Volume 21, Issue 1 (4-2025)                   J Health Syst Res 2025, 21(1): 64-72 | Back to browse issues page

Research code: 8592310
Ethics code: 8592310


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Shahrokhi J, Pourkarimi J, Moeini B, Roshan A. Identifying Governance Components in the Health System: A Qualitative Study in Iranian Medical Sciences Universities. J Health Syst Res 2025; 21 (1) :64-72
URL: http://hsr.mui.ac.ir/article-1-1768-en.html
1- PhD Candidate, Department of Educational Management and Planning, School of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
2- Associate Professor, Department of Educational Management and Planning, School of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
3- Professor, Department of Health Education and Health Promotion, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
4- Assistant Professor, Department of Higher Education Management Studies, Institute for Research and Planning in Higher Education, University of Tehran, Tehran, Iran
Abstract:   (442 Views)
Background: In light of the profound transformations occurring within health systems and the forthcoming challenges that lie ahead, it is highly imperative to address the matter of governance. Consequently, the objective of the present study is to detect the governance elements that comprise the health system in universities of medical sciences in Iran.
Methods: This qualitative research was developed using the content analysis method. The statistical population consisted of experts, professionals, managers, and specialists affiliated with Iran's Ministry of Health and medical sciences universities. The data collection process involved conducting semi-structured interviews with 24 experts, including managers and professionals in this field who were selected using the targeted sampling method and maximal diversity. To analyze the interview data, the inductive content analysis technique was applied.
Findings: Eight main components were identified, including independence and self-reliance, administrative system health, organizational agility, meritocracy, human capital development, social capital development, health orientation, and infrastructure development.
Conclusion: The challenges in the way of achieving the goals of the health system in the current governance model of the health system in Iran can be studied based on 8 components, and in the future interventions, they can be considered to create and strengthen a flexible structure in line with dynamism and effective innovation and reducing dependence on governmental resources.
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Type of Study: Research | Subject: education health and promotion
Received: 2024/03/2 | Accepted: 2024/05/6 | Published: 2025/04/4

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