Setting research priorities to achieve long-term health targets in Iran.
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Mansoori Parisa, Majdzadeh Reza, Abdi Zhaleh, Rudan Igor, Chan Kit Yee, Iranian CHNRI Health Research Priority Setting Group, Aarabi Mohsen, Ahmadnezhad Elham, Ahmadnia Shirin, Akhondzadeh Shahin, Azin Ali, Azizi Fereidoun, Dehnavieh Reza, Eini-Zinab Hassan, Farzadfar Farshad, Farzaei Mohammad Hosein, Ghanei Mostafa, Haghdoost AliAkbar, Hantoushzadeh Sedigheh, Heydari Gholamreza, Joulaei Hassan, Kalantari Naser, Kelishadi Roya, Khosravi Ardeshir, Larijani Bagher, Mahvi Amir Hossein, Bavani Ali Reza Massah, Mesdaghinia Alireza, Mokri Azarakhsh, Montazeri Ali, Mostafavi Ehsan, Motevalian Seyed Abbas, Naddafi Kazem, Nikfar Shekoufeh, Nojoumi Seyed Ali, Noroozian Maryam, Olyaeemanesh Alireza, Omidvar Nasrin, Ostadtaghizadeh Abbas, Pourmalek Farshad, Rahimi Roja, Rahimi-Movaghar Afarin, Rashidian Arash, Razaghi Emran, Sadeghi-Bazargani Homayoun, Zalani Gholamhosain Salehi, Soori Hamid, Tabrizi Jafar Sadegh, Vedadhir AbouAli, Yazdizadeh Bahareh, Yunesian Masud, Zare Mehdi
Аннотация
METHODS: Adapting the Child Health and Nutrition Research Initiative (CHNRI) method, this study engaged 48 prominent Iranian academic leaders in the areas related to Iran's long-term health targets, a group of research funders and policy makers, and 68 stakeholders from the wider society. 128 proposed research questions were scored independently using a set of five criteria: feasibility, impact on health, impact on economy, capacity building, and equity.
FINDINGS: The top-10 priorities were focused on the research questions relating to: health insurance system reforms to improve equity; integration of NCDs prevention strategy into primary health care; cost-effective population-level interventions for NCDs and road traffic injury prevention; tailoring medical qualifications; epidemiological assessment of NCDs by geographic areas; equality in the distribution of health resources and services; current and future common health problems in Iran's elderly and strategies to reduce their economic burden; the status of antibiotic resistance in Iran and strategies to promote rational use of antibiotics; the health impacts of water crisis; and research to replace the physician-centered health system with a team-based one.
CONCLUSIONS: These findings highlight consensus amongst various prominent Iranian researchers and stakeholders over the research priorities that require investment to generate information and knowledge relevant to the national health targets and policies. The exercise should assist in addressing the knowledge gaps to support both the National General Health Policies by 2025 and the health targets of the United Nations' Sustainable Development Goals by 2030.