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:: Volume 11, Issue 5 (October-November 2022) ::
JHPM 2022, 11(5): 80-97 Back to browse issues page
The Model of Health System Development in Iran with Grounded Theory Approach: A Qualitative Study
Ahmad Arabkhani , Hossein Dargahi , Raheb Ghorbani , Israfil Roshdi
Tehran University of Medical Science , hdargahi@tums.ac.ir
Abstract:   (185 Views)
Introduction: The development of health systems leads to the improvement of functions, productivity, efficiency, effectiveness and access to health services in communities, and underdevelopment will lead to weakness in the functions of health systems. The aim of this study was to develop The Model of Health System Development in Iran with Grounded Theory Approach.
Methods: The present qualitative research was conducted by the method of Grounded Theory. The research community included senior managers of the Ministry of Health and Medical Education, lecturers from medical universities, and prominent consultants in the field of health management. The number of samples using the theoretical saturation principle was 11 peoples, which were selected by snowball method using purposive sampling method. Data collection was performed through unstructured interviews. To assess the validity of the four criteria, including credibility, generalizability, reliability and verifiability. To assess the reliability of the interviews, the reliability method of retesting and the method of intra-subject agreement were used. Data analysis was performed by open, axial and selective triple coding method.
Results: 6 selective codes were identified under the title of components (causal conditions, contextual conditions, intervening conditions, central phenomena, strategies and consequences) and 14 central codes and 40 open codes.
Conclusions: The causal conditions component includes 4 central codes, the contextual conditions component includes 2 central codes, the intervening conditions component includes 2 central codes, the central phenomenon component includes 1central codes, the strategies component includes 2 central codes and the consequences component includes 3central codes. The managers of the health system are suggested to formulate a strategic and coherent plan for development, including the formulation of goals and strategies in line with the four-year national development plans of the country.
Keywords: Development, Health, Grounded Theory, Iran, Qualitative Research.
Full-Text [PDF 398 kb]   (111 Downloads)    
Type of Study: Research | Subject: health services management
Received: 2022/01/29 | Accepted: 2022/05/1 | Published: 2022/10/2
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Arabkhani A, Dargahi H, Ghorbani R, Roshdi I. The Model of Health System Development in Iran with Grounded Theory Approach: A Qualitative Study. JHPM 2022; 11 (5) :80-97
URL: http://jhpm.ir/article-1-1506-en.html

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Volume 11, Issue 5 (October-November 2022) Back to browse issues page
مدیریت ارتقای سلامت  Journal of Health Promotion Management
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