What are the challenges and barriers for the entrepreneurship ecosystem in the Iranian health system?: A qualitative research.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2025-05-30 eCollection Date: 2025-01-01 DOI:10.4103/jehp.jehp_255_24
Nahid Jamali, Sayed M H Emami, Soudabeh Vatankhah, Mohammad R Maleki
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引用次数: 0

Abstract

Background: In the era of globalization, sustainable development is imperative for health and well-being of fellow citizens. With the available human resources and infrastructure, the Iranian heath system should provide a tremendous scope to contribute to the nation's health economy. We need to identify and rectify the flows of our health economy. The thrust of this paper was to discover the challenges and barriers of achieving an entrepreneurial ecosystem in Iran's health sector.

Materials and methods: The study objectives and qualitative method allowed to conduct focus group interviews with 16 entrepreneurs, policy makers, operational executive directors, and researchers affiliated to public and private health sectors. Data were computer-analyzed using Max QDA 2020 software, yielding 4 categories, 10 subcategories, and 60 conceptual codes (challenges) revolving around 6 dimensions of Eisenberg's entrepreneurship ecosystem (financing, politics, human capital, culture, market, infrastructure, and support). The validity and reliability of the results were evaluated and confirmed by matching the homogeneity of the findings.

Results: The participants enumerated 60 challenges in 4 major fields including policies, structural-organizational processes, implementers' characteristics, and prevailing context and conditions based on Eisenberg's ecosystem dimensions. The challenges are listed in order of importance as follows: the weaknesses in infrastructure and support systems, sociocultural elements, human capital, market, financing, and current health policies.

Conclusion: Sixty barriers and challenges are found and listed in order of frequency and importance and categorized in six Eisenberg's dimensions of ecosystem. Weaknesses in infrastructures, support system, and sociocultural elements are the most important barriers toward development.

伊朗卫生系统的创业生态系统面临哪些挑战和障碍?一项定性研究。
背景:在全球化时代,可持续发展对公民的健康和福祉至关重要。凭借现有的人力资源和基础设施,伊朗卫生系统应该为国家卫生经济做出巨大贡献。我们需要确定和纠正我们卫生经济的流动。本文的主旨是发现在伊朗卫生部门实现创业生态系统的挑战和障碍。材料和方法:研究目标和定性方法允许对16名企业家、政策制定者、业务执行董事和隶属于公共和私营卫生部门的研究人员进行焦点小组访谈。使用Max QDA 2020软件对数据进行计算机分析,得出围绕艾森伯格创业生态系统的6个维度(融资、政治、人力资本、文化、市场、基础设施和支持)的4个类别、10个子类别和60个概念代码(挑战)。对结果的效度和信度进行评估,并通过匹配结果的同质性来确认。结果:参与者基于艾森伯格的生态系统维度,列举了政策、结构-组织流程、实施者特征、主流环境和条件等4个主要领域的60项挑战。这些挑战按重要性排列如下:基础设施和支持系统方面的弱点、社会文化因素、人力资本、市场、融资和当前的卫生政策。结论:发现了60个障碍和挑战,并按出现频率和重要性排序,并将其分类为生态系统的六个艾森伯格维度。基础设施、支持系统和社会文化因素的薄弱是发展的最重要障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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