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Effectiveness of the Health Complex Model in Iranian primary health care reform: the study protocol

Authors Tabrizi JS, Farahbakhsh M, Sadeghi-Bazargani H, Hassanzadeh R, Zakeri A, Abedi L

Received 4 March 2016

Accepted for publication 25 July 2016

Published 5 October 2016 Volume 2016:10 Pages 2063—2072

DOI https://doi.org/10.2147/PPA.S107785

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Doris Leung

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen

Jafar Sadegh Tabrizi,1 Mostafa Farahbakhsh,2 Homayoun Sadeghi-Bazargani,3,4 Roya Hassanzadeh,5 Akram Zakeri,6 Leili Abedi7

1Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; 2Research Center of Psychiatry & Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran; 3Road Traffic Injury Research Center, Department of Statistics & Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran; 4WHO Collaborating Center on Community Safety Promotion, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden; 5Department of Health Services Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, 6National Public Health Management Center, Tabriz University of Medical Sciences, Tabriz, 7Department of Statistics and Epidemiology, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran


Background: Iranian traditional primary health care (PHC) system, although proven to be successful in some areas in rural populations, suffers major pitfalls in providing PHC services in urban areas especially the slum urban areas. The new government of Iran announced a health reform movement including the health reform in PHC system of Iran. The Health Complex Model (HCM) was chosen as the preferred health reform model for this purpose.
Methods: This paper aims to report a detailed research protocol for the assessment of the effectiveness of the HCM in Iran. An adaptive controlled design is being used in this research. The study is planned to measure multiple endpoints at the baseline and 2 years after the intervention. The assessments will be done both in a population covered by the HCM, as intervention area, and in control populations covered by the traditional health care system as the control area.
Discussion: Assessing the effectiveness of the HCM, as the Iranian PHC reform initiative, could help health system policy makers for future decisions on its continuation or modification.
Trial registration: The study protocol is registered in Iranian Registry of Clinical Trials under the unique code IRCT201402112150N3.

Keywords: health reform, health complex model, public private partnership, primary health care, health network, capitation, Iran

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