Evidence map›Paper›PMID 41629967›Full record

ArticleBMC health services research2026

Exploring barriers and facilitators in primary oral health services: step towards Universal Health Coverage.

Farid Farrokhi, Simin Zahra Mohebbi, Farzaneh Farrokhi, Mohammad Reza Khami

Abstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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.

Farid FarrokhiResearch Centre for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Simin Zahra MohebbiResearch Centre for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Farzaneh FarrokhiOral Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Mohammad Reza KhamiResearch Centre for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran. mkhami@tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the Alma-Ata Declaration's emphasis on primary health care (PHC) to achieve universal health coverage (UHC), oral diseases remain prevalent and costly. In Iran, health reforms have expanded PHC, yet oral health services lag. This study explored barriers and facilitators of primary oral health service delivery in Tehran.

methodsThis qualitative study employed semi-structured, face-to-face interviews with dentists, heads of comprehensive health centers (CHCs), healthcare providers and visitors to the health centers in Tehran from November 2021 to January 2022. Data were analyzed using inductive content analysis with MAXQDA2020 and interpreted through the WHO Health Systems Framework, complemented by patient access dimensions, guiding understanding of system-level and user-level barriers and facilitators in oral health service delivery.

resultsThirty participants (10 healthcare providers, eight dentists, six CHC heads, and six visitors; aged 24-60) identified inadequate education, staffing shortages, equipment problems, financial difficulties, and poor attitudes toward oral health as major barriers. Facilitators included broad community coverage, dentist availability, and free patient education.

conclusionThis study highlights barriers and facilitators in oral health services within Tehran's health networks. Policymakers and practitioners should use these insights to improve education, infrastructure, and financial support, and foster a culture prioritizing oral health.

Indexed as

Dental Health ServicesHealth Services AccessibilityPrimary Health CareUniversal Health InsuranceAccess to Primary CareAdultFemaleHumansInterviews as TopicIranMaleMiddle AgedOral HealthQualitative ResearchYoung AdultHealth personnelIranOral healthQualitative researchUniversal Health Coverage

Identifiers

PMID41629967
PMCPMC12952175

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LicenceCC BY-NC-ND
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