Document Type : Original Article



BACKGROUND: The health reform plan (HRP) is a plan to improve Iran’s health systems that began 
in 2014. The three main approaches of this plan include financial protection of the people, creating 
justice in access to health services, and improving the quality of services. It predicted that the level 
of health system responsiveness would increase. Achieving this goal is possible only with the correct 
implementation. The best people to measure the correct implementation are nurses, midwives, 
and physicians. Hence, this study was conducted to assess the attitude of nurses, midwives, and 
physicians about the implementation of the HRP.
MATERIALS AND METHODS: This cross‑sectional descriptive study was conducted in educational 
hospitals of Jahrom University of Medical Sciences in 2020. By convenience sampling method, 325 
nurses, midwives, and physicians participated in this study. Sampling was done in all work shifts, and 
in all wards. A researcher‑making questionnaire was used to collect data. The scoring did by the Likert 
scale from (completely agree = 4 to completely disagree = 1). Quantitative and qualitative face and 
content validity was calculated (IS: 0.84, CVI: 0.92, CVR: 0.87), and its reliability was calculated by 
Cronbach’s alpha method (0.78). The data were analyzed by SPSS software version 16. Descriptive 
statistics, Mann–Whitney U‑test, and Kruskal–Wallis test were used for the data analysis (P ≤ 0.05).
RESULTS: In the study, 90.15% agreed with the implementation of the HRP. There was no significant 
difference between the male and female (P = 0.063). There was a significant difference between the 
educational degree (P = 0.006), married and the single participants’ attitude (P = 0.003), the nurses, 
midwives, and physicians (P = 0.001).
CONCLUSION: HRP is more successful in the field of financial protection, so policymakers should 
pay more attention to justice in access to health services and improving the quality of services fields.


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