A group of health policy academicians have published an article on “experience of implementing the board of trustees’ policy in teaching hospitals” in the International Journal of Health Policy and Management in Apr. 2015.
Medvoice is committed to consider high quality and relevant scientific researches in the field of health policies of Iran as basis of its criticism , and this article is a good example of such studies.
They reported that Iran started a restructuring in 2004 to proliferate the autonomy of teaching (University) hospitals and make them more regionalized. Board of trustees were recruited as a main component of the new policy in those hospital and hospitals financing systems modified dramatically. The reform expected to improve the situation but Doshmangir et.al reported that such expectations from new policy were never realized.
The authors investigated the implementation approach of policy (processes, views on policy and the links among the policy components) and policy context (health system structure, health insurer’s capacity, organization of hospitals and interrelationships between actors) which affected the policy outcomes.
Doshmangir et.al concluded that the board of trustee’s policy did not achieve its desired objectives in teaching hospitals in Iran. They discussed that this failure to achieve goals can be attributed to the context which was not prepared and key stakeholders (e.g. government)
Doshmangir, Leila, Arash Rashidian, Hamid Ravaghi, Amirhossein Takian, and Mehdi Jafari. “The experience of implementing the board of trustees’ policy in teaching hospitals in Iran: an example of health system decentralization.”International journal of health policy and management ۴, no. 4 (2015): 207.