Document Type : Original Article


1 Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 Department of Health Services Management, Tehran North Branch, Islamic Azad University, Tehran, Iran

3 Department of Clinical Research, Baqiyatallah Hospital, Tehran, Iran


Background: It is important to set up hospitals, since they play a key role in providing health care services based on the budget allocated to the health sector.
Objective:  This study evaluated factors militating against the establishment of hospitals in Iran. It also emphasized the importance of health care services.
Methods: This cross-sectional study was conducted in 2012 using a qualitative approach. The study sample consisted of 22 people, officials, administrators and health experts who were recruited by purposeful selection. In order to collect data, a semi-structured interview was conducted. Data was analyzed using an Atlas-Ti software.
Results: Analysis of the interviews suggest that the issue of providing services in terms of ease of access and equity in the allocation of health services is also the focus of particular attention. The socio-economic status of regions were examined in terms of the need for poverty alleviation, equity in health and well-being of interest to industry participants. The survey interviews revealed that the issue of financing and human resources for provincial hospitals, were the key challenges raised by participants in the study.
Conclusion: According to the findings of this study, feasibility studies and evidence-based management optimal decisions were adopted in order to build and operate hospitals in the provinces.


  1. Millman M. Access to health care in America: National Academies Press; 1993.
  2. Rajati F, Kamali K, Parvizy S. Public Health Customers’ Experiences of Health Accessibility: A Phenomenological Study. Iran J Epidemiol. 2011;7(2):17-24.
  3. Amerioon A, Mesgarpour Amiri M, Anabad A. Rate of inequality in kidney transplantation services access in Iran. J Crit Care Nurs. 2010;3(3):15-6.
  4. Sundquist J. Migration, equality and access to health care services. J Epidemiol Community Health. 2001;55(10):691-2. [DOI]
  5. Khayatan M, Nasiri Pour A, Amini M, Mohamad Nejad S. The Effective factors on recievers' access to health care services in urban health care centers. Payavard Salamat. 2011;4(3):18-27. Persian
  6. Jafari M, Rashidian A, Abolhasani F, Mohammad K, Yazdani S, Parkerton P, et al. Space or no space for managing public hospitals; a qualitative study of hospital autonomy in Iran. Int J Health Plann Manage. 2011;26(3):e121-e37. [DOI]
  7. Ahmed S. Improving Access to Public Health Care Services-A Case Study on Dar es Salaam, Tanzania. Unpublished MSc Thesis, University of Twente Faculty of Geo-Information and Earth Observation (ITC). 2004.
  8. Sharifzadegan M, Mamdohi M. A P-median-model-based Analysis of Spatial Inequality in Accessibility to Public Health Care Intended for Urban Health Development in Isfahan City. Soc Welf Q. 2010;10(37):265-85. Persian
  9. Barnum H, Kutzin J. Public hospitals in developing countries: resource use, cost, financing: Johns Hopkins University Press; 1993.
  10. Asefzadeh S. Responding to demand for inpatient care in the process of health development. J Res Med Sci. 2005;10(3):129-34.
  11. Asefzadeh S. Assessing the need to establish new hospitals. World Hosp Health Serv. 1996;32(1):2-4.
  12. Gupta K, Gupta SK. Modern trends in planning and designing of hospitals: Principles and practice: Jaypee Brothers Publishers; 2007. [DOI]