en Health Management and Economics Health Management and Economics Original Research Original Research <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><b><span style="font-size:9.0pt"><span style="font-style:normal">Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">The likelihood of poor health outcomes for refugees is increased due to a variety of complicated causes. Lack of access to high-quality care during resettlement is frequently cited by migrants. Therefore, this study was carried out to assess the quality of primary care services from the perspective of refugees and migrants. </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Methods:</b> This cross-sectional study was conducted in three health networks affiliated with Iran University of Medical Sciences in 2021. Data were collected by using a self-administrative questionnaire, the validity and reliability of which were checked and confirmed. The questionnaires were randomly completed by 280 migrants and refugees. Data were analyzed by using Kruskal&ndash;Wallis, Mann&ndash;Whitney U, Spearman correlation, exploratory factor analysis, and Cronbach&#39;s &alpha; with SPSS 22. </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Results: </b>According to the results, the overall service quality was 3.86 out of 5. The highest and lowest mean scores were related to efficiency (4.12 &plusmn;0.64) and tangibility (3.28 &plusmn;0.39). Furthermore, there was a significant relationship between the perception of service quality and gender, education, residence area, and the rate of center visits (</span></span><span style="font-size:9.0pt">P</span><span style="font-size:9.0pt"><span style="font-style:normal"> < 0.05). </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Conclusion:</b> The quality of services was generally rated favorably by the refugees. Managers and decision-makers are recommended to allocate enough funds to equip and upgrade the amenities at health centers to increase the quality of services.</span></span></span></span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-family:"Times New Roman",serif"></span></b></span></span></span> Primary health care, Quality of health care, Migrants, Refugees 68 74 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-8269-1&slc_lang=en&sid=1 Asgar Aghaei Hashjin asgar.aghaei.h@gmail.com 200319475328460088796 200319475328460088796 No School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Rafat Bagherzadeh Bagherzadeh.r@iums.ac.ir 200319475328460088797 200319475328460088797 No School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Amrollah Faraji Farajiamrolla@gmail.com 200319475328460088798 200319475328460088798 No Health Department, Faculty of Medical Sciences, Shahrekord Islamic Azad University, Shahrekord, Iran Mahtab Rouzbahani Mahtab.rouzbahani@yahoo.com 200319475328460088799 0009-0006-3524-8243 No Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Pouria Farrokhi p-farrokhi@student.tums.ac.ir 200319475328460088800 200319475328460088800 Yes Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran