What the policy and stewardship landscape of a national health research system looks like in a developing country like Iran: a qualitative study

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dc.contributor.authorPoursheikhali, Atousa
dc.contributor.authorAlkhaldi, Mohammed
dc.contributor.authorDehnavieh, Reza
dc.contributor.authorHaghdoost, AliAkbar
dc.contributor.authorMasoud, Ali
dc.contributor.authorNoorihekmat, Somayeh
dc.contributor.authorCheshmyazdan, Mohammad Reza
dc.contributor.authorBamir, Mousa
dc.date.accessioned2022-12-22T06:07:44Z
dc.date.available2022-12-22T06:07:44Z
dc.date.copyright© 2022
dc.date.issued2022-12
dc.descriptionThis article is licensed under Creative Commons License and full text is openly accessible in CUD Digital Repository. The version of the scholarly record of this work is published in Health Research Policy and Systems (2022), available online at: https://doi.org/10.1186/s12961-022-00905-3
dc.description.abstractBackground: The health research system (HRS) is an important national priority that requires a systematic and functional approach. Evaluating the HRS of Iran as a developing country and identifying its challenges reveals the stewardship-related role in how the whole system is operating well. This study aims to assess the HRS in terms of stewardship functions and highlight the enhancement points. Methods: This study was carried out between March 2020 and April 2021 using a systematic review and meta-synthesis of evidence to examine the Iranian HRS stewardship challenges and interview 32 stakeholders, using a critical case sampling and snowballing approach which included both semi-structured and in-depth interviews. The interviewees were selected based on criteria covering policy-makers, managers, research bodies and nongovernmental organizations (NGOs) in health research-related fields like higher education, research, technology, innovation and science. All data were analysed using content analysis to determine eight main groups of findings under three levels: macro, meso, and micro. Results: Analysis of the findings identified eight main themes. The most critical challenges were the lack of an integrated leadership model and a shared vision among different HRS stakeholders. Their scope and activities were often contradictory, and their role was not clarified in a predetermined big picture. The other challenges were legislation, priority-setting, monitoring and evaluation, networking, and using evidence as a decision support base. Conclusions: Stewardship functions are not appropriately performed and are considered the root causes of many other HRS challenges in Iran. Formulating a clear shared vision and a work scope for HRS actors is critical, along with integrating all efforts towards a unified strategy that assists in addressing many challenges of HRS, including developing strategic plans and future-oriented and systematic research, and evaluating performance. Policy-makers and senior managers need to embrace and use evidence, and effective networking and communication mechanisms among stakeholders need to be enhanced. An effective HRS can be achieved by redesigning the processes, regulations and rules to promote transparency and accountability within a well-organized and systematic framework. © 2022, The Author(s).
dc.identifier.citationPoursheikhali, A., Alkhaldi, M., Dehnavieh, R., Haghdoost, A. A., Masoud, A., Noorihekmat, S., . . . Bamir, M. (2022). What the policy and stewardship landscape of a national health research system looks like in a developing country like iran: A qualitative study. Health Research Policy and Systems, 20(1) doi:10.1186/s12961-022-00905-3
dc.identifier.issn14784505
dc.identifier.urihttps://doi.org/10.1186/s12961-022-00905-3
dc.identifier.urihttps://hdl.handle.net/20.500.12519/734
dc.language.isoen_US
dc.publisherBioMed Central Ltd
dc.relationAuthors Affiliations : Poursheikhali, A., Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Medical University Campus, Haft-Bagh Highway, Kerman, Iran; Alkhaldi, M., McGill University Health Center, Faculty and Department of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Canada, Health System Impact Fellowship, Canadian Institutes of Health Research, Ottawa, Canada, Department of Environmental Health Sciences, Canadian University Dubai, Dubai, United Arab Emirates, Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland; Dehnavieh, R., Health Foresight and Innovation Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran; Haghdoost, A.A., Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Medical University Campus, Haft-Bagh Highway, Kerman, Iran; Masoud, A., Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran; Noorihekmat, S., Social Determinant of Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran; Cheshmyazdan, M.R., Department of Medical Library and Information Science, Kerman University of Medical Sciences, Kerman, Iran; Bamir, M., Health Foresight and Innovation Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
dc.relation.ispartofseriesHealth Research Policy and Systems; Volume 20, Issue 1
dc.rightsCreative Commons Attribution 4.0 International License
dc.rights.holderCopyright : © 2022, The Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHealth research challenges
dc.subjectHealth research governance
dc.subjectHealth research stewardship
dc.subjectHealth research system (HRS)
dc.subjectIran
dc.titleWhat the policy and stewardship landscape of a national health research system looks like in a developing country like Iran: a qualitative study
dc.typeArticle

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