity of perspectives. Data were analyzed using the Braun and Clarke framework with MAXQDA version 24. To ensure trustworthiness, member checking and peer debriefing were conducted by independent researchers.

resultsFive main themes emerged: (1) challenges in designing and integrating PM assessment tools into PHC; (2) structural and policy-level barriers; (3) challenges in health education and information acceptance; (4) human resource constraints and motivation; and (5) facilitating factors and participant-driven strategies. The first four themes represent barriers, while the fifth highlights strategies for successful PM integration into PHC.

conclusionThe successful integration of PM into PHC requires a comprehensive strategy Empowering healthcare personnel, developing evidence-based protocols, improving health literacy, and fostering collaboration between PM and conventional medicine are essential steps toward achieving this goal.

Indexed as

Attitude of Health PersonnelCommunity Health WorkersPrimary Health CareAdultFemaleHumansIranMaleMiddle AgedQualitative ResearchChronic Disease ManagementHealth PolicyIntegrative MedicinePersian MedicinePersonalized MedicinePrimary Health CareTemperament-Based MedicineTraditional and Complementary Medicine

Identifiers

PMID41466228
PMCPMC12751132

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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.