According to the World Bank in 2002, the participation of the public and private sectors is a powerful political tool for sustaining public hospitals and increasing the quality of their services, so it is recommended that developing countries, like advanced countries, adapt to the situation. Provide their country. Since the participation of the public and non-governmental sectors in the health sector of countries is subject to specific legal, political, social and cultural approaches and methods of those countries and the type of attitude towards health services, all these conditions are necessary in designing the participation model. The governmental and non-governmental sectors should be studied and all the basic and executive requirements and variables should be included in the country.
In the first phase of this research, after the theoretical study of various models of public and non-governmental sector participation models, 7 countries that had successful experience in this type of hospital participation were selected. These countries included Canada, the United Kingdom, Germany, Brazil, India, Thailand, and Lesotho, which were studied and compared as adaptive paradigms.
After selecting countries as adaptive paradigms, variables and factors affecting the creation and implementation of public and non-governmental hospital participation model in these countries as well as Iran were extracted using content analysis method and its data were collected in a matching matrix. Came.
After comparative study and identification of dimensions and variables affecting the studied models, a questionnaire was prepared and compiled to explain the proposed model for Iran and its validation. Finally, 220 questionnaires were distributed to hospital experts in selected cities of Iran.
Using exploratory factor analysis, the 30 variables in this questionnaire were loaded on 5 general factors (model dimensions). In order to confirm the factors extracted from the questionnaire in question, the confirmatory factor analysis model was implemented using AMOS software.
Thus, as a result of the present study, 5 general factors affecting the creation and implementation of the public-private partnership model for Iranian hospitals were confirmed, including: legislative factor, policy factor, financial factor, capacity building factor, and community-centered factor. Each of these main factors has been determined and explained in detail in this research with the details of the sub-factors that make up the entire model of public-private partnership participation for Iranian hospitals.
The model designed in this study for Iranian hospitals is a comprehensive and complete model that provides all the requirements and conditions for creating and implementing a public and non-governmental hospital sector participation plan and includes all variables and successful practices in different countries. Different ways have been done, however similar to the requirements of a particular country
is not; Rather, it is a suitable model for Iran's economic, social and cultural conditions, which cover all levels of the country, from government legislation to the Ministry of Health and its subdivisions.
Dr. Mehdi Barzegar, Executive Vice President of Moheb Kowsar Hospital and Member of the Research Council of the Hospital Management Research Center,
Dr. Mohammad Reza Akhoondi Nasab, Faculty Member of Iran University of Medical Sciences
Dr. Elham Afzal, Head of Research, Hospital Management Research Center