Scholarlink

Introduction <p>Primary Health Care (PHC) services are people's first point of contact with the health system. PHC helps to ensure health system resilience and health community, playing a vital role in preventing and detecting diseases early, especially during pandemics. By doing so, PHC helps reduce mortality rates significantly. This study aimed to explore the challenges affecting the resilience of PHC during pandemics and to develop a Framework for strengthening that resilience.</p> Methods <p>This qualitative research was conducted in three phases in 2024. In the first phase, semi-structured interviews were held with 14 experts in PHC that originated from IRAN to identify key challenges in PHC service delivery during pandemics. In the second phase, an initial resilience Framework was designed through an expert panel involving five specialists. In the final phase, the Framework was validated using a one-round Delphi process with 21 experts. Data were analyzed using MAXQDA 2020.</p> Findings <p>The analysis revealed six main themes: processes, human resource management, financial resource management, infrastructure and equipment, sociocultural factors, and policy and planning. From the data, 20 sub-themes and 102 initial codes were extracted. Based on expert feedback, a proposed PHC resilience Framework was developed and validated through the Delphi method, achieving a consensus score of 0.90.</p> Conclusion <p>Health system managers and policymakers can apply the identified components of the proposed Framework to improve PHC resilience. Key strategies include optimizing financial resource allocation, expanding human resource capacity, enhancing workforce preparedness for pandemic response, promoting public awareness, strengthening social support systems, and advancing digital health and telemedicine infrastructure. These measures can help ensure the continuity of PHC services and enhance preparedness for future pandemics.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Developing a framework for primary health care resilience in pandemic conditions for Iran

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月10日

查看全文
  • Naser Derakhshani,
  • Erfan Kharazmi,
  • Seyedeh Narges Pouyan,
  • Azam Choopani,
  • Yousef Pashaei Asl,
  • Nasrin Moradi

摘要

Introduction

Primary Health Care (PHC) services are people's first point of contact with the health system. PHC helps to ensure health system resilience and health community, playing a vital role in preventing and detecting diseases early, especially during pandemics. By doing so, PHC helps reduce mortality rates significantly. This study aimed to explore the challenges affecting the resilience of PHC during pandemics and to develop a Framework for strengthening that resilience.

Methods

This qualitative research was conducted in three phases in 2024. In the first phase, semi-structured interviews were held with 14 experts in PHC that originated from IRAN to identify key challenges in PHC service delivery during pandemics. In the second phase, an initial resilience Framework was designed through an expert panel involving five specialists. In the final phase, the Framework was validated using a one-round Delphi process with 21 experts. Data were analyzed using MAXQDA 2020.

Findings

The analysis revealed six main themes: processes, human resource management, financial resource management, infrastructure and equipment, sociocultural factors, and policy and planning. From the data, 20 sub-themes and 102 initial codes were extracted. Based on expert feedback, a proposed PHC resilience Framework was developed and validated through the Delphi method, achieving a consensus score of 0.90.

Conclusion

Health system managers and policymakers can apply the identified components of the proposed Framework to improve PHC resilience. Key strategies include optimizing financial resource allocation, expanding human resource capacity, enhancing workforce preparedness for pandemic response, promoting public awareness, strengthening social support systems, and advancing digital health and telemedicine infrastructure. These measures can help ensure the continuity of PHC services and enhance preparedness for future pandemics.