Evidence map›Paper›PMID 40340706›Full record

ArticleBMC health services research2025

Stakeholders' perspectives on the necessary requirements of implementing the Hospital-at-Home program: a qualitative study.

Fatemeh Kheiry, Mahnaz Rakhshan, Ali Mohammad Mosadeghrad, Nader Jahanmehr, Maryam Hazrati

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Fatemeh KheiryStudent Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Mahnaz RakhshanCommunity Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. rakhshanm@sums.ac.ir.
Ali Mohammad MosadeghradDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Nader JahanmehrDepartment of Health Policy and Management, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maryam HazratiCommunity Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

Vice-Chancellor for Research, Shiraz University of Medical Sciences 23885
6 · The paper itself

Abstract

backgroundHospital at Home (HaH) is an effective solution to address the challenges in healthcare systems; however, the inherent complexities of this program have created obstacles in implementing it. This study was conducted to explore the perspectives of managers and policymakers in the Iranian healthcare system on the necessary requirements for the implementation of the HAH program.

methodsThis qualitative study was conducted from December 2023 to June 2024. The 14 participants consisted of health policymakers, faculty members, and hospital managers from Tehran and Shiraz universities of medical sciences. The participants were selected by purposive sampling. Data were collected through semi-structured individual interviews. Data analysis was conducted using conventional content analysis.

resultsFollowing data analysis, 652 initial codes were extracted, which were subsequently classified into 7 categories and 2 themes. The themes were "alignment of macro-level mechanisms in supporting the HaH program" and "organizing the HaH program within the healthcare system".

conclusionsThe study highlights that successful implementation of the HaH program in Iran is influenced by economic, legal, and socio-cultural factors, as well as the policies of the Ministry of Health and Medical Education (MOHME). Addressing the challenges in these areas requires a comprehensive and integrated approach. Additionally, the program's success depends on development of precise structures within the healthcare system, which involves configuring this program within the healthcare service processes, executive support from managers and beneficiary healthcare centers, and the development of essential infrastructure. The findings provide valuable insights for managers, policymakers, and stakeholders, offering guidance on the design and implementation of the HaH program as a supplement to routine healthcare services.

Indexed as

Attitude of Health PersonnelHome Care Services, Hospital-BasedStakeholder ParticipationFemaleHumansInterviews as TopicIranQualitative ResearchComplementary healthcare servicesHospital-at-homeImplementation sciencePublic health infrastructure

Identifiers

PMID40340706
PMCPMC12060484

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.