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. 2016 Oct 5:10:2063-2072.
doi: 10.2147/PPA.S107785. eCollection 2016.

Effectiveness of the Health Complex Model in Iranian primary health care reform: the study protocol

Affiliations

Effectiveness of the Health Complex Model in Iranian primary health care reform: the study protocol

Jafar Sadegh Tabrizi et al. Patient Prefer Adherence. .

Abstract

Background: Iranian traditional primary health care (PHC) system, although proven to be successful in some areas in rural populations, suffers major pitfalls in providing PHC services in urban areas especially the slum urban areas. The new government of Iran announced a health reform movement including the health reform in PHC system of Iran. The Health Complex Model (HCM) was chosen as the preferred health reform model for this purpose.

Methods: This paper aims to report a detailed research protocol for the assessment of the effectiveness of the HCM in Iran. An adaptive controlled design is being used in this research. The study is planned to measure multiple endpoints at the baseline and 2 years after the intervention. The assessments will be done both in a population covered by the HCM, as intervention area, and in control populations covered by the traditional health care system as the control area.

Discussion: Assessing the effectiveness of the HCM, as the Iranian PHC reform initiative, could help health system policy makers for future decisions on its continuation or modification.

Keywords: Iran; capitation; health complex model; health network; health reform; primary health care; public private partnership.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Methodology diagram of the research protocol to assess the effectiveness of the Health Complex Model in Iranian health reform.
Figure 2
Figure 2
The preliminary Health Complex Structure in Iranian primary health care system. Abbreviation: IT, information technology.

References

    1. Boelen C. The challenge of changing medical education and medical practice. World Health Forum. 1993;14(3):213. - PubMed
    1. Preker AS, Harding A, Travis P. “Make or buy” decisions in the production of health care goods and services: new insights from institutional economics and organizational theory. Bull WHO. 2000;78(6):779–790. - PMC - PubMed
    1. Frenck J. The public/private mix and human resources for health. Health Policy Plann. 1993;8(4):315–326. - PubMed
    1. Pierre-Louis AM, Akala FA, Karam HS. Public health in the Middle East and North Africa: meeting the challenges of the twenty first century. The World Bank; Washington, DC: 2004.
    1. King M. An Iranian experiment in primary health care: the West Azerbaijan project. Ormia Takvin. 2000;1379:1–7.

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