Iranian primary health care network: challenges and ways forward.

Autor: Doshmangir L; Tabriz Health Services Management Research Center, School of Management& Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.; Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran., Shirjang A; National Center for Health Insurance Research, Tehran, Iran., Assan A; Global Policy and Advocacy Network (GLOPLAN), Accra, Ghana., Gordeev VS; Institute of Population Health Sciences, Queen Mary University of London, London, UK.; Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Jazyk: angličtina
Zdroj: Primary health care research & development [Prim Health Care Res Dev] 2023 Jan 09; Vol. 24, pp. e1. Date of Electronic Publication: 2023 Jan 09.
DOI: 10.1017/S1463423622000354
Abstrakt: 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.
Databáze: MEDLINE
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