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Developing Iranian Sub-National Primary Health Care Measurement Framework: A Mixed-Method Study Publisher



Rezapour R1 ; Khosravi A2 ; Farahbakhsh M3 ; Ahmadnezhad E4 ; Azamiaghdash S5 ; Tabrizi JS1
Authors
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Authors Affiliations
  1. 1. Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  2. 2. Deputy for Public Health, Ministry of Health and Medical Education, Tehran, Iran
  3. 3. Department of Psychiatry, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  4. 4. National Institute of Health Research (NIHR), Tehran University of Medical Sciences (TUMS), Tehran, Iran
  5. 5. Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Source: Archives of Public Health Published:2023


Abstract

Background: Desired health outcomes are more achievable through strong Primary Health Care (PHC). Using comprehensive and scientific tools, decision-makers are guided to formulate better PHC reforms and policies. This study introduces a sub-national framework based on the World Health Organization (WHO) proposed frameworks for the PHC performance measurement. Method: By a mixed-method and qualitative approach, the Iranian sub-national PHC Measurement Framework (PHCMF) was developed through a review of the WHO’s PHC measurement conceptual framework (for selecting Key Performance Indicators (KPIs)), literature review (academic database), PHC-related national documents, consultations with an advisory committee of national experts (6-meetings), and the Delphi technique for finalizing the framework. Results: The Iranian sub-national PHCMF was finalized with 100 KPIs in three components including Health systems determinants, Service Delivery, and Health system objectives. Based on the result chain domain, most KPIs were related to the output (24 KPIs) and the least were related to the input and the process (9 KPIs). Conclusion: Regarding the comprehensiveness of the developed measurement framework due to its focus on all PHC operational levers and key aspects of PHC systems’ performance, it can be used as a practical tool for assessing and improving the Iranian sub-national PHC system. © 2023, The Author(s).
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1. Developing Iranian Sub-National Primary Health Care Measurement Framework: A Study Protocol, Primary Health Care Research and Development (2022)
Experts (# of related papers)
Elham Ahmadnezhad (1)