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Iranian primary health care network: challenges and ways forward.
- Source :
- Primary Health Care Research & Development; 2023, Vol. 24, p1-8, 8p
- Publication Year :
- 2023
-
Abstract
- Aim: This study aimed to explore the current challenges of Iran's Iranian Primary Health Care (PHC) network and possible ways forward. Background: PHC network was established in 1985. It remains a core instrument of health care delivery. However, it faces several challenges that can threaten its effective functioning. Methods: We conducted face-to-face semi-structured interviews with 26 key stakeholders. We used the deductive content analysis approach. World Health Organization's health system framework guided our analyses. Data were analysed using MAXQDA software. To enhance data triangulation, we reviewed PHC national related plans, bylaws, and national and international published reports. Findings: PHC network experiences financial challenges and fails to respond fully to the emerging population's needs due to unfair distribution of resources and a lack of community health workers for PHC and a sustainable financing model for PHC. Furthermore, the insurance package is not well integrated into the PHC network system. Policy interests and resource commitments for innovative, preventive, and health promotion initiatives are lacking. Innovative, preventive, and health promotion initiatives should become the highest priority for policymakers. Well-trained community health professionals, active community participation, private sector engagements and active involvement of non-government organisations are fundamental for a well-functioning PHC network in Iran, especially to foster the delivery of evidence-based initiatives. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH policy
RESEARCH evaluation
FAMILY medicine
RESEARCH methodology
INTERVIEWING
COMMUNITY health services
PRIMARY health care
QUALITATIVE research
HEALTH insurance reimbursement
PREVENTIVE health services
RESEARCH funding
CONTENT analysis
DATA analysis software
ENDOWMENTS
THEMATIC analysis
HEALTH care rationing
HEALTH promotion
Subjects
Details
- Language :
- English
- ISSN :
- 14634236
- Volume :
- 24
- Database :
- Complementary Index
- Journal :
- Primary Health Care Research & Development
- Publication Type :
- Academic Journal
- Accession number :
- 174895992
- Full Text :
- https://doi.org/10.1017/S1463423622000354