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Developing Iranian sub-national Primary Health Care Measurement Framework: a study protocol
Ramin Rezapour1, Ardeshir Khosravi2, Mostafa Farahbakhsh3
1Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
This study develops a Primary Health Care Measurement Framework (PHCMF) for Iran, aligning with WHO recommendations. The framework will assess sub-national PHC performance, guiding policy and improvement efforts.
Area of Science:
- Public Health
- Health Systems Research
- Healthcare Management
Background:
- The World Health Organization (WHO) recommends developing robust primary health care (PHC) measurement and improvement systems tailored to national contexts.
- Effective PHC assessment is crucial for strengthening health systems globally.
Purpose of the Study:
- To develop a comprehensive framework for assessing sub-national Primary Health Care (PHC) system performance in Iran.
- To adapt the WHO's PHC measurement framework for the Iranian health system context.
Main Methods:
- A mixed-method triangulation design was employed.
- The Iranian sub-national PHC Measurement Framework (PHCMF) was developed through literature reviews, analysis of national documents, expert consultations, and the Delphi technique.
- Qualitative and quantitative data will be utilized to calculate key performance indicators (KPIs).
Main Results:
- Currently, Iranian PHC system performance lacks measurement against a holistic, scientific framework and international standards.
- The developed PHCMF will provide a standardized approach to evaluating PHC performance.
- Data generated will inform policymakers about the current state, successes, and challenges of the PHC system.
Conclusions:
- The developed PHCMF offers a scientific and holistic approach to measuring Iranian PHC performance.
- This framework will enable identification of strengths and weaknesses, facilitating targeted policy formulation and PHC system improvement.
- Implementation of the PHCMF is expected to enhance the effectiveness and efficiency of PHC delivery in Iran.
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