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Volume 25, Issue 4 (7-2026)                   JRUMS 2026, 25(4): 433-442 | Back to browse issues page


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Rahmani A, Salari M, Rezaeian M. The Application of the Nutcracker Effect in Health Policymaking: A Strategy for Integrating Community Participation and Government Policy in Health Programs. JRUMS 2026; 25 (4) :433-442
URL: http://journal.rums.ac.ir/article-1-8014-en.html
School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
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1. Rahmani A, Asgarian A, Aligol M, Ahmadi Z, Mohammadbeigi A. Community assessment for identifying and prioritizing the problems of Jamkaran Village in Qom Province in 2019 (Iran). Qom University of Medical Sciences Journal 2020; 13(11): 1-12.
2. Rafiemanesh H, Yari M, Holakui Naeini K. Community assessment for determination and diagnosis of health-related problems in Aliny village Meshginshahr functions in Ardebil. J Prev Med 2015; 2(2): 10-7.
3. Khosravi A, Sepidar Kish M, Khalili M, Ghofrani M, Ashrafi E, Sharifi N, et al. Community assessment for diagnosis and determination of health-related problems. Knowl Health J 2013; 8(1): 41-5.
4. Maleki F, Hosseinpour M, Rafiemanesh H, Salehi F, Lotfi Z, Naserizadeh M, et al. The review of community assessment papers to determine priority problems in selected populations of Iran. Journal of School of Public Health & Institute of Public Health Research 2014; 12(3).
5. Olyaeemanesh A, Habibi F, Mobinizadeh M, Takian A, Khosravi B, Jafarzadeh J, et al. Identifying and prioritizing inefficiency causes in Iran's health system. Cost Eff Resour Alloc 2024; 22(1): 81.
6. Moradi T, Kabir MJ, Pourasghari H, Ehsanzadeh SJ, Aryankhesal A. Challenges of Budgeting and Public Financial Management in Iran's Health System: A Qualitative Study. Med J Islam Repub Iran 2023; 37: 80.
7. Khayatzadeh-Mahani A, Fotaki M, Harvey G. Priority setting and implementation in a centralized health system: a case study of Kerman province in Iran. Health Policy Plan 2013; 28(5): 480-94.
8. Rahbari Bonab M, Rajabi F, Vedadhir A, Majdzadeh R. Sustainable political commitment is necessary for institutionalizing community participation in health policy-making: Insights from Iran. Health Res Policy Syst 2024; 22(1): 23.
9. Eskandarian M, Raeisi A, Ferdosi M, Golzari M. Toward Iran's health system regionalization: A qualitative approach. J Educ Health Promot 2025; 14: 380.
10. Mirzoev T, Kane S. What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework. BMJ Glob Health 2017; 2(4).
11. Baum F. Cracking the nut of health equity: top down and bottom up pressure for action on the social determinants of health. Promotion & education 2007; 14(2): 90-5.
12. Naddafi K, Riazi-Isfahani S, Kaefi M, Damari B. Designing a health ranking system for cities in Iran. Payesh (Health Monitor) 2017; 16(3): 271-80.
13. Rezaeian M. Pathology of Iran's National Suicide Prevention Program. J Rafsanjan Univ Med Sci 2024; 23(4): 275-7.
14. Shams L, Nasiri T, Amiri MM, Abdolahi Z. Challenges of Rural Family Physician Policy in Iran. Int J Prev Med 2023; 14: 43.

 
Type of Study: Research | Subject: Statistics& Epidemiology
Received: 2026/06/7 | Accepted: 2026/09/7 | Published: 2026/07/31

References
1. Rahmani A, Asgarian A, Aligol M, Ahmadi Z, Mohammadbeigi A. Community assessment for identifying and prioritizing the problems of Jamkaran Village in Qom Province in 2019 (Iran). Qom University of Medical Sciences Journal 2020; 13(11): 1-12.
2. Rafiemanesh H, Yari M, Holakui Naeini K. Community assessment for determination and diagnosis of health-related problems in Aliny village Meshginshahr functions in Ardebil. J Prev Med 2015; 2(2): 10-7.
3. Khosravi A, Sepidar Kish M, Khalili M, Ghofrani M, Ashrafi E, Sharifi N, et al. Community assessment for diagnosis and determination of health-related problems. Knowl Health J 2013; 8(1): 41-5.
4. Maleki F, Hosseinpour M, Rafiemanesh H, Salehi F, Lotfi Z, Naserizadeh M, et al. The review of community assessment papers to determine priority problems in selected populations of Iran. Journal of School of Public Health & Institute of Public Health Research 2014; 12(3).
5. Olyaeemanesh A, Habibi F, Mobinizadeh M, Takian A, Khosravi B, Jafarzadeh J, et al. Identifying and prioritizing inefficiency causes in Iran's health system. Cost Eff Resour Alloc 2024; 22(1): 81.
6. Moradi T, Kabir MJ, Pourasghari H, Ehsanzadeh SJ, Aryankhesal A. Challenges of Budgeting and Public Financial Management in Iran's Health System: A Qualitative Study. Med J Islam Repub Iran 2023; 37: 80.
7. Khayatzadeh-Mahani A, Fotaki M, Harvey G. Priority setting and implementation in a centralized health system: a case study of Kerman province in Iran. Health Policy Plan 2013; 28(5): 480-94.
8. Rahbari Bonab M, Rajabi F, Vedadhir A, Majdzadeh R. Sustainable political commitment is necessary for institutionalizing community participation in health policy-making: Insights from Iran. Health Res Policy Syst 2024; 22(1): 23.
9. Eskandarian M, Raeisi A, Ferdosi M, Golzari M. Toward Iran's health system regionalization: A qualitative approach. J Educ Health Promot 2025; 14: 380.
10. Mirzoev T, Kane S. What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework. BMJ Glob Health 2017; 2(4).
11. Baum F. Cracking the nut of health equity: top down and bottom up pressure for action on the social determinants of health. Promotion & education 2007; 14(2): 90-5.
12. Naddafi K, Riazi-Isfahani S, Kaefi M, Damari B. Designing a health ranking system for cities in Iran. Payesh (Health Monitor) 2017; 16(3): 271-80.
13. Rezaeian M. Pathology of Iran's National Suicide Prevention Program. J Rafsanjan Univ Med Sci 2024; 23(4): 275-7.
14. Shams L, Nasiri T, Amiri MM, Abdolahi Z. Challenges of Rural Family Physician Policy in Iran. Int J Prev Med 2023; 14: 43.
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