Background and Objectives: Public-private partnerships (PPPs) are among the interesting topics for scholars, policymakers and managers in various fields, including health. The purpose of this study is to design a model for the development of PPP in the health system of Iran. Methods: This is a qualitative study using a Meta-Synthesis approach. The data were collected by reviewing articles related to the literature which were searched in valid national and international databases. Then, using the opinions of a panel of experts, the qualitative findings extracted from the articles were synthesized to finally discover new concepts. Results: Out of 217 articles extracted, 27 final articles were selected and 66 initial codes were extracted. According to experts, the final results include 3 main dimensions and 12 Components: public sector with Components (organizational and institutional, Administrative and social, legal and regulatory, structural and contextual), private sector with Components (economic and financial, Banking and inflation, technical and specialized, Technology and equipment, legal and contractual) and the charity sector with Components (acceptability and effectiveness, awareness and confidence building, communication and interaction). Conclusion: The present study provides a new model and perspective on how to develop PPP in the health system of Iran. Based on this model, the managers of public, private and charity sectors can improve the health system of the country by using the huge economic, social and cultural capacities of society.
Background. This study aimed to design a model for developing health system partnerships by using electronic word-of-mouth communication. This issue has recently attracted the attention of researchers and managers of the country’s public and private sectors. Methods. In this qualitative study, the meta-composite method and Delphi technique were employed. The data collection tools included library studies and review of articles related to the research background. First, relevant information and findings were extracted from reliable national and international scientific databases using the meta-combination method, and then the opinions of the expert panel were recorded using a questionnaire. After two stages of opinion polling, the initial findings of refinement and unnecessary items were merged or deleted. Finally, the components and indicators affecting the development of health system partnerships were identified and categorized through word-of-mouth communication. Results. Out of 66 primary codes extracted by metacombination method, 36 final indicators were identified by the experts using Delphi method. The identified indicators were then divided into three categories and nine components including Creation Factors with "structural and contextual, economic and financial, communication, and interactive" components, Diffusion Factors with "organizational and institutional, legal and contractual, awareness, and trust building" components, as well as Impact Factors with "legal and regulatory, technical and specialized, and acceptability and effectiveness" components. Conclusion. A new model and perspective was presented for developing health system partnerships through electronic word-of-mouth communication, so that the enormous economic, social, and cultural potentials of the public, private, and charitable sectors may have been exploited for developing health and treatment through using new marketing tools and modern technologies.
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