Health system performance in Iran: a systematic analysis for the Global Burden of Disease Study 2019

Farzadfar, Farshad; Naghavi, Mohsen; Sepanlou, Sadaf G; Moghaddam, Sahar Saeedi; Dangel, William James; Weaver, Nicole Davis; Aminorroaya, Arya; Azadnajafabad, Sina; Koolaji, Sogol; Mohammadi, Esmaeil; Rezaei, Negar; Abbas, Jaffar; Abbasi, Behzad; Abbasifard, Mitra; Abbasi‐Kangevari, Mohsen; Abbasi-Kangevari, Zeinab; Abbastabar, Hedayat; Abdoli, Amir; Abdollahi, Mohammad; Abdollahzade, Sina; Abolhassani, Hassan; Abrehdari-Tafreshi, Zahra; Aghababaei, Soodabeh; Ahadinezhad, Bahman; Ahmadi, Ali; Ahmadi, Sepideh; Ahmadieh, Hamid; Akbari, Mohammad Esmaeil; Alimohamadi, Yousef; Alipour, Vahid; Alizade, Hesam; Alvand, Saba; Amini, Saeed; Amiri, Sohrab; Anoushirvani, Ali Arash; Ansari, Fereshteh; Arabloo, Jalal; Arab‐Zozani, Morteza; Aryan, Zahra; Aryannejad, Armin; Asadi-Aliabadi, Mehran; Asadi‐Pooya, Ali A.; Asemi, Zatollah; Asgari, Samaneh; Asgary, Saeed; Asghari, Babak; Jafarabadi, Mohammad Asghari; Ashrafi, Elham; Atafar, Zahra; Athari, Seyyed Shamsadin; Avan, Abolfazl; Azadmehr, Abbas; Azami, Hiva; Azangou‐Khyavy, Mohammadreza; Azari, Samad; Jafari, Amirhossein Azari; Azarian, Ghasem; Badirzadeh, Alireza; Bahrami, Elham; Bahrami, Mohammad Amin; Barati, Nastaran; Bayati, Mohsen; Bazmandegan, Gholamreza; Behzadifar, Masoud; Bijani, Ali; Bohlouli, Somayeh; Borzouei, Shiva; Daneshpajouhnejad, Parnaz; Dargahi, Abdollah; Daryani, Ahmad; Lahijan, Jalal Davoodi; Didehdar, Mojtaba; Djalalinia, Shirin; Doaei, Saeid; Dorostkar, Fariba; Doshmangir, Leila; Edraki, Mohammadreza; Emami, Amir; Eshrati, Babak; Eskandarieh, Sharareh; Esmaeilzadeh, Firooz; Faghani, Shahriar; Fakhar, Mahdi; Farpour, Hamid Reza; Farrokhpour, Hossein; Harandi, Majid Fasihi; Fereidouni, Mohammad; Foroutan, Masoud; Ghafourifard, Mansour; Ghamari, Azin; Ghamari, Seyyed‐Hadi; Ghashghaee, Ahmad; Ghassemi, Fariba; Gholami, Ali; Gholamian, Asadollah; Gholizadeh, Abdolmajid; Goharinezhad, Salime; Goleij, Pouya; Hadei, Mostafa; Hafezi-Nejad, Nima; Hariri, Sanam; Hasanpoor, Edris; Hassanian‐Moghaddam, Hossein; Hassanipour, Soheil; Hassankhani, Hadi; Heidari, Mohammad; Heidari‐Soureshjani, Reza; Hoseini, Mohammad; Hosseini, Mohammad-Salar; Hosseini, Mostafa; Hosseini, Seyed Kianoosh; Hosseinzadeh, Ali; Hosseinzadeh, Mehdi; Hoveidamanesh, Soodabeh; Iranpour, Pooya; Irvani, Seyed Sina Naghibi; Jaafari, Jalil; Jabbarinejad, Roxana; Jafarinia, Morteza; Jafari‐Vayghan, Hamed; Jahani, Mohammad Ali; Jahanmehr, Nader; Jalili, Mahsa; Janghorban, Roksana; Javanmardi, Fatemeh; Joukar, Farahnaz; Kabir, Ali; Kalankesh, Leila R; Kalhor, Rohollah; Kamiab, Zahra; Kamyari, Naser; Matin, Behzad Karami; Karimi, Amirali; Karimi, Salah Eddin; Karyani, Ali Kazemi; Keikavoosi-Arani, Leila; Keramati, Maryam; Keshavarz, Pedram; Keykhaei, Mohammad; Khaleghi, Ali; Khammarnia, Mohammad; Khanali, Javad; Khayamzadeh, Maryam; Khosravi, Sajad; Khosravifar, Mina; Khosravizadeh, Omid; Kianipour, Neda; Kolahi, Ali‐Asghar; Maali, Amirhosein; Mahdavi, Mokhtar; Maleki, Afshin; Malekpour, Mohammad‐Reza; Mansori, Kamyar; Mansouri, Borhan; Mansournia, Mohammad Alì; Maracy, Mohammad Reza; Marjani, Abdoljalal; Masoudi, Sahar; Masoumi, Seyedeh Zahra; Masoumi-Asl, Hossein; Mayeli, Mahsa; Nasab, Entezar Mehrabi; Mehri, Fereshteh; Miri, Mohammad Reza; Mirmoeeni, Seyyedmohammadsadeq; Mirzaei, Hamed; Mirzaei, Maryam; Mirzaei, Roya; Ashraf, Muhammad; Mohammadi, Heidar; Mohammadi, Seyyede Momeneh; Mohammadi, Shadieh; Mohammadian-Hafshejani, Abdollah; Mohammadifard, Noushin; Mohammadpourhodki, Reza; Mohseni, Mohammad; Mokari, Amin; Momtazmanesh, Sara; Moradi, Abdolvahab; Moradi, Masoud; Moradi, Yousef; Moradi-Joo, Mohammad; Moradpour, Farhad; Moradzadeh, Maliheh; Moradzadeh, Rahmatollah; Mosapour, Abbas; Moslehi, Shandiz; Mouodi, Simin; Naderi, Mehdi; Naderifar, Homa; Najafpour, Zhila; Nazari, Javad; Nejadghaderi, Seyed Aria; Nemati-Anaraki, Leila; Nikpoor, Amin Reza; Nojomi, Marzieh; Noori, Maryam; Nouraei, Hasti; Nowroozi, Ali; Oladnabi, Morteza; Kan, Fatemeh Pashazadeh; Pirestani, Majid; Pirsaheb, Meghdad; Pourahmadi, Mohammadreza; Pourchamani, Hadis; Pourjafar, Hadi; Pourshams, Akram; Rabiee, Mohammad; Rabiee, Navid; Rafiei, Alireza; Rafiei, Sima; Rahim, Fakher; Rahmani, Amir Masoud; Rashedi, Sina; Rashedi, Vahid; Rashidi, Amirfarzan; Rashidi, Mahsa; Rashidi, Mohammad‐Mahdi; Ravangard, Ramin; Rawassizadeh, Reza; Razeghian‐Jahromi, Iman; Razeghinia, Mohammad Sadegh; Redford, Sofia Boston; Rezaei, Maryam; Rezaei, Nazila; Rezaei, Nima; Rezaei, Saeid; Aliabadi, Hossein Rezaei; Rezaeian, Mohsen; Rezai, Mohammad Sadegh; Rezapour, Aziz; Rezazadeh, Hossein; Rezazadeh-Khadem, Sahba; Rostamian, Morteza; Sadeghi, Ehsan; Sadeghi, Erfan; Sadeghi, Masoumeh; Sadeghian, Reihaneh; Sadeghian, Saeid; Safarpour, Hamid; Safdarian, Mahdi; Safi, Sare; Sahebazzamani, Maryam; Sahebkar, Amirhossein; Sahraian, Mohammad Ali; Salahi, Sarvenaz; Salamati, Payman; Kafil, Hossein Samadi; Sarikhani, Yaser; Sarkhosh, Maryam; Sarveazad, Arash; Seyed-Nezhad, Maryam; Shafaat, Omid; Shaghaghi, Zahra; Shahabi, Saeed; Shahin, Sarvenaz; Shaker, Elaheh; Shakiba, Saeed; Shamsi, MohammadBagher; Shamsoddin, Erfan; Sharafi, Kiomars; Sharifian, Sakineh; Shaygan, Maryam; Sheikhtaheri, Abbas; Shiani, Amir; Shirbandi, Kiarash; Shirkoohi, Reza; Shobeiri, Parnian; Shokri, Azad; Siabani, Soraya; Sima, Ali Reza; Sofi‐Mahmudi, Ahmad; Soheili, Amin; Soltani, Shahin; Soltani-Zangbar, Mohammad Sadegh; Soofi, Moslem; Tabaeian, Seidamir Pasha; Tabary, Mohammadreza; Tahamtan, Alireza; Taheri, Majid; Taherkhani, Amir; Tajdini, Masih; Tavolinejad, Hamed; Tehrani-Banihashemi, Arash; Tiyuri, Amir; Tohidast, Seyed Abolfazl; Vakilian, Alireza; Tahbaz, Sahel Valadan; Vo, Bay; Jabbari, Seyed Hossein Yahyazadeh; Yazdi‐Feyzabadi, Vahid; Yousefi, Zabihollah; Yousefinezhadi, Taraneh; Zahir, Mazyar; Moghadam, Telma Zahirian; Zamanian, Maryam; Zandian, Hamed; Zangeneh, Alireza; Zarafshan, Hadi; Zare, Fariba; Dehnavi, Ali Zare; Zarea, Kourosh; Zarei, Ahmad; Zareshahrabadi, Zahra; Ziapour, Arash; Zoghi, Sina; Sarrafzadegan, Nizal; Rahimi‐Movaghar, Vafa; Jamshidi, Hamid Reza; Mokdad, Ali H.; Hay, Simon I; Murray, Christopher J L; Khosravi, Ardeshir; Moradi‐Lakeh, Maziar; Asadi‐Lari, Mohsen; Malekzadeh, Reza; Larijani, Bagher

doi:10.1016/s0140-6736(21)02751-3

Cited by 149 publications

(93 citation statements)

References 42 publications

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“…Likewise, cultural tourism has considerable potential to improve the sustainability of tourist attractions ( Aman et al, 2019b ). Tourism, especially cultural tourism, is a significant contributor to economic development ( Abbas, 2020 ; Mubeen et al, 2021 ; Zhou et al, 2021 ; Farzadfar et al, 2022 ). However, lapses or deviations in tourism management decisions lead to a positive or negative influence on society and the environment ( Buckley, 2012 ; Hallak et al, 2015 ; de Lange and Dodds, 2017 ; Kato, 2018 ; Parga Dans and Alonso González, 2019 ; Agarwal et al, 2020 ; Figueroa-Domecq et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

From Cultural Tourism to Social Entrepreneurship: Role of Social Value Creation for Environmental Sustainability

Abbas

Dongling

et al. 2022

Front. Psychol.

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Cross-cultural exchanges among the locals and the tourists have been beneficial in terms of social value creation and sustainability. The present study has examined the role of cultural tourism and social entrepreneurship on social value creation and environmental sustainability. The study has drawn a sample through a non-probabilistic convenience sampling method for desired data collection, as investigators approached tourists visiting the tourism destinations. The study reports data received with the help of tourists visiting cultural heritage in the Gilgit-Baltistan region of Pakistan. The study has employed the PLS_SEM approach for analysis purposes to draw the results. The findings showed a significant relationship between cultural tourism, environmental sustainability, and social value creation that significantly predicts environmental sustainability. The results revealed a significant positive association between social entrepreneurship, social value creation, and environmental sustainability. Besides, results showed that social value creation mediates the relationship between cultural tourism and environmental sustainability and social entrepreneurship and environmental sustainability. The study’s findings climax the importance of cross-cultural interactions that enriches the cultural understanding and gives new perspectives to the existing cultural traditions. Pursuing environmental sustainability through social value creation requires an excellent combination of the administrative and political collaborative strategy that integrates cultural tourism and social entrepreneurship in tourist destination development and aims to attain improved tourist attractions. Besides, this research identifies a significant effect of cultural tourism on environmental sustainability. However, the relationship between tourism and environmental sustainability is bidirectional. It might provide direction for further study. The findings deliver valuable insight into global cultural tourism and social entrepreneurship activities that provide tourism destinations for community development. This investigation produces a systematic and holistic research framework to help explore the influence of cultural tourism and social value creation on the environmental sustainability at tourism destinations. The generalizability of the findings supplies helpful directions for future research on environmental sustainability related to social entrepreneurship and cultural tourism that leads to social value creation.

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Section: Introductionmentioning

confidence: 99%

From Cultural Tourism to Social Entrepreneurship: Role of Social Value Creation for Environmental Sustainability

Abbas

Dongling

et al. 2022

Front. Psychol.

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“…This adverse condition can be due to changes in the profile of diseases and population structure in this country. Studies have shown that the burden of chronic diseases is increasing in Iran [6]. Due to the nature of these diseases, patients have to live with their disease.…”

Section: Discussionmentioning

confidence: 99%

“…Iran, as a developing and populous country in the Middle East, is struggling with the burden of diseases and an increasing rate of disease-related morbidity and disability [6]. The structure of Iran's health system was established in 1905.…”

Section: Introductionmentioning

confidence: 99%

Iran’s Health System Performance in Achieving Goals Based on the World Health Organization’s Framework: A Scoping Review

Negarandeh

Ali²,

Heydari³

2022

J Research Health

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Background: The health system of each country are required to achieve the goals based on appropriate frameworks. Assessment of health system performance provides an opportunity to address the main mission through recognizing new needs and resolving existing gaps. This review study aims to investigate Iran’s health system performance in achieving its goals based on the World Health Organization (WHO)’s conceptual framework. Methods: This scoping review was conducted based on Arksey and O’Malley’s methodological framework. A search in international databases including Web of Science, Scopus, PubMed/Medline and in national databases such as SID, MagIran and IranDoc was conducted using the keywords “health system, Iran”, “disease burden”, “responsiveness” and “financial contribution”, which were used in both English and Persian separately for each variables of health promotion, responsiveness, and fair financial contribution. Retrieved articles were analyzed using qualitative synthesis method. Results: Data extracted from articles categorized into the three groups of “Health” (with sub-categories of epidemiologic and demographic transitions), “Responsiveness” and “Fair financing and financial risk protection”. Synthesis of data revealed that the profiles of diseases has been changed over recent decades in Iran, which has resulted in epidemiologic and demographic transitions. In terms of responsiveness, services provided by the health system had not fulfilled patients’ expectations. Regarding fair financial contribution, synthesis of data showed that people had faced high health costs, with a high amount of out-of-pocket payment. Conclusion: Iran’s health system has not yet achieved the goals recommended by the World Health Organization. Fundamental reforming is required in the health system of this country.

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“…This study collected the desired information through a 29-item questionnaire based on previous studies. The chosen questionnaire consists of two main parts (Abbas et al, 2019b ; Farzadfar et al, 2022 ). The first part deals with the demographic profile of the respondents, and the second part consists of four further subsections, each subsection containing items dealing with each variable studied.…”

Section: Methodsmentioning

confidence: 99%

Social Media Application as a New Paradigm for Business Communication: The Role of COVID-19 Knowledge, Social Distancing, and Preventive Attitudes

et al. 2022

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Business firms and the public have encountered massive consequences of the COVID-19 pandemic. This pandemic has become the most significant challenge and influenced all communities. This research study focuses on exploring the relationship between COVID-19 knowledge, social distancing, individuals' attitudes toward social media use, and practices of using social media amid the COVID-19 crisis. This study examines how attitudes toward social media use mediate the linkage between COVID-19 knowledge, social distancing, and practices for social media use. This survey uses a non-probability convenience sampling approach to collect samples and recruit willing respondents with their consent for data collection. This study recorded the feedback from 348 participants who encountered the indirect/direct effects of nationwide lockdowns, restrictions on social gatherings, and COVID-19 infection. The findings validate the proposed hypotheses for their direct effects and indicate significant β-values, t-statistics, and the p-values at p <0.001. The results validate a relationship between the COVID-19 knowledge of and social distancing practices. Similarly, the results approved a positive link between social distancing and attitudes toward social media use amid COVID-19. The findings validate the relation between social distancing and attitudes toward social media use during COVID-19 challenges (β-value = 0.22 and t-statistics = 3.078). The results show the linkage between attitudes toward social media use and practices of using social media (β-value = 0.41, and t-statistics = 7.175). Individuals' attitude toward social media use during COVID-19 mediates the connection between COVID-19 knowledge and COVID-19 practices of using social media use. The results validate the first mediation at β-value = 0.21 and t-statistic = 5.327. Similarly, the findings approve that attitudes toward social media use in the pandemic have positively mediated the relation between distancing and practices for social media use amid the crisis of COVID-19 (β-value = 0.09 and t-statistic = 2.633). The findings indicate how people have been indulged in social media to pave their business communication needs. The results provide valuable insights for the global business community. This study provides a systematic and holistic research model that helps in exploring the consequences of COVID-19. The generalizability of the findings provides valuable directions for future research related to the current pandemic.

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Health system performance in Iran: a systematic analysis for the Global Burden of Disease Study 2019

Cited by 149 publications

References 42 publications

From Cultural Tourism to Social Entrepreneurship: Role of Social Value Creation for Environmental Sustainability

From Cultural Tourism to Social Entrepreneurship: Role of Social Value Creation for Environmental Sustainability

Iran’s Health System Performance in Achieving Goals Based on the World Health Organization’s Framework: A Scoping Review

Social Media Application as a New Paradigm for Business Communication: The Role of COVID-19 Knowledge, Social Distancing, and Preventive Attitudes

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