Mehrolhassani Mohammad Hossein, Dehnavieh Reza, Haghdoost Ali Akbar, Khosravi Sajad
Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Aust J Prim Health. 2018 Nov;24(5):359-367. doi: 10.1071/PY18008.
Evaluation of programs and determining its challenges to improve and implement reforms is essential in a healthcare system. A primary healthcare program was conducted since 1984 in Iran and faces various challenges after several decades of its life. The aim of this study is to evaluate Iran's primary healthcare program and determine its challenges and weaknesses. In the present systematic review study, the published articles related to Iran's primary healthcare were searched and collected from Iranian databases (SID, Magiran, Noormags and Irandoc) and international databases (Pubmed, Scopus, Web of Knowledge and Google Scholar). The Iranian grey literature was also explored. In total, from 336 papers identified, 25 papers were deemed relevant after the step-by-step review of articles and removal of non-related articles. The results of this study show that primary healthcare in Iran has different challenges and weaknesses. Most of these challenges and weaknesses relate to the structure and process of primary healthcare. The Iranian primary healthcare system has achieved many successes in community health promotion, but today, because of social, economic, political and environmental changes, it does not meet the needs of the people; therefore, this system requires structural reforms.
在医疗体系中，评估项目并确定其在改进和实施改革方面所面临的挑战至关重要。伊朗自1984年起开展了一项初级医疗保健项目，在实施数十年后面临着各种挑战。本研究的目的是评估伊朗的初级医疗保健项目，并确定其面临的挑战和弱点。在这项系统综述研究中，从伊朗数据库（SID、Magiran、Noormags和Irandoc）以及国际数据库（Pubmed、Scopus、Web of Knowledge和谷歌学术）中搜索并收集了与伊朗初级医疗保健相关的已发表文章。还对伊朗的灰色文献进行了探索。总共从识别出的336篇论文中，经过逐步审查文章并剔除无关文章后，有25篇论文被认为相关。本研究结果表明，伊朗的初级医疗保健存在不同的挑战和弱点。这些挑战和弱点大多与初级医疗保健的结构和流程有关。伊朗的初级医疗保健系统在社区健康促进方面取得了许多成功，但如今，由于社会、经济、政治和环境的变化，它无法满足民众的需求；因此，该系统需要进行结构性改革。
