Validation of the Implementation Model of the Comprehensive Policy Document on Health System Care with an Approach to the Seventh Development Plan
Keywords:
Health policy, Seventh Development Plan, Confirmatory Factor Analysis, Electronic Health Records, Health equityAbstract
The purpose of this study was to design and validate a comprehensive model for implementing health system policies within the framework of Iran’s Seventh Development Plan, emphasizing service standardization, health data registration, legal frameworks, and equity in access to healthcare services. This quantitative study employed confirmatory factor analysis (CFA). Data were collected through a researcher-developed questionnaire covering four main dimensions: clinical guideline standardization, health data registration in the electronic health record (EHR) system, establishment of health-related rules and regulations, and insurance policies with financial incentives. A stratified sample of healthcare managers, experts, and professionals participated. Goodness-of-fit indices including χ², GFI, AGFI, RMSEA, and χ²/df were applied to assess model adequacy. The CFA results indicated that the proposed model demonstrated an acceptable fit (GFI=0.91, AGFI=0.90, RMSEA=0.048, χ²/df=2.31). All factor loadings exceeded 0.60, confirming convergent validity. Dimensions of medical data standardization, health data registration, establishment of legal frameworks, and insurance equity were statistically significant. The overall goodness-of-fit indices confirmed that the model sufficiently explained the operational dimensions of health policy implementation in Iran. The validated model highlighted that achieving the objectives of the Seventh Development Plan requires the simultaneous integration of technical (clinical guidelines and digital data systems), legal (rules and regulations), and socio-economic (insurance equity and financial incentives) dimensions. This framework can serve as a roadmap for Iranian policymakers to enhance coherence, efficiency, and equity in the national health system.
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Abass, L. A., Usuemerai, P. A., Ibikunle, O. E., Alemede, V., Nwankwo, E. I., & Mbata, A. O. (2024). Enhancing Patient Engagement Through CRM Systems: A Pathway to Improved Healthcare Delivery. International Medical Science Research Journal, 4(10), 928-960. https://doi.org/10.51594/imsrj.v4i10.1648
Alcaraz‐Córdoba, A., Fernández, M. D. R., Ibáñez‐Masero, O., Ventura‐Miranda, M. I., García-Navarro, E. B., & Ortega‐Galán, Á. M. (2024). The Efficacy of Compassion Training Programmes for Healthcare Professionals: A Systematic Review and Meta-Analysis. Current Psychology, 43(20), 18534-18551. https://doi.org/10.1007/s12144-024-05618-0
Aouad, M. T., Hastie, M. J., & Yazbeck‐Karam, V. G. (2024). Adaptive Leadership in Crisis: A Healthcare System’s Resilience Journey. BMJ Leader, leader-2023-000958. https://doi.org/10.1136/leader-2023-000958
Apell, P. (2024). Technology Innovation Systems in Healthcare the Case of Artificial Intelligence (AI) (Preprint). https://doi.org/10.2196/preprints.60458
Awotunde, J. B., Imoize, A. L., Jimoh, R. G., Adeniyi, E. A., Abdulraheem, M., Oladipo, I. D., & Falola, P. B. (2024). AIoMT Enabling Real-Time Monitoring of Healthcare Systems: Security and Privacy Considerations. Handbook of Security and Privacy of AI-Enabled Healthcare Systems and Internet of Medical Things, 97-133. https://www.taylorfrancis.com/chapters/edit/10.1201/9781003370321-5/aiomt-enabling-real-time-monitoring-healthcare-systems-joseph-bamidele-awotunde-agbotiname-lucky-imoize-rasheed-gbenga-jimoh-emmanuel-abidemi-adeniyi-muyideen-abdulraheem-idowu-dauda-oladipo-peace-busola-falola
Emami, S. G., Lorenzoni, V., & Turchetti, G. (2024). Towards Resilient Healthcare Systems: A Framework for Crisis Management. International journal of environmental research and public health, 21, 286. https://doi.org/10.3390/ijerph21030286
Eslami, A. (2022). Enhancing the Quality of Human Resources in Healthcare Centers Based on the Competency Model: A Systematic Review. Fourth National Conference on Interdisciplinary Research in Management and Medical Sciences,
Fahim, A. U., Liza, S. J., Lina, S. J., & Salim, M. A. A. (2022). Study of Mental Stress Related with Lifestyle During COVID-19: A Case Study of Bangladesh. International Journal of Education and Cognitive Sciences, 3(2), 30-41. https://doi.org/10.22034/injoeas.2022.160611
Gharibi, F., & Tabrizi, J. S. (2018). Development of an Accreditation Model for Health Education and Promotion Programs in the Iranian Primary Healthcare System: A Delphi Study. Health Promotion Perspectives, 8(2), 155-162. https://doi.org/10.15171/hpp.2018.20
Hague, L., Barry, M., Mowbray, P. K., Wilkinson, A., & Avgar, A. C. (2024). Employee Voice in Healthcare: A systematic Review. Journal of Health Organization and Management. https://doi.org/10.1108/jhom-11-2023-0353
Hosseini, H. (2021). Global Inequities and Healthcare Disparities: Can They Be Eliminated Ethically? International Journal of Ethics and Systems, 37(2), 181-196. https://doi.org/10.1108/ijoes-11-2020-0175
Kızılkaya, S., & Buğdali, B. (2025). The Relationship Between Healthcare System Distrust and Intention to Use Violence Against Health Professionals: The Mediating Role of Health News Perceptions. Health Expectations, 28(1). https://doi.org/10.1111/hex.70151
Koskenvuori, J., Stolt, M., Suhonen, R., & Leino-Kilpi, H. (2019). Healthcare professionals’ ethical competence: A scoping review. Nursing Open, 6(1), 5-17. https://doi.org/10.1002/nop2.173
Kulju, E., Jarva, E., Oikarinen, A., Hammarén, M., Kanste, O., & Mikkonen, K. (2024). Educational Interventions and their effects on healthcare professionals' digital competence development: A systematic review. International Journal of Medical Informatics, 105396. https://doi.org/10.1016/j.ijmedinf.2024.105396
Maddela, S. (2025). Revolutionizing Healthcare Information Systems Through Blockchain Technology. International Journal of Scientific Research in Computer Science Engineering and Information Technology, 11(1), 237-246. https://doi.org/10.32628/cseit25111219
Majedi, N. (2024). Developing a Model for the Success of Healthcare Start-Up Companies in Iran: A Systematic Review and Interviews With Experts. https://doi.org/10.21203/rs.3.rs-4296101/v1
Mehraeen, E., Mehrtak, M., Janfaza, N., Karimi, A., Heydari, M., Mirzapour, P., & Mehranfar, A. (2022). Design and Development of a Mobile-Based Self-Care Application for Patients with Type 2 Diabetes. Journal of Diabetes Science and Technology, 16(4), 1008-1015. https://doi.org/10.1177/19322968211007124
Nanji, N., & Olivier, J. (2024). Providing Mental Healthcare Through Faith-Based Entities in Africa: A Systematic Review. Christian Journal for Global Health, 11(1), 148-176. https://doi.org/10.15566/cjgh.v11i1.795
Parker, S., Schulmann, K., Bruen, C., & Burke, S. (2025). Health system reform in the context of COVID-19: a policy brief outlining lessons from Ireland's journey towards the goal of universal healthcare. Global Health Research and Policy, 10(1), 1-7. https://doi.org/10.1186/s41256-025-00407-z
Piskorz-Ryń, O., Olsen, G., Karstensen, V., & Gottschlich, D. (2024). Healthcare Providers' Perspectives on the Implementation of Patient-Centered Care Models in Hospitals. Health Nexus, 2(3), 80-88. https://doi.org/10.61838/kman.hn.2.3.10
Pradhan, B. (2023). An AI-Assisted Smart Healthcare System Using 5G Communication. IEEE Access, 11, 108339-108355. https://doi.org/10.1109/access.2023.3317174
Rehman, A. (2025). Internet of Things in Healthcare Research: Trends, Innovations, Security Considerations, Challenges and Future Strategy. International Journal of Intelligent Systems, 2025(1), 8546245. https://doi.org/10.1155/int/8546245
Sharma, P. (2024). Under Siege: The Role of Settler Colonialism in Targeting Healthcare Systems. Indian Journal of Medical Ethics, 9(3), 207-209. https://doi.org/10.20529/ijme.2024.038
Webster, C. S., Coomber, T., Liu, S., Allen, K., & Jowsey, T. (2024). Interprofessional Learning in Multidisciplinary Healthcare Teams Is Associated With Reduced Patient Mortality: A Quantitative Systematic Review and Meta-analysis. Journal of Patient Safety, 20(1), 57-65. https://doi.org/10.1097/PTS.0000000000001170
Yazdani, A., & Darbani, S. (2022). The Impact of Cloud Technology on Strategic Management and Organizational Flexibility. Journal of Technology in Entrepreneurship and Strategic Management, 1(1), 12-20. https://www.journaltesm.com/article_192386.html
Yixuan Ong, N., Teo, F. J., & Thumboo, J. (2024). Effectiveness of mindfulness-based interventions on the well-being of healthcare workers: A systematic review and meta-analysis. General Psychiatry. https://doi.org/10.1136/gpsych-2023-101115
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