Challenges of implementing the health system transformation plan in the health sector (Preprint)
BACKGROUND Today, health is one of the top priorities in people's lives. In today's world, health perspectives are broader. OBJECTIVE Therefore, this study was conducted to identify the challenges of implementing the transformation of the health system in the health sector of Gotvand city in Iran. METHODS This qualitative study was conducted by an in-depth and semi-structured interview method. Participants, including 11 experts in the Health Transformation Project, were targeted. The Grounded Theory method (Foundation Data Theory) was used for analysis. RESULTS According to the identified categories and components, managerial challenges are: appointment without criteria, lack of meritocracy, instability of management, incompatibility of responsibilities, and authority of managers has been identified. Challenges have also been identified in human resource management, such as inefficient human resource management, employee frustration (hopelessness), and difficult job placement conditions. In the political sphere, factors such as the instability of domestic and foreign policy were also identified. In the financial field, the Health Transformation Plan faced the challenges of financial resource instability and lack of sustainable financing. CONCLUSIONS According to interviews and responses received, the most important factor from the respondents' point of view was the instability of domestic and foreign policies as the main focus of political challenges.