ArticleBMC health services research2026
Indicators, frameworks, and influencing factors for evaluating the performance of mental health programs in primary health care: a scoping review.
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. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMental disorders represent a major challenge for global health systems due to their substantial disease burden. With the integration of mental health services into the primary health care system, evaluating the effectiveness of these programs is essential. This study aimed to conduct a systematic scoping review to examine the indicators, frameworks, and influencing factors related to performance evaluation of mental health programs in primary health care. MATERIALS AND
methodsThis study was a systematic scoping review conducted based on the PRISMA-ScR framework. A comprehensive search was performed in international databases including PubMed and Scopus, as well as supplementary sources such as Google Scholar, national databases (Magiran and SID), and relevant institutional websites including the World Health Organization (WHO). A total of 541 initial records were identified. The search strategy used combinations of main keywords "mental health", "primary health care", and "performance evaluation". In total, 49 studies were included in the final analysis.
resultsThe study identified eight categories of performance evaluation frameworks, including macro-level health system frameworks, primary care frameworks, performance management tools, specialized mental health tools, indigenous Iranian frameworks, rapid evaluation methods, hybrid frameworks, and community-based frameworks. Factors affecting performance were categorized into four dimensions: contextual-policy, organizational-managerial, human resources, and infrastructure-technology. In addition, 117 indicators were identified across six domains: efficiency, effectiveness, equity, quality and responsiveness, access, and outcomes.
conclusionThis scoping review synthesizes existing evidence on performance evaluation of mental health programs in primary health care and highlights gaps in integrated evaluation frameworks. By mapping key indicators, frameworks, and influencing factors, the findings can inform the development of more coherent evaluation approaches in different health systems, including countries such as Iran.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.