فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: One of the main goals of hospital management is to attract, maintain, and increasethe number of qualified and efficient human resources, and one of the key and most important factorsin achieving this goal is to design and implement a fair and efficient payment system. The purposeof this project is to determine the challenges of the performance‑based payment system and providesolutions to overcome its obstacles in the city of Tehran.MATERIALS AND METHODS: This qualitative research sought to perform content analysis so asto explore the experiences and perceptions of a purposeful group of specialists and managers ofTehran’s educational and medical centers (n = 10). Data were collected using in‑depth semi‑structuredinterviews and were ongoing until the point of saturation.RESULTS: On analysis of data by Specialists and managers of Tehran’s educational and medicalcenters, three main themes including behavior, organization, rules and regulation were definedalongside 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 challengesin the field of behavior, organization, and rules and regulations, the need for necessary trainingbefore implementing the plan, special attention to quality instead of quantity, motivating employeesto cooperate in implementing the plan as successfully as possible, creating a platform Appropriatebefore the implementation of the plan and most importantly, the pilot implementation of the planbefore its widespread implementation seems necessary.