Proposing an Effective Model for Improving Integration the Medical Education System with Health Services at Iran's Ministry of Health and Medical Education

Document Type : Original Article


1 Department of Educational Administration, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

2 Department of Educational Administration, Faculty of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran

3 Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran


Background: In Iran, the medical education system was integrated with the healthcare provision system in 1985 and finally, it led to the creation of a new ministry titled “Ministry of Health and Medical Education”. Regarding this integration has created some problems, the current study intended to provide an effective pattern for improvement of this integration.
Methods: The present study is both fundamental and applied in terms of objective. The statistical population of the client study included all of the managers, faculty members and experts in the universities of medical sciences in Khuzestan Province, in southwestern Iran, who were chosen by the use of full census sampling. Finally, 103 people filled in the questionnaires. The data collection instrument was a researcher-devised questionnaire. The data analysis was done by SPSS Ver.24, the descriptive statistics (percentage, mean, and standard deviation), and the inferential statistics (Pearson Correlation Test).
Results: In order to increase the effectiveness of this integration, four scenarios were suggested among which, finally “the separation of the medical education from the medical sciences universities and placing under direct supervision of the Minister of Health and Medical Education” with 3.84 (based on a maximum score of 4) achieved the highest score. Based on this score, a model based on the upstream laws of Iran was designed and suggested and in each province, instead of having a unit and independent institution under the title of the university of medical sciences and healthcare services, two separate institutions as “The Provincial University of Medical Sciences” and “The Provincial Health Service Organization” would be created and would work under the supervision of Minister of Health and Medical Education.
Conclusion: The results of this study showed that medical education in the health ministry supervised universities is affected by the discussions of the provision of the health and medical care provision. Therefore, to realize it and improve the educational tasks, production of knowledge, and conducting of research in the universities, and protecting it from other departments, an effective pattern has been suggested.


  1. Rahnavard F. Factors Influencing Merger of Iranian Public Sector Organizations. Journal of Public Administration. 2018; 9 (4):569-90. Persian.
  2. Mehralizadeh Y, Moghadaspour E, Joudzadeh N. Management and Strategic Planning. Tehran. Rahemoaser. 2013. Persian.
  3. Pietroburgo J, Wernet S.P. Bowling together: Anatomy of a successful association merger. Center for Nonprofit Strategy and Management Working Paper Series. 2008.
  4. Lebudi T.J. Change management problems in multi-organizations merger. Pretoria: University of South Africa. 2010.
  5. Appelbaum S.H, Gandell J, Yortis H, Proper S, Jobin F. Anatomy of a merger: behavior of organizational factors and processes throughout the pre-during-post-stages (part 1). Management Decision, 2000; 38(9), 649-62.
  6. Tienari J, Vaara E. Identity Construction in Mergers and Acquisitions: a Discursive Sense making Perspective. In: Pratt M, Schultz M, Ashforth B.E, Ravasi, D, eds. The Oxford Handbook of Organizational Identity. Oxford: Oxford University Press. 2016.
  7. Cefi E, Marsili O. Crossing the innovation threshold through mergers and acquisitions. Research Policy. 2015;44(3), 698-710.
  8. Doshmangir L, Bazyar M, Majdzadeh R, Takian A. So near, so far: four decades of health policy reforms in Iran, achievements and challenges. Arch Iran Med. 2019;22(10):592–605.
  9. Gilavand A, Mehralizadeh Y, Hosseinpour M, Torabipour A.A. Review on Pathology of the Integration of Medical Education System with Health Services at Iran's Ministry of Health and Medical Education. Future Med Educ J. 2018; 8(3): 47-56.
  10. Majdzadeh R, Nedjat S, Denis JL, Yazdizadeh B, Gholami J. Linking research to action in Iran: two decades after integration of the Health Ministry and the medical universities. Public Health J. 2010; 124(7): 404-11.
  11. Gilavand A, Maraghi E. Assessing the Quality of Educational Services of Iranian Universities of Medical Sciences Based on SERVQUAL's Evaluation Model: A Systematic Review and Meta-analysis. Iranian Journal of Medical Sciences.  2019; 44 (4):273-84.
  12. Teshnizi SH, Aghamolaei T, Kahnouji K, Teshnizi SMH, Ghani J. Assessing quality of health services with the SERVQUAL model in Iran. A systematic review and meta-analysis. Int J Qual Health Care. 2018;30(2):82-89. Persian.
  13. Ebrahim Nia M, Farzaneh A, Ahmadizadeh M.J, Ebadi A, Amerioon A, Tofighi S, et al. Diagnosis of Medical Education System Integration with Higher Staff in a Health Organization; a Qualitative Study. Health Research Journal. 2017; 2 (2) :133-42. Persian.
  14. Shakebaei D, Karamimatin B, Amolaee K, Rezaie M, Abdolmaleki P, Reshadat S, et al. Achieving the goals of integration of medical education and health service delivery systems from the viewpoint of the faculty members of Kermanshah University of Medical Sciences. Scientific Journal of Kurdistan University of Medical Sciences. 2011; 16 (1):81-91. Persian.
  15. Abbasi Moghaddam M A, Razavi S M, Nooraei S M. Attitude Of Key Academic Persons About Integration Of Medical Education Into Health Services. Tehran Univ Med J. 2004; 62 (1):80-88. Persian.