Evidence-based practice in traditional persian medicine (TPM): a stakeholder and social network analysis.

Autor:	Abdipour Mehrian SR; Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran., Uddin S; Complex Systems Research Group, Faculty of Engineering & IT, The University of Sydney, Darlington, Australia., Ghahramani Z; Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Moshfeghinia R; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran., Shahabi S; Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran., Haghdoost A; Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran., Mesbahi G; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran., Khodadost M; Beheshti Shahid University of Medical Sciences, Medicine Traditional Iranian of Department, Tehran, Iran., Hashempur MH; Research Center for Traditional Medicine and History of Medicine, Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran., Heydari M; Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran., Mojahedi M; Traditional Medicine and History of Medical Sciences Research Center, Babol University of Medical Sciences, Babol, Iran., Nimrouzi M; Essence of Parsiyan Wisdom Institute, Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran., Pasalar M; Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran., Vardanjani HM; Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. hosseinmolavi@ymail.com.; MD-MPH Program, School of Medicine, Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. hosseinmolavi@ymail.com., Lankarani KB; Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. kblankarani@yahoo.com.
Jazyk:	angličtina
Zdroj:	BMC complementary medicine and therapies [BMC Complement Med Ther] 2024 Jul 03; Vol. 24 (1), pp. 253. Date of Electronic Publication: 2024 Jul 03.
DOI:	10.1186/s12906-024-04564-5
Abstrakt:	Background: The utilization of complementary and alternative medicine (CAM) is experiencing a global surge, accompanied by the adoption of national CAM policies in numerous countries. Traditional Persian medicine (TPM) is highly used as CAM in Iran, and the ongoing scientific evaluation of its interventions and the implementation of evidence-based medicine (EBM) encounters various barriers. Therefore, comprehending the characteristics and interactions of stakeholders is pivotal in advancing EBM within TPM policies. In this study, we utilized both classical stakeholder analysis and social network analysis to identify key stakeholders and potential communication patterns, thereby promoting EBM in TPM policy-making. Methods: A cross-sectional nationwide stakeholder analysis was conducted in 2023 using snowball sampling. The interviews were carried out using a customized version of the six building blocks of health. Data were collected through semi-structured interviews. Stakeholders were assessed based on five factors (power, interest, influence, position, and competency). The connections and structure of the network were analyzed using degree, betweenness, closeness centrality, and modularity index to detect clusters of smaller networks. Results: Among twenty-three identified stakeholders, the Ministry of Health and Medical Education (MOHME) and the Public were the most powerful and influential. The Iranian Academy of Medical Sciences was the most competent stakeholder. Social network analysis revealed a low density of connections among stakeholders. Pharmaceutical companies were identified as key connectors in the network, while the Public, supreme governmental bodies, and guilds acted as gatekeepers or brokers. The MOHME and Maraji were found to be high-ranking stakeholders based on four different centrality measures. Conclusion: This study identifies powerful stakeholders in the network and emphasizes the need to engage uninterested yet significant stakeholders. Recommendations include improving competence through education, strengthening international relations, and fostering stronger relationships. Engaging key connectors and gatekeepers is essential for bridging gaps in the network. (© 2024. The Author(s).)
Databáze:	MEDLINE
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