Toward Sustainable Health Financing: A Qualitative Study of Iranian Medical Universities
نویسندگان
doi
10.30476/jhsss.2025.107165.2063چکیده
Background: Sustainable financing of medical universities is crucial for achieving universal health coverage. This study aimed to develop a strategic roadmap for the financing of Iran’s medical sciences universities.Methods: A qualitative approach employing thematic analysis was used, featuring a semi structured questionnaire administered via snowball sampling until theoretical saturation was reached. The study involved 17 experts, and data were analyzed using MAXQDA software version 20 to extract relevant components. Etical Consideration:https://ethics.research.ac.ir/IR.IAU.TNB.REC.1403.002.Results: In the domain of financial resource provision, 22 initial themes were categorized into 4 organized themes and 1 overarching theme reflecting the primary challenges. Additionally, 26 initial themes were grouped into 9 organized themes and 1 overarching theme representing key financial strategies. Major challenges identified included insufficient and unstable funding, inefficiencies in resource allocation, inadequate infrastructure, and fragmented payment systems. Proposed key strategies encompass increasing the health sector’s share of GDP, implementing operational budgeting, promoting sustainable financing mechanisms, reforming payment systems, ensuring equitable resource distribution, and enhancing public-private partnerships.Conclusion: The findings underscore the urgent need for comprehensive financial reforms in Iran’s medical universities. Developing a strategic plan for sustainable financing can provide a unified and transparent framework to guide decision-making, align goals with available resources, and enhance the efficiency, equity, and resilience of the health system.