Volume 26, Issue 1 (Spring 2023)
Hakim 2023, 26(1): 56-73 |
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Sajadi H S, Ehsani-Chimeh E, Yahyaei F. Exploring Evidence Gaps in Sanction’s Impact on Iran's Health System. Hakim 2023; 26 (1) :56-73
URL: http://hakim.tums.ac.ir/article-1-2301-en.html
URL: http://hakim.tums.ac.ir/article-1-2301-en.html
1- Ph.D. Health Services Management, Associate Professor, Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran
2- Ph.D. Health Services Management, Assistant Professor, National Institute for Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran. ,ehsanielham@yahoo.com
3- MD_MPH, Emergency Medicine Resident, faculty of medicine, Tehran university of medical science, Tehran, Iran.
2- Ph.D. Health Services Management, Assistant Professor, National Institute for Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran. ,
3- MD_MPH, Emergency Medicine Resident, faculty of medicine, Tehran university of medical science, Tehran, Iran.
Abstract: (140 Views)
Background: Economic sanctions have had adverse effects on the health of Iranians, leading to financial difficulties and negative impacts on the availability and preparedness of health facilities. Considering the limitations of the existing researches about the impact of sanctions in the health system, this study aimed to identify evidence gaps in sanction’s impacts in Iran's health system.
Methods: The research consisted of two phases: the first was a qualitative study involving 10 semi-structured interviews with key informants to identify the research needs related to the impacts of sanctions on Iran's health system. Data were analyzed using Atlas-ti software and content analysis. The second phase was a scoping review aimed to gathering existing evidence about the impacts of sanctions on health systems, utilizing targeted keywords across three English databases. The process included searching, screening,و extracting and analyzing data narratively. Finally, a comparison of research needs and existing evidence revealed gaps, leading to the formulation of questions for future research
Results: We identified 66 research questions which organized into 5 main categories and 18 subcategories. Our review of 49 articles highlighted the impact of sanctions on Iran’s health system, including its goals, functions, contextual determinants, health education, research, and coping strategies. Notably, we synthesized the most critical research questions into 32 key areas.
Conclusion: Further investigations are warranted to assess the impact of sanctions on the responsiveness of the health system, governance, infrastructure, health human resources, and information systems as well as developing a comprehensive framework for the health system’s effective response to sanctions.
Methods: The research consisted of two phases: the first was a qualitative study involving 10 semi-structured interviews with key informants to identify the research needs related to the impacts of sanctions on Iran's health system. Data were analyzed using Atlas-ti software and content analysis. The second phase was a scoping review aimed to gathering existing evidence about the impacts of sanctions on health systems, utilizing targeted keywords across three English databases. The process included searching, screening,و extracting and analyzing data narratively. Finally, a comparison of research needs and existing evidence revealed gaps, leading to the formulation of questions for future research
Results: We identified 66 research questions which organized into 5 main categories and 18 subcategories. Our review of 49 articles highlighted the impact of sanctions on Iran’s health system, including its goals, functions, contextual determinants, health education, research, and coping strategies. Notably, we synthesized the most critical research questions into 32 key areas.
Conclusion: Further investigations are warranted to assess the impact of sanctions on the responsiveness of the health system, governance, infrastructure, health human resources, and information systems as well as developing a comprehensive framework for the health system’s effective response to sanctions.
Type of Study: Review |
Subject:
General
Received: 2025/04/15 | Accepted: 2023/06/19 | Published: 2023/06/19
Received: 2025/04/15 | Accepted: 2023/06/19 | Published: 2023/06/19
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