Document Type : Original Article


1 Department of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Students’ Scientific Research Center, Tehran

2 School of Management and Information Sciences, Health Human Resources Research Center, Medical University of Shiraz, Shiraz,

3 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran


CONTEXT: Health system reform plan refers to conducting some fundamental, systematic, and
sustainable changes.
AIMS: The aim of the present study was to evaluate different required inputs of Iran Health
Transformation Plan from experts’ viewpoints.
SETTINGS AND DESIGN: The data of this qualitative study were collected using semi‑structured
SUBJECTS AND METHODS: The purposive sampling method led to 18 participant selection and
then they were interviewed. Interviewees were assured about confidentiality of information.
STATISTICAL ANALYSIS USED: The thematic analysis method and MAXQDA software were
employed for analyzing the data.
RESULTS: There were 4 main themes and 35 subthemes extracted including management
requirements for health development plan, human resources, information resources, and financial
resources. Each theme had subthemes such as “resource allocation,” “development of required
standards for human resources,” “human resources’ motivation,” “failures in IT infrastructures,”
“hospital information management software,” “guidelines and instructions,” “costs controlling,” and
“financing the plan”.
CONCLUSIONS: Results of the present study put significant emphasis on the path of improving
the effectiveness and efficacy of applying the discussed inputs, which can be a light for revising
past policies and taking better future steps, it also can be a resource guide for policy‑makers and
managers of the health‑care system.


1. Lundberg M, Wang L, Coudouel A, Paternostro S. Health
sector reforms. Analyzing the Distributional Impact of Reforms.
Worldbank publication; 2006. p. 43‑110.
2. Lloyd‑Sherlock P. Health sector reform in argentina: A cautionary
tale. Soc Sci Med 2005;60:1893‑903.
3. Naylor MD, Aiken LH, Kurtzman ET, Olds DM, Hirschman KB.
The care span: The importance of transitional care in achieving
health reform. Health Aff (Millwood) 2011;30:746‑54.
4. Whitehead D. Workplace health promotion: The role and
responsibility of health care managers. J Nurs Manag 2006;14:59‑68.
5. Tarin EK. Health Sector Reforms: Factors Influencing the Policy
Process for Government Initiatives in the Punjab (Pakistan) Health
Sector 1993‑2000. PhD thesis. University of Leeds; 2003.p. 24‑43.
6. Shadpour K. Health sector reform in Islamic republic of Iran.
J Qazvin Univ Med Sci 2006;10:45‑63.
7. Davooudi S. Generalities about health systems‑third book. Health
Syst Reform 2006;78‑81.
8. Bashshur RL, Shannon GW, Krupinski EA, Grigsby J, KvedarJC,
Weinstein RS, et al. National telemedicine initiatives: Essential to
healthcare reform. Telemed J E Health 2009;15:600‑10.
9. Hickie I, Groom G. Primary care‑led mental health service reform:
An outline of the better outcomes in mental health care initiative.
Australas Psychiatry 2002;10:376‑82.
10. Fattahzadeh A, Ahmadvand A, Akbari M, Basamanji K,
Poor Asghari H, Jamshidi H. Getting Health Reform Right:
A Guide to Improving Performance and Equity. Tehran: Ebne
Sina’s Cultural Institution; 2005.
11. Asadi‑Lari M, Sayyari AA, Akbari ME, Gray D. Public health
improvement in Iran – Lessons from the last 20 years. Public
Health 2004;118:395‑402.
12. Forest PG, Denis JL, Brown LD, Helms WD. Health reform
requires policy capacity. Int J Health Policy Manag 2015;4:265‑6.
13. Davari M, Khorasani E, Bakhshizade Z, Jafarian Jazi M,
Ghaffari Darab M, Maracy MR. Measuring equity in access
to pharmaceutical services using concentration curve; model
development. Iran J Pharm Res 2015;14:1317‑26.
14. Zhou XD, Li L, Hesketh T. Health system reform in rural
China: Voices of health workers and service‑users. Soc Sci Med
15. Wagstaff A, Yu S. Do health sector reforms have their intended
impacts? The World Bank’s Health VIII project in Gansu province,
China. J Health Econ 2007;26:505‑35.
16. Policy‑Making‑Council. Development of Health System Map:
The Experiences of Countries in Planning for Healthcare Reform.
Ministry of Health and Medical Education; 2010.p. 121‑31.
17. Health‑and‑Medical‑Education. Evaluation of Health System
Reform Plan in the Treatment Area. National Institute of Health
Research; 2013;11:87102.
18. Zaez‑Mahdavi M, Vaez‑Mahdavi Z. Planning for justice: Justice
challenges in the health system. Q Sci J Soc Econ 2010;7:191‑210.
19. Treatment‑Deputy. Guidelines for Health System Reform Plan.
Ministry of Health and Medical Education; 2014.p. 13‑18.
20. Imani R, Asefzadeh S, Mamikhani J. Comparative study on health
human resources composition in the Eastern. J Qazvin Univ Med
Sci 2012;15:5‑12.
21. Asadi F, Moghaddasi H, Hosseini A, Azizi‑Gondozlu S. Feasibility
of implementing national health information infrastructure in
Iran, 2009. Health Inf Manage 2012;9:631.