Presenting a Health System Policy Model Based on “the Second Phase of the Revolution” Statement

Health system policy is one of the most important issues for policy makers and managers in the health system. This study aims to present a health system policy model based on the statement of “the second phase of the revolution” and using the economic resistance approach.

This is a qualitative study using grounded theory. Participants were selected by purposive and snowball sampling techniques. The data was collected by conducting in-depth and semi-structured interviews with 11 faculty members, deputies, and managers of Arak University of Medical Sciences and Qom University of Medical Sciences in Iran. The concepts for the paradigmatic model were extracted after open, axial, and selective coding. Then, the structural equation modeling was conducted using non-parametric partial least squares method.

Initially, 408 codes were obtained, which were reduced to 260 after screening using the content validity index. In this regard, 40 sub-themes and 13 main themes were extracted which included: Causal factors (management issues, human resources management, processes/methods), strategies (priority of prevention over treatment, health resource management, cultural enrichment, promotion of human capital in healthcare, and improvement of methods), intervening factors (economic, social, technological, and political), contextual factors, governance factors, and consequences (promoting the society health, improving economic efficiency of medical universities).

The health system policy model based on the economic resistance approach can help promote the society health and improve the economic efficiency of medical universities in Iran.