Status of Iran's Primary Health Care System in Terms of Health Systems Control Knobs: A Review Article

Review

. 2017 Sep;46(9):1156-1166.

Status of Iran's Primary Health Care System in Terms of Health Systems Control Knobs: A Review Article

Jafar Sadegh Tabrizi¹, Faramarz Pourasghar², Raana Gholamzadeh Nikjoo³

Affiliations

¹ Health Services Management, Tabriz Health Services Management Research Center, Dept. of Health Services Management, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
² Road Traffic Injury Research Center and Dept. of Medical Informatics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
³ Iranian Center of Excellence in Health Management, Dept. of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.

PMID: 29026780
PMCID: PMC5632316

Review

Status of Iran's Primary Health Care System in Terms of Health Systems Control Knobs: A Review Article

Jafar Sadegh Tabrizi et al. Iran J Public Health. 2017 Sep.

. 2017 Sep;46(9):1156-1166.

Authors

Jafar Sadegh Tabrizi¹, Faramarz Pourasghar², Raana Gholamzadeh Nikjoo³

Affiliations

¹ Health Services Management, Tabriz Health Services Management Research Center, Dept. of Health Services Management, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
² Road Traffic Injury Research Center and Dept. of Medical Informatics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
³ Iranian Center of Excellence in Health Management, Dept. of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.

PMID: 29026780
PMCID: PMC5632316

Abstract

Background: After the establishment of Primary Health Care (PHC) program in Iran, health indicators have improved every year. This progress was so rapid that a number of shortcomings and weaknesses of the PHC program remained silent behind its successes. This study aimed to assess the status of Iran's PHC system (strengths, weaknesses, opportunities and threats) in terms of health system's control knobs.

Methods: The search was conducted through two English 'databases of Web of Knowledge and PubMed, two English publications of Science Direct and Springer and two Persian databases of Magiran and SID. Keywords were selected from MeSH and included primary health care, PHC and Iran in both Persian and English. No time limit was considered.

Results: Iran's PHC system has numerous successes in dealing with health system's control knobs; which largely part of that related to the health network implementation, the role of Behvarz, improvement of health indicators in rural areas and the elimination of urban-rural inequality, but there are some weaknesses, opportunities and threats in the Iranian PHC system as well.

Conclusion: By considering socio-economic changes the current structure of PHC system needs to be reformed to coordinate with phenomenon of chronic diseases, accidents and aging. The current information system in PHC does not provide the required information for decision makers and policy makers so it needs to be transformed to the electronic system with unique electronic health file for individuals.

Keywords: Control knob; Health system; Iran; Primary health care.

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Conflict of interest statement

Conflict of Interests The authors declare that there is no conflict of interest.

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References

1. Park JE, Park AK. (2004). Park’s textbook of preventive and social medicine. ed. Samat, Tehran.
1. Bagyani-Mogadam H, Ehraampoosh MH. (2003). Principles of Health Services. ed. Danesh Cherag-E, Tehran.
1. Shodjai-Tehrani H, Ebaadi-Fard-Azar F. (2003). Principles of Health Services. ed. Samat, Tehran.
1. Davoodi S. (2007). Health and Its Determinants. ed. Moaser Asar-E, Tehran.
1. Neale F. (2005). Western Australian Clinical Governance Guidelines. Health Reform Implementation Taskforce; Australia.

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[1] Park JE, Park AK. (2004). Park’s textbook of preventive and social medicine. ed. Samat, Tehran.

[2] Park JE, Park AK. (2004). Park’s textbook of preventive and social medicine. ed. Samat, Tehran.

[3] Bagyani-Mogadam H, Ehraampoosh MH. (2003). Principles of Health Services. ed. Danesh Cherag-E, Tehran.

[4] Bagyani-Mogadam H, Ehraampoosh MH. (2003). Principles of Health Services. ed. Danesh Cherag-E, Tehran.

[5] Shodjai-Tehrani H, Ebaadi-Fard-Azar F. (2003). Principles of Health Services. ed. Samat, Tehran.

[6] Shodjai-Tehrani H, Ebaadi-Fard-Azar F. (2003). Principles of Health Services. ed. Samat, Tehran.

[7] Davoodi S. (2007). Health and Its Determinants. ed. Moaser Asar-E, Tehran.

[8] Davoodi S. (2007). Health and Its Determinants. ed. Moaser Asar-E, Tehran.

[9] Neale F. (2005). Western Australian Clinical Governance Guidelines. Health Reform Implementation Taskforce; Australia.

[10] Neale F. (2005). Western Australian Clinical Governance Guidelines. Health Reform Implementation Taskforce; Australia.

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Status of Iran's Primary Health Care System in Terms of Health Systems Control Knobs: A Review Article

Affiliations

Status of Iran's Primary Health Care System in Terms of Health Systems Control Knobs: A Review Article

Authors

Affiliations

Abstract

Conflict of interest statement

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