• Jafar Sadegh Tabrizi, Mostafa Farahbakhsh, Homayoun Sadeghi-Bazargani, Roya Hassanzadeh, Akram Zakeri, and Leili Abedi.
• Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
• Patient Prefer Adher. 2016 Jan 1; 10: 2063-2072.

BackgroundIranian 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.MethodsThis 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.DiscussionAssessing 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.

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