Document Type : Original Article


1 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran

2 Health Information Technology Research Center, Student Research Committee, Department of Medical Library and Information Sciences, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND: One of the main goals of hospital management is to attract, maintain, and increase
the number of qualified and efficient human resources, and one of the key and most important factors
in achieving this goal is to design and implement a fair and efficient payment system. The purpose
of this project is to determine the challenges of the performance‑based payment system and provide
solutions to overcome its obstacles in the city of Tehran.
MATERIALS AND METHODS: This qualitative research sought to perform content analysis so as
to explore the experiences and perceptions of a purposeful group of specialists and managers of
Tehran’s educational and medical centers (n = 10). Data were collected using in‑depth semi‑structured
interviews and were ongoing until the point of saturation.
RESULTS: On analysis of data by Specialists and managers of Tehran’s educational and medical
centers, three main themes including behavior, organization, rules and regulation were defined
alongside seven subthemes includes scheduling, platform, education, quantity‑oriented, motivation,
implementation, and payment system.
CONCLUSION: In general, it can be concluded that for the successful implementation of any project,
the necessary infrastructure must be provided for implementation. In this plan, despite the challenges
in the field of behavior, organization, and rules and regulations, the need for necessary training
before implementing the plan, special attention to quality instead of quantity, motivating employees
to cooperate in implementing the plan as successfully as possible, creating a platform Appropriate
before the implementation of the plan and most importantly, the pilot implementation of the plan
before its widespread implementation seems necessary.


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