Quarterly Journal of Management Strategies in Health System最新文献

{"title":"Designing and Validation of the Leadership Competency Scale in Medicine","authors":"Nasrin Soleimani, Behnam Talebi, J. Yari","doi":"10.18502/mshsj.v8i3.14468","DOIUrl":"https://doi.org/10.18502/mshsj.v8i3.14468","url":null,"abstract":"Background: Leadership competencies in medicine are the key factors in improving the performance of physicians and the health system. The aim of the present study was to design and validate the leadership competencies scale in medicine. Methods: This research was conducted with a qualitative-quantitative approach. The research sample consisted of 12 physician managers in the qualitative stage and 15 people in the content validity evaluation stage using purposive sampling method. In the preliminary implementation stage of the questionnaire, 35 people were selected by convenience sampling and the main implementation stage of the questionnaire 306 students, faculty members, and medical graduate managers were selected using relative stratified random method. Qualitative data were collected by semi-structured interview and quantitative data by questionnaire. To analyze the qualitative data, the Esterberg analysis method was used, and to evaluate the construct validity, confirmatory factor analysis with Smart-PLS3 software was used. To evaluate the validity of quantitative data, content validity index, content validity ratio, Cronbach's alpha coefficient, convergent validity, and structural equation model fit indices were used. The criteria of credibility, transferability, dependability, and conformability were used using triangulation to evaluate the validity of the qualitative research data. Results: Competencies and parameters of the questionnaire were extracted into 17 competences and 123 concepts through the coding of interview texts and converted into a questionnaire in 101 items. The content validity of 100 items was valid. The results of factor analysis showed that the factor load of 99 items was valid and 17 components explained the structure of leadership competencies. Based on the fit indices of the model, the measurement scale of leadership competencies in medicine was valid in 17 components and 99 items. These components include perception and impression management, professional ethics, conflict management, problem solving, discipline, informal organization, public communication skills, interpersonal relationship skills, listening, cultural management, professional culture, innovation and creativity, motivation, emotional intelligence, change management, feeling management, participative management. Conclusion: Attention to the curriculum of leadership competencies in medical education and the application of this scale can improve the quality of leadership in the health system.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139171219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asymmetric Effects of Exchange Rate Shocks on Urban Household Health Expenditures in Iran","authors":"Reza Hashemi Shiri, Mohammad Ali Dehghan Tafti, Abbas Alavirad, M. Ghafoori","doi":"10.18502/mshsj.v8i3.14463","DOIUrl":"https://doi.org/10.18502/mshsj.v8i3.14463","url":null,"abstract":"Background: The evidence of Iran's economy shows that many economic variables, including household health expenditures, can be affected by exchange rate shocks. According to previous studies, the increase in the exchange rate from two channels of the general increase in prices, as well as the increase in the price of medicines and imported medical supplies, increases health expenditures. This study investigated the asymmetric effects of the unofficial exchange rate on the health expenditures of urban households in Iran. Methods: The present applied study investigated the short-run and long-run effects of positive and negative shocks of the unofficial exchange rate, gross domestic product (GDP), and CO2 emissions on the health expenditures of urban households during 1971-2019 using time series data. The data were collected from the database of the Statistics Center and the Central Bank. To investigate the reliability of data, generalized Phillips-Prone and Dickey-Fuller tests and to check the stability of the coefficients, cumulative sum and cumulative sum squares were used. Also, to check the short-run dynamics and adjustment towards the long-run, the error correction model was estimated. The regression model was estimated using the Nonlinear Autoregressive Distributed Lag approach by Eviews (12.0) software. After estimation, diagnostic tests including Wald test, normality, heterogeneity of variance and autocorrelation were performed. Results: The results showed that the increase in exchange rate has a positive and significant effect on household health expenditures, its reduction has no significant effect Therefore, the effect of exchange rate shocks was asymmetric. Accordingly, 1% increase in the unofficial exchange rate led to a 0.237 % increase in household health expenditures in the short-run and  0.55 % increase in the long-run. In addition, 1% increase in GDP led to 0.49 % increase in household health expenditures in the short-run and 1.57% increase in the long-run. Finally, 1 % increase in CO2 emissions led to a 1.49 % increase in household health expenditures in the long-run. Conclusion: Based on the results, after the increasing exchange rate shocks and possible future declines, due to the persistence of the shocks effects for up to three years, it is suggested not to stop supportive policies for providing health expenditures, especially for low-income groups.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"79 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139171626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of Brand Citizenship Behavior Development Model in Medical Tourism Employees","authors":"Sara Souri, Mohammad Ghaffari, Hossein Shirazi, Seyed Hamid Khodadad Hosseini","doi":"10.18502/mshsj.v8i3.14466","DOIUrl":"https://doi.org/10.18502/mshsj.v8i3.14466","url":null,"abstract":"Background: Medical tourism industry as a service industry needs to take measures including branding to attract and retain tourists. This study was conducted with the aim of improving branding in medical centers active in medical tourism, through the test of the brand citizenship behavior development model of employees, which was calculated from a qualitative research based on the Foundation Data Model. Methods: The current field-survey research was conducted on a sample of 384 employees in contact with patients, 10 hospitals with admission departments for international patients in Tehran city, selected using convenience sampling method. The data were collected using a researcher-made questionnaire. The reliability of the questionnaire was evaluated with Cronbach’s alpha index and composite reliability, and its validity was evaluated using content validity and construct validity. Data analysis was done by structural equation modeling using SPSS 22 and Smart Pls 3 software. Results: All research hypotheses were confirmed, including the effect of causal categories in the three dimensions of organization, employee, and tourist on brand citizenship behavior, the effect of intervening and foundational categories on comprehensive marketing and branding planning except for organizational justice and social responsibility of the organization, the impact of brand citizenship behavior on the comprehensive planning of marketing and branding and finally the effect of brand citizenship behavior by mediation of comprehensive planning of marketing and branding on the consequences related to tourists, organizations, employees and extra-organizations. The evaluation of the structural part of the model and the relationship between the internal and external construct also indicated the optimal fit of the model. Conclusion: Attracting the support of employees in the direction of extra-role behaviors that strengthen brand identity and benefit from its positive organizational and extra-organizational results, requires the attention of managers and relevant officials to various organizational, managerial, individual, etc. factors. Moreover, creating a strong brand in medical centers requires comprehensive planning to increase the participation of employees of these centers.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"150 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139171727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Exposure of Households to Catastrophic Expenditures of Oral and Dental Health Care in Ahvaz City","authors":"Ali Feizi, B. Hafezi, S. B. Faradonbeh, Shahram Tofighi","doi":"10.18502/mshsj.v8i3.14469","DOIUrl":"https://doi.org/10.18502/mshsj.v8i3.14469","url":null,"abstract":"Background: The treatment of oral and dental diseases is expensive all over the world and these diseases are considered the fourth most expensive diseases. The aim of the present study is analysis of exposure of households to catastrophic expenditures of oral and dental health care in Ahvaz city. Methods: The present cross-sectional descriptive-analytical study was conducted on 715 households living in Ahvaz city in 2022using multistage sampling. Collecting the data was done through a questionnaire, and logistic model and Stata 17  software were used to analyze the data and estimate the elasticity of influencing factors. Results: According to the results of the study, the ratio of oral and dental health expenditures to household payment capacity was 59.03 %, and 52.16 % of households faced catastrophic expenditures. Also, supplementary insurances with Odd Ratio(OR) = 1.39, living in the southern region with OR= 1.08, and being in the 2nd income quintile with OR = 1.1 had a strengthening role in facing catastrophic expenditures. Conclusion: According to the results of this study, in order to reduce the negative effects of oral and dental health expenditures, it seems necessary to modify the financing policies of these services and move towards equity in financing through increasing insurance coverage.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"119 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139171611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Compliance of Saveh Primary Healthcare Centers with World Health Organization's Age-Friendly Standards","authors":"Manal Etemadi, M. Karimy, Parisa Hosseini Koukamari, Zahedeh Khoshnazar","doi":"10.18502/mshsj.v8i1.12888","DOIUrl":"https://doi.org/10.18502/mshsj.v8i1.12888","url":null,"abstract":"Background: Since primary healthcare is a significant link in promoting and maintaining the health of the elderly, evaluating age-friendliness of service provision system is of great importance in ensuring the health of the elderly. The purpose of this study is to evaluate the state of primary healthcare centers’ compliance with the standards of age-friendliness in Saveh city. \u0000Methods: This was a cross-sectional and descriptive study conducted on May and June 2022, in Saveh city, Markazi Province in Iran. The statistical population of the research included 33 primary healthcare centers selected by the census method and based on World Health Organization’s checklist regarding age-friendly primary healthcare centers (2008); they were examined by observation. After translating the checklist, its face validity, content validity, and reliability were reviewed and approved by 13 experts in the fields of health policy, health education and promotion, the elderly's health, occupational health engineering, and healthcare. Data analysis was done using descriptive statistical tests, one-way analysis of variance, Kolmogorov-Smirnov test, Tukey's post hoc test, and SPSS 16 software. \u0000Results: Regarding the psychometric analysis of checklist, based on the experts' opinions, the content validity ratio and content validity index were calculated and except for 8 items, all items scored higher than 0.54 and 0.79. In order to check the reliability, the research tool was provided to 2 observers. By calculating the Kappa coefficient, the agreement between the 2 observers was above 0.6, which indicates the validity of the checklist. This study showed that comprehensive health centers and their affiliated units had a 57.6% access to public transportation and 72.7% access to stairs at the front entrance. The entry was 100% free from obstacles, access to parking was 42.4%, access to public telephones, 18.2%, to a reception counter near the entrance restrooms, 42.4%, to waiting room, 78.8%, to a dining area, 42.4%, to stairs, 9.1%, to corridor, 87.9%, compliance with guiding signs, 66/7%, visibility of the signs, 72.7%, and personnel identification was 42.4%. Also, based on the analysis of variance, a statistically significant difference was obtained between the type of centers (urban and rural) and friendliness towards the elderly (p < 0.05). \u0000Conclusion: Primary healthcare centers of Saveh city did not have an acceptable compliance with the standards of age-friendly centers. The main issues are the number of stairs and the lack of alternatives (ramps and elevators) for people with mobility problems, the lack of facilities such as public telephones, and the inadequacy of guiding signs and personnel identification to identify employees. The government should strengthen and improve primary healthcare centers for the elderly and facilitate geographical access to these centers, considering the important role of these centers in the health of the elderly.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"356 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115934881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Predictability of Organizational Health by the Eight Dimensions of Organizational Climate; A Case of Study: Kermanshah University of Medical Sciences","authors":"Ayoub Pazhouhan, Y. Safari, N. Naderi","doi":"10.18502/mshsj.v8i1.12890","DOIUrl":"https://doi.org/10.18502/mshsj.v8i1.12890","url":null,"abstract":"Background: Organizational climate is a set of characteristics which describes an organization, distinguishes it from other organizations, and influences the behavior of people in the organization. Organizational health is also the ability of the organization to maintain survival and compromise with the environment and improve the status of the organization. Therefore, the current research was conducted to determine the predictability of organizational health regarding Kermanshah University of Medical Sciences through organizational climate dimensions. \u0000Methods: The current cross-sectional study was conducted in 2019. The statistical population of this descriptive correlational research included all the employees (n = 1337) of the eight deputies and the management of Kermanshah University of Medical Sciences, 299 of whom were selected as the research sample by stratified random sampling method using Cochran’s formula. Data were collected by two standard questionnaires, Organizational Climate Questionnaire by Halpin and Croft (1963) and Organizational Health Questionnaire by Hoy and Fedman (1987). Data were analyzed by SPSS 22 and Smart PLS 3 software using Pearson correlation coefficient test and regression analysis. \u0000Results: The mean score of organizational climate (101.9 ± 13.006) of Kermanshah University of Medical Sciences was at a moderate to high level, and the mean score of organizational health (131.4 ± 18.51) was at a normal level. The results of the correlation test showed that all the components of organizational climate, except team work spirit, had a positive and significant correlation with organizational health (r = 0.56 and p < 0.01). In addition, the results of the regression analysis showed that organizational climate predicted and explained 0.56 of the variance created in organizational health (p < 0.05). \u0000Conclusion: The results indicated a positive and significant relationship between organizational climate and organizational health of Kermanshah University of Medical Sciences. Therefore, improving the positive organizational climate dimensions will promote organizational health.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126183406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal and External Anti-corruption Solutions in Healthcare Organizations: A Scoping Review","authors":"Ensieh Ashrafi, A. Mosadeghrad, M. Arab","doi":"10.18502/mshsj.v8i1.12892","DOIUrl":"https://doi.org/10.18502/mshsj.v8i1.12892","url":null,"abstract":"Objectives: Corruption means abusing the position and power delegated for personal gain, which undermines the performance of the organization and the quality of services provided to patients. The aim of this study was to identify and extract internal and external anti-corruption strategies in healthcare organizations. \u0000Information sources and selected methods for study: This scoping review was performed on the published documents (57 items) until September 5, 2020. Search was conducted in English databases including PubMed, Web of Sciences and Scopus and also in Persian ones including SID and Magiran. There was also a manual search for anti-corruption strategies in relevant international organizations. Qualitative data were analyzed thematically using MaxQDA 10 software. \u0000Results: 57 studies and reports were selected to find strategies to fight corruption. The three main areas of solutions were identified as executive, legislative and judiciary powers. 16 strategies were extracted in the fields of executive (7 cases), legislative (5 cases) and judiciary (4 cases). Solutions regarding the Ministry of Health were categorized into 6 building blocks of health systems, including leadership / governance, service delivery, financing, health workforce, medical products, vaccines, technology, and the health information system. \u0000Conclusion: Fighting corruption in healthcare organizations requires using a set of intra-sectoral and extra-sectoral solutions, and in this regard, policy-makers need to design and implement practical strategies based on the evidence presented in areas prone to corruption. \u0000 ","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126801149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causes of Health Providers’ Malpractices in Records Referred to Forensic Medicine Organization in Yazd","authors":"Fatemehalsadat Hosseini Baghdadabad, R. Montazeralfaraj, M. Zarezadeh, Naeimeh Keyghobady","doi":"10.18502/mshsj.v8i1.12889","DOIUrl":"https://doi.org/10.18502/mshsj.v8i1.12889","url":null,"abstract":"Background: Despite technical advances in medical diagnosis and treatment, the malpractice of health providers has increased, which can lead to a decrease in people's trust. Medical malpractice means unintentional failure to perform a task, which includes misdiagnosis, treatment plan error, or disease management error. This study was conducted in 2018 to investigate the causes of health providers’ malpractices in cases referred to Forensic Medicine Organization in Yazd. \u0000Methods: This was a cross-sectional and applied study conducted in 2019 in Yazd province. The research population included all the cases of complaints about health providers’ malpractices in cases referred to Forensic Medicine Commission of Yazd Province in 2108. Data were collected by a two-part checklist and were analyzed by SPSS 16 software. \u0000Results: Out of 96 cases examined in 2018, 53 of the plaintiffs were men, and 43 of them were women. Most of them were in the age group of 20-40, and the most of complaints were related to government hospitals. Regarding the cause of malpractice, the highest frequency was related to carelessness, non-compliance with government regulations, and a combination of several factors, negligence and lack of proficiency, respectively. Moreover, obstetricians and gynecologists (18.8 %), surgery (13.5 %), and anesthesia (10.4 %) reported the highest number of malpractice cases. Only 58.3% of the cases were proved. \u0000Conclusion: Identifying the root causes of medical malpractice, changing individual approach to systemic approach in dealing with error factors, increasing the awareness of the treatment staff of the rules and consequences of malpractice, and notifying health care providers of guidelines through safety committees can reduce malpractice of treatment staff, and consequently, reduce complaints from them.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123861354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathology of The Fourth Generation of Accreditation From The Point of View of Managers of Selected Hospitals of Hamadan University of Medical Sciences: a Qualitative Study","authors":"O. Zare, A. Aghighi, A. Eslambolchi","doi":"10.18502/mshsj.v8i1.12886","DOIUrl":"https://doi.org/10.18502/mshsj.v8i1.12886","url":null,"abstract":"Background:It is necessary to evaluate the hospitals with the accreditation model and obtain the opinions and suggestions of the managers of the centers in order to improve the existing models more and more. The present study has been carried out with the aim of the fourth generation pathology of accreditation from the point of view of managers of selected hospitals of Hamedan University of Medical Sciences. \u0000Methods: This research is a qualitative study with a content analysis approach, which was done in 2022. In order to collect data, in-depth and semi-structured interviews were used. The research community included 26 senior and middle managers of selected 8 hospitals of Hamadan University of Medical Sciences. Sampling was done purposefully.The data was analyzed by content analysis using MaxQDA 12 software. \u0000Results: According to the results, the challenges related to evaluators, hospitals, evaluation time, the nature of metrics, university staff experts and finally related to the announcement of the results were presented as the main themes of the pathology of the fourth generation of accreditation from the point of view of senior and middle managers. Among the aforementioned factors, the challenges related to hospitals, evaluators and university staff experts had the highest frequency compared to the challenges related to the evaluation time, the nature of the metrics, and the announcement of the results. \u0000Conclusion: According to the findings of this research, after the pathology of the fourth generation accreditation method, it was determined that each of the accreditation areas related to evaluators, hospitals, evaluation time, the nature of metrics, university staff experts and finally the announcement of the results have not been sufficiently considered. Therefore, it is suggested that these cases be included in the future revisions of accreditation standards and criteria by the relevant officials. \u0000 ","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131949862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Medical Sciences Universities in Innovation Ecosystem and Knowledge Based-Economy","authors":"M. Khayatan, S. Mousavi, S. Hosseini","doi":"10.18502/mshsj.v8i1.12885","DOIUrl":"https://doi.org/10.18502/mshsj.v8i1.12885","url":null,"abstract":"One of the main aspects of supporting entrepreneurial activities is studying universities and their surrounding environments in innovation ecosystems, which is necessary to achieve economic development and technological innovations. The innovation ecosystem is a dynamic system and consists of academic, industrial, institutional, scientific, economic and governmental organizations. According to the researchers, there have been many innovations in the health section to enhance their ability to respond to the expectations of patients in terms of life expectancy, reducing costs, increasing the quality of life, improving diagnosis and treatment methods. In the field of health, more than 1425 knowledge-based companies are registered, and more than 800 technological teams are also located in the incubators of Iran's medical sciences universities. Nevertheless, universities of medical sciences are still at the beginning of the path of technology and innovation and moving towards entrepreneurial universities. It is essential that these universities, as one of the main components of the innovation ecosystem, focus remarkably on creating and strengthening their legal, financial, structural and managerial infrastructures in order to promote entrepreneurial culture and skills among their human resources. This is to commercialize knowledge and technology properly to meet the society's health needs. It is obvious that universities are facing many issues in this area, and using best practices, both domestic and foreign, can solve many challenges ahead.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132292177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}