ArticleBMC health services research2025
Hospital governance accountability challenges in Iran: a qualitative study.
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. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Passive-avoidant leadership and psychological distress among Iranian nurses: the mediating role of work-to-family conflict.BMC health services research · 2026Article
- Head nurse leadership styles and job satisfaction among nurses in teaching hospitals of southeastern Iran: a cross-sectional study.BMC nursing · 2026Article
- Barriers to the Implementation of Iran's Clean Air Act: A Policy-Oriented Scoping Review.Environmental health insights · 2026Review
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3 authors.
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Abstract
introductionHospital governance is crucial for ensuring the quality of care and patient safety. Despite numerous reforms in hospital governance accountability structures in Iran, some challenges persist. This study identifies the challenges of governance accountability structures in Iranian hospitals from the perspectives of administrators and policymakers.
methodsThis qualitative study used semi-structured interviews with 23 hospital administrators and governance experts in Iran. Participants were selected through purposive sampling. Interviews were conducted face-to-face, online, or by phone, and data were analyzed using thematic analysis based on Braun and Clarke's framework.
resultsThe study identified two main themes: governance structure challenges and accountability structure challenges. Governance structure challenges included internal issues such as the lack of a medical staff council, presidential governance, and the dominance of physicians, as well as external matters like centralization and rigid regulations. Accountability challenges encompassed administrative, financial, and socio-political dimensions, with issues such as the preference for personal relationships over accountability, centralized planning, and political pressures affecting hospital operations.
conclusionThe study highlights the need for reforms in Iranian hospital governance and accountability structures. Recommendations include forming boards of trustees and medical staff, decentralizing decision-making, and revising regulations to improve clinical, financial, and socio-political accountability. These changes could enhance the overall governance and accountability of Iranian hospitals.
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