Evidence map›Paper›PMID 42458282›Full record

ArticleBMC geriatrics2026

Developing a contextually relevant framework for assessing older adults' access to primary healthcare in Iran: an expert-based qualitative study.

Zahra Solbi, Mohsen Shati, Parastoo Amiri, Mohammadreza Sohrabi, Vahidreza Borhaninejad, Maryam Mohseny

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Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Zahra SolbiDepartment of Preventive and Social Medicine, Medical Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohsen ShatiMental Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Parastoo AmiriIranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Mohammadreza SohrabiDepartment of Preventive and Social Medicine, Medical Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Vahidreza BorhaninejadSocial Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Maryam MohsenyDepartment of Preventive and Social Medicine, Medical Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mohseny.maryam0@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimGiven the increasing elderly population in Iran, addressing older adults' access to healthcare services is essential. This study aimed to develop a contextually relevant framework for assessing older adults' access to primary healthcare in Iran.

methodsThis study utilized a conventional qualitative content analysis approach through focus group discussions with experts in elderly care. Participants were selected using purposive sampling with maximum diversity. Data were collected through a checklist developed based on the Levesque framework, and the collected and transcribed data were analyzed using content analysis.

findingsThe main dimensions of older adults' access to health center services were categorized into two core domains aligned with the Levesque framework: health system characteristics (supply-side) and population capabilities (demand-side)>>. The health system dimension was further subcategorized into < < availability, acceptability, accommodation, affordability, and appropriateness>>. The demographic context of accessibility was categorized into subcategories of < < the ability to perceive, seek, reach, pay for, and engage with healthcare services>>. Based on feedback from subject-matter experts, appropriate components were proposed for a detailed examination of each subcategory, and a final consensus was reached.

conclusionThe contextually relevant framework derived from this study can help identify reasons for older adults' reluctance or inability to access elderly care services at health centers. Future studies can apply the proposed framework to thoroughly examine the challenges of implementing the national aging care program across various universities of medical sciences in Iran.

Indexed as

Access to Primary CareHealth Services AccessibilityHealth Services for the AgedPrimary Health CareQualitative ResearchAgedFemaleFocus GroupsHumansIranMaleAgingEvaluationIntegrated CareIranPrimary Health Care

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