Showing 53 results for Management
Mrs Fatemeh Rangraz Jeddi, Ehsan Nabovati, Shima Anvari Tafti, Parisa Yousefi Konjdar,
Volume 17, Issue 5 (12-2023)
Abstract
Background and Aim: A medication dashboard could provide executive directors and managers with the ability to manage medication resources in hospitals. This study aimed to design, implement, and evaluate a medication resources management dashboard for general hospitals.
Materials and Methods: This study was of the development-applied type conducted in an academic therapeutic community center. Based on scientific sources, the dashboard’s key performance indicators (KPIs) and functional requirements were identified. The data collection tool was a questionnaire comprising demographic information, KPIs, and functional requirements. The dashboard conceptual model was designed using Rational Rose software, and then POWER BI software was used to develop the system. The usability of the dashboard was evaluated using the standard questionnaire for End User Computing Satisfaction by 10 users. The data were analyzed in SPSS software using descriptive statistics.
Results: The most important KPIs determined for a medication resources management dashboard in general hospitals were “the ratio of antibiotic consumption to total number of drugs”, “the ratio of the antibiotic prescribed by general practitioners to total number of drugs”, “the ratio of patients for whom antibiotics were prescribed to all patients”, and “the ratio of the number of drug items prescribed by specialists to all physicians”. The most important functional requirements determined were “updating information at specific intervals “, “checking the dashboard at different time intervals”, “defining access levels to view the information”, and “choosing between graphical and tabular displays”. Usability evaluation showed that users’ satisfaction with the dashboard content variable was “very high” and for the other variables was at a “high” level.
Conclusion: The KPIs associated with antibiotics and drug costs within the medication dashboard of general hospitals are high priority. Future studies should evaluate the impact of using a medication dashboard on hospital executive directors’ and managers’ decision-making.
Reza Dehkhodaei, Mazyar Karamali, Mohammad Mohammadian, Mohammadkarim Bahadori, Mohsen Abbasifarajzadeh,
Volume 17, Issue 6 (2-2024)
Abstract
Background and Aim: Considering the importance of knowledge management in the current era and the emphasis on the implementation of knowledge management in the health system in the knowledge management system of the Ministry of Health, Treatment and Medical Education, and since it is one of the first steps in the implementation of knowledge management, Drawing the knowledge tree of the organization, the purpose of the current research is to review the process of publishing the knowledge tree and examine it in the field of health.
Materials and Methods: The current research is a type of applied and descriptive review study that was carried out with the method of scientometrics and co-occurrence analysis of keywords. For this purpose, the term “Knowledge tree” OR “knowledge trees” was searched in Scopus reference database. For data analysis, the analyzes provided by the database itself were used, and VOSviewer software was used to visualize the data.
Results: The growth of scientific productions related to the field of the tree of knowledge in general in the mentioned base has started since 1979 and has had a growing trend until 2023. In the field of knowledge tree, among the authors Yang, Y, among the organizations, machine intelligence institute, iona college, and among the countries, China, America, and England have been at the top of the most productive in this field. Among the subjects, the most related articles are primarily related to the field of computer science (32.2 percent) and then to the field of engineering (22.1 percent) and mathematics (10.1 percent), which is significant. that medicine is in the sixth place and this is a sign of the weakness of producing resources in this field and the clustering resulting from the co-occurrence of keywords led to the identification of five clusters respectively with the titles of data mining and information processing, artificial intelligence and expert systems. , knowledge structure and decision support systems, semantics and knowledge representation, and finally learning and teaching systems.
Conclusion: The study of the thematic structure of scientific productions in the field of Knowledge Tree showed that the field of health has a weakness in the production of resources in this field. Therefore, it is necessary for future researches to pay special attention to the development and explanation of this concept and modeling its drawing, especially in the health system, in order to identify and prevent diseases.
Malihe Ghanaatjoo, Nader Jahanmehr, Dr. Hamed Dehnavi, Aida Samadi,
Volume 18, Issue 2 (5-2024)
Abstract
Background and Aim: The increase in the amount of information and the need for their daily monitoring have led to the development of tools called management dashboards that have the ability to analyze graphical data. In addition to preparing quick reports in different time frames and user-specific format, the dashboard can be useful for providing dynamic updated information for accurate decision-making and quick response to changes.
Materials and Methods: The current research was carried out in the form of qualitative studies and participatory action research method in 9 steps. In this applied and developmental research that was conducted cross-sectionally using the data of the first half of 2022, 11 members of the leadership team of a super-specialized children’s hospital were selected as research participants. The data collection tool was an interview using a questionnaire to determine the importance of indicators and a usability questionnaire (usability) of the dashboard based on three independent variables (usefulness, ease of use and satisfaction). The Excel file of data needed for the dashboard was collected from the HIS system of the hospital, and the dashboard was designed with Power BI software, and the capabilities and access levels of users were determined based on their duties. Data analysis was done using descriptive statistics and Excel software version 2016.
Results: In the stage of determining key performance indicators, out of 39 indicators selected by the research team, 22 indicators scored an average score of 4 or higher (from 5 points) and 21 indicators were able to be implemented. The data repository in Excel format was used as an intermediate environment. The dashboard was displayed on six pages (indicators related to the performance of inpatient beds, mortality, emergency and other indicators) and the capabilities of each page were determined. After implementing the dashboard and determining the access levels of users, obtaining a high score from the questions of the usability questionnaire (5 out of 7 points) and obtaining an average score of 71.8 out of 5 questions related to usefulness variables, 70.5 out of 8 questions related to ease of use. And 71 out of 3 questions related to the satisfaction variable showed that the dashboard designed for the hospital had high usability.
Conclusion: Hospital management dashboard information can be a basis for informed decision-making to achieve benefits such as identifying the best performance, improving performance quality, making faster decisions, reducing errors, improving capacity management and work flow, allocating resources and planning for growth and development.
Kourosh Abbasiyan, Mohammad Alimoradnori, Mohammad Bagher Karami,
Volume 18, Issue 2 (5-2024)
Abstract
Background and Aim: Managers, as the main decision-makers in facing various internal and external organizational problems, play a significant and determining role in the success or even failure of an organization. If competent and experienced managers are positioned at the top of organizations, the success of these organizations in achieving their goals will be guaranteed and an organization can achieve maximum efficiency with minimal resources. The aim of this study was to design a model of managerial competencies for hospital managers.
Materials and Methods: This qualitative research was conducted from year 2020 to 2022. After reviewing studies related to the topic, the extracted competencies were given to 19 experts consisted of relevant academic faculty members and managers with experience in the healthcare system and hospitals. Eventually, a managerial competency model was formulated through the use of the Delphi method and expert panel discussions. Collected data were analyzed in Excel software.
Results: The developed model in this research for the concept of hospital managers’ competencies includes 33 managerial competencies of hospital managers in four main management functions (planning, organizing, leadership and control) and managerial roles, which starts from literature review and performing two Delphi steps and implementing two expert panel plans. In the competency of hospital managers model, the planning dimension consists 4 components, organizing consists 4 components, leadership consists 12 components, control consists 4 components, and managerial roles consists 9 components. Strategic thinking, which is a subset of planning, has the highest weight (0.495) and highest rank among other components, and continuous improvement, which is a subset of managerial roles, has the lowest weight (0.033) and lowest rank among other components.
Conclusion: This study proposes an exclusive and comprehensive model, utilizing practical techniques as a suitable solution for evaluating the managerial competencies of hospital managers. The proposed framework in this study can serve as a standard performance assessment tool for evaluating managers.
Somayyeh Zakerabasali, Farnaz Salehian,
Volume 18, Issue 3 (7-2024)
Abstract
Background and Aim: Today, information dashboards are the main tools for understanding and extracting knowledge from large data sets and can be used in various forms by healthcare providers. At the same time as the COVID-19 epidemic, several information dashboards were designed and developed. Still, due to the speed of the spread of this virus, there was no opportunity to evaluate them. Therefore, this research was conducted to evaluate the usability of the Covid-19 management dashboard.
Materials and Methods: This descriptive-cross-sectional study was conducted on the management dashboard of Shiraz University of Medical Sciences. The dashboard was evaluated using an exploratory evaluation method with the participation of three medical informatics experts. Each of the evaluators evaluated the system independently and identified its problems by using thirteen principle checklist. Then, with the presence of all evaluators, the list of identified problems was combined, repeated problems were removed from the list and a single list was prepared. In this joint meeting, any disagreements about the problems found by the evaluators were discussed and reached a common opinion. Finally, the evaluators determined and reported the severity of the problems.
Results: In this evaluation, a total of 79 usability problems were identified. The highest number of problems was related to the feature “Help and Documentation” (12 problems), and the lowest number of problems was related to the features “Aesthetic and Minimalist Design” (2 problems) and “Privacy” (1 problem). 45.58% of the identified problems were in the category of major problems. The average degree of severity of the problems was from 2.05 (minor problem) related to the feature of “Pleasurable and Respectful Interaction with the User” to 2.99 (major problem) related to the feature of “User Control and Freedom”. Also, the average severity of problems was calculated as 2.5, classified in the range of minor problems.
Conclusion: The heuristic evaluation method identifies user interface problems of information systems and dashboards using predetermined standards. If these problems are not resolved, they will cause users’ time wasted, errors to increase, information quality to decrease, and users’ dissatisfaction and confusion.
Taleb Khodaveisi, Hamid Bouraghi, Tooba Mehrabi, Javad Faradmal, Mahdiye Shojaei Baghini, Ali Mohammadpour,
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: Identifying the educational needs of health information technology staff is essential before implementing any continuous education programs. This comprehensive study investigates these needs among health information technology personnel working in hospitals in the Hamadan province, considering both the general and specialized aspects of the field.
Materials and Methods: This descriptive cross-sectional study was conducted across 11 hospitals affiliated with Hamadan University of Medical Sciences. The study population comprised staff from the reception, medical records, statistics, and coding departments. Data were gathered using a validated and reliable standardized questionnaire. Collection methods included both in-person and remote approaches. Data analysis was performed using SPSS software, with results reported through descriptive and inferential statistics, specifically utilizing the Kruskal-Wallis test.
Results: The results of this study showed that among the generally accepted needs, items such as information technology (96.7%), legal aspects of medical records (87.6%), and communication skills (76.7%) had the highest percentage. Additionally, educational needs varied across different units: Coding unit staff required more training in the principles of diagnosis documentation (92.9%), familiarity with the coding guidelines for causes of death (85.7%), and familiarity with the coding guidelines for procedures (85.7%), statistics unit staff needed training in statistical software, and reception and medical records staff required education on relevant regulations. There was also a significant correlation between educational needs and certain individual characteristics such as work experience, education level, gender, and field of study.
Conclusion: The study results indicate that designing effective educational programs for health information technology staff requires consideration of individual characteristics, such as gender, work experience, and education level. Additionally, the training should be continuous, tailored to the distinct needs of each group, and delivered at appropriate intervals.
Zohreh Ehteshami, Azam Shahbodaghi, Mohammad Javad Mansourzadeh,
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: An efficient data librarian equipped with the necessary competencies and capabilities is one of the most crucial elements in managing research data. The aim of this study is to identify the expected competencies and capabilities for data librarians in research data management according Harvard Biomedical Data Life Cycle.
Materials and Methods: This study is a scoping review, utilizing the Harvard Biomedical Data Lifecycle model to systematically present the findings. To retrieve relevant literature, a search strategy was employed using related keywords in databases such as Scopus, PubMed, Web of Science, Google scholar and other reputable domestic databases, over the past five years. The research population comprised original research articles published in Persian and English that addressed the expected skills and capabilities for data librarians in managing research data.
Results: Out of 5064 documents found, 196 were selected for full-text review. After reviewing the full texts, 17 studies were included in the research. In total, 92 competencies and capabilities were identified across 23 processes within the 7 stages of the Harvard Biomedical Data Lifecycle: 16 in the first stage, 16 in the second stage, 7 in the third stage, 15 in the fourth and fifth stages, 12 in the sixth stage, 8 in the seventh stage, and 18 general competencies and capabilities. According to the findings, the most studies focused on the competencies and capabilities required for the second stage, “Collection and Creation,” while the fewest studies addressed the seventh stage, “Publish and Reuse.” No studies mentioned competencies and capabilities for the processes “Image Management” in the third stage and “Preprints and Publishing” in the seventh stage.
Conclusion: The results of this study indicate that among the various stages of the data lifecycle, the “Collection and Creation” stage received the most attention. Additionally, data librarians should possess not only specialized and professional skills but also general competencies and capabilities. It is recommended that the findings of this research be considered for designing short-term and long-term educational programs to train data librarians for research data managenet.
Mohammadhiwa Abdekhoda, Taha Samad Soltani, Leial Ghaderi Nansa,
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: Establishing dynamic relationships between graduates and current students should be a high priority for universities striving to progress in the rapidly changing and competitive market of third-generation universities. Due to the lack of effective communication with graduates in Iranian universities and the role of these systems in the technology ecosystem, the aim of this study is to analyze the needs of a graduate alumni management system and propose a conceptual model.
Materials and Methods: The research consisted of two main phases: needs analysis and process and software design. During the requirements engineering, as described in systems analysis and design references, a quick review was first conducted in selected databases regarding the capabilities and use cases of existing studies and the proposed features of innovative graduate alumni management systems. The extracted items from the rapid review were presented in a checklist. Then, functional requirements were extracted through interviews with 10 experts from the university’s educational deputy and faculty, using a two-round Delphi method. In the next stage, work processes were observed, and process owners were interviewed. UML diagrams were used to achieve a suitable description of a good system.
Results: In this study, the requirements were categorized into two main groups, comprising 37 functional and non-functional needs. The functional category included three significant subcategories: basic needs, social needs, and innovation needs. Basic needs encompassed the essentials required for the system’s fundamental operation. Social needs referred to the system’s ability to facilitate user interactions, while innovation needs involved new and creative features that could be added to the system. A software engineering specialist analyzed these functional needs and translated them into system use cases to be effectively incorporated into the system’s development.
Conclusion: The proposed conceptual model of the graduate alumni management system was analyzed and modeled based on user-centered requirements engineering. The proposed model provides a practical document for the effective implementation of a communication mechanism and active interaction between graduates, as well as current students, faculty members, and other staff in an innovation and entrepreneurship ecosystem.
Mohammad Mehdi Sepehri, Minoo Fathi, Nasrin Taherkhani, Roghaye Khasha,
Volume 19, Issue 1 (4-2025)
Abstract
Background and Aim: The development of self-management application for gestational Diabetes based on mobile health, can increase the quality of life of pregnant mothers and reduce the cost of health care and treatment. In order to develop such an application, it is necessary to identify the key players of this system and examine the relationships between them. Then a gestational Diabetes self-management network based on mobile health tools can be presented.
Materials and Methods: The study was conducted in four phases. In the first phase, key players and roles were identified through literature review. In the second phase, interviews with experts were conducted to assess the identified players and their roles. The third phase involved identifying the relationships between players and their roles, accomplished by designing and completing questionnaires that explored the existence or absence of connections between them. In the final phase, the most critical roles and players were determined using social network analysis, employing three centrality indices: degree centrality, betweenness centrality, and closeness centrality.
Results: A total of 22 role players and 17 roles were identified. Based on the results, the Ministry of Health, with a degree centrality index of 41.12, was found to be the most influential and powerful role player in this network. The endocrinologist, nutritionist and obstetrician, with degree centrality indices of 38.52, 36.79, and 31.60. were ranked next. This indicates that the acceptance of this network by the medical community plays a critical role. Additionally, all three centrality indices showed that the role of patient education had the highest values, followed by roles such as education for specialists and healthcare staff, supporting patients in self-care behaviors, and ensuring patient safety and privacy, which were identified as the key roles.
Conclusion: This study aimed to identify various aspects of network design and the influential roles impacting the self-management of gestational Diabetes through mobile health. The Ministry of Health and the National Prevention Committee exhibited the most connections with each other in fulfilling their shared roles. Therefore, the Ministry of Health can fully delegate some roles to the National Prevention. Additionally, recognizing key roles underscores the necessity of prioritizing education and resource allocation for these roles.
Mahnaz Kamani, Nooshin Soleymani Asl, Ali Mansouri,
Volume 19, Issue 3 (9-2025)
Abstract
Background and Aim: The expansion of information technology has led to the production of increasing knowledge, which may be a part of this knowledge that is hidden, so the role of knowledge management is very important to reveal knowledge. On the other hand, in health research, which is basically based on the needs of patients, their caregivers, and specialists, knowledge management is of great importance for the quality of their services. The aim of the current research is to analyze the status of research outputs in the field of knowledge management in the health sector.
Materials and Methods: Based on its nature, the present study is descriptive, quantitative, and applied, and was conducted using a lexical co-occurrence scientometric technique. The research community includes 2487 sources, which are the results of all research outputs in the field of knowledge management in the health sector, which are indexed in the Web of Science database. The analysis of the research questions was done through Excel, BibExcel, and VOSviewer software.
Results: According to research findings, the continents of Europe, Asia, and North America, respectively, have had the highest contributions to research output in the field of knowledge management in the health and healthcare sector. Among individual countries, the United States, the United Kingdom, and Canada demonstrated the most significant activity in this area, while Iran ranked 17th. Among the United Nations Sustainable Development Goals (SDGs), the goals of Good Health and Well-being, Industry, Innovation and Infrastructure, and Quality Education have received the most attention in knowledge management research related to health and healthcare. The keyword co-occurrence map highlights the prominence of terms such as “knowledge management,” “healthcare,” and “electronic health records.” The identified thematic clusters also underscore the significance of three key domains: organizational performance, information management, and health information systems.
Conclusion: In developed countries and the first level of the world, attention to knowledge management in the field of health and health is more prominent. Also, in order to achieve a high level in the field of health and health as an important and effective criterion in most development sectors, it is necessary to address other sustainable development goals, especially by establishing systems Knowledge management in the field of health helped to achieve important goals such as eradicating poverty and hunger and reducing inequalities.
Saber Yazdani Damavandi, Tayebeh Baniasadi, Mohammad Ali Molavi, Farid Khorrami,
Volume 19, Issue 5 (12-2025)
Abstract
Background and Aim: Cancer has been recognized as the second leading cause of child mortality in recent years. Due to the increasing amount of healthcare data for cancer patients, healthcare providers need a tool to monitor patients for immediate intervention. An intelligent and dynamic information management dashboard is capable of compiling and displaying data using charts and tables. In the present study, a management dashboard was designed for the oncology department of a children’s hospital, and its usability was evaluated.
Materials and Methods: This developmental–applied research was conducted in 2024 at the Educational, Medical, and Research Center for Children in Bandar Abbas. In order to create a management dashboard for the pediatric oncology department, three stages were carried out. In the first stage, all necessary content to be displayed on the dashboard was extracted based on a review of literature and documents from the oncology department of Bandar Abbas Children’s Hospital. This content was then validated by experts using the Delphi method in two rounds. In the second stage, a prototype of dashboard for the oncology ward was designed using Power BI Desktop software. Finally, its usability was evaluated using a SUS questionnaire by 20 users. The data were analyzed using descriptive statistics with SPSS software.
Results: Following the screening of 3,435 initial records and a review of 22 articles alongside 38 patient files, a preliminary set of 104 managerial and 67 clinical indicators was extracted. These indicators were validated through a tworound Delphi process with 12 experts, resulting in the final selection of 105 managerial and 71 clinical indicators for dashboard inclusion. Based on this validated set, a tenpage managerial dashboard was developed to present key performance metrics. Usability assessment using the System Usability Scale (SUS) yielded a mean score of 75.87, which, according to the Bangor scale, is classified as “acceptable” and corresponds to a grade of “excellent.” User feedback informed subsequent refinements to the dashboard’s data visualizations and interface. In summary, the developed dashboard represents an effective and userfriendly tool for monitoring and managing information within a pediatric oncology department.
Conclusion: The pediatric oncology management dashboard facilitates the integration and summarization of essential data for healthcare providers, thereby assisting them in making timely diagnoses and interventions for children with cancer. Additionally, the present dashboard demonstrates appropriate usability, which enhances users’ understanding of health information and leads to more accurate decision-making.
Samira Sadat Pourhosseini, Vahid Yazdi-Feyzabadi, Mohammad Hossein Mehrolhassani,
Volume 19, Issue 6 (3-2026)
Abstract
Background and Aim: Identifying and transferring lessons learned from past disasters can significantly improve future disaster management performance. Although the general principles of disaster management are similar across events such as earthquakes, context-specific factors, including geographical location, scale and severity of the event, timing, and local characteristics, can shape distinct challenges and, consequently, different management approaches. Therefore, conducting case-based studies that account for the unique conditions of each disaster is essential for effective learning. This study focuses on the Kuhbanan earthquake and aims to identify management challenges arising from the specific characteristics of this region.
Materials and Methods: This study employed a qualitative design using a directed content analysis approach. The study population consisted of experts, decision-makers, and frontline practitioners directly involved in managing the Kuhbanan earthquake. Using purposive sampling with maximum variation, 15 participants were selected from key organizations, including the University of Medical Sciences, the Iranian Red Crescent Society, the Provincial Crisis Management Center, and non-governmental organizations active in rescue and relief operations. Data were collected through in-depth semi-structured interviews, with questions developed based on the dimensions of the STEEPV framework (Social, Technological, Economic, Environmental, Political, and Values). Interviews continued until data saturation was achieved. Data analysis was conducted using MAXQDA software.
Results: Data analysis led to the identification of 42 initial codes, 14 subcategories, and six categories aligned with the STEEPV framework. In the social dimension, key challenges included deficiencies in public and professional training systems (3 codes), weak intersectoral communication and coordination (6 codes), and inadequate responsiveness to community health needs (4 codes). In the technological domain, major limitations were observed in information management (2 codes) and the capacity of technological infrastructure (2 codes). From an economic perspective, financial constraints (5 codes) and welfare-related barriers (3 codes) were identified as influential factors. In the environmental dimension, specific geographical and climatic conditions including mountain topography, fault proximity, and mining operations (4 codes), along with unsuitable physical spaces for disaster management (3 codes), posed major challenges. In the political sphere, a noticeable gap between the government and the public (2 codes) and weak performance of some executive institutions (2 codes) were evident. Cultural and values-related challenges included specific local beliefs (1 code), inappropriate behaviors among communities and relief teams (2 codes), and insufficient consideration of regional culture in rescue and relief operations (3 codes).
Conclusion: This study demonstrated that despite the relatively small scale of the Kuhbanan earthquake, many structural and managerial challenges previously observed in larger disasters were repeated. This finding highlights a chronic weakness in institutional learning and process improvement within the disaster management system. The application of comprehensive analytical frameworks such as STEEPV can assist managers and planners in understanding the complexity and interconnections of different crisis dimensions, moving beyond fragmented and reactive approaches toward more informed decision-making, enhanced stakeholder coordination, and ultimately greater community resilience. It is recommended that the findings of this study be used as a roadmap for revising national disaster management policies and for designing an integrated disaster lesson-learning system.
Hojjat Rahmani, Payam Bahadori, Hossein Dargahi, Mohammad Arab, Nasrin Abolhasanbeigi Gallehzan, Mohsen Mardali,
Volume 19, Issue 6 (3-2026)
Abstract
Background and Aim: The occurrence of conflict of interest in the Iranian health system has a negative impact on the provision of efficient and effective health care and services to patients, the training and education of students in medical sciences. Despite the efforts made in the country’s health system to manage conflict of interest, this phenomenon is currently observed through various factors, including the inefficiency of the financial structure, lack of transparency, and the lack of an integrated health information system in Iran.
Materials and Methods: The present scoping review study that aimed to identify and determine conflict of interest management strategies in the Iranian health system in comparison with selected countries and to select appropriate strategies in 2024-2025 using the Arksey and O’Malley guidelines. All relevant articles and resources from 2007 to 2024 were extracted from national and international databases by observing the entry and exit criteria and by selecting Persian and English keywords. After screening steps using Prisma flowchart, 23 studies in English and Persian language from international and national databases, were analyzed.
Results: Findings from 17 international studies—most of which were conducted in the United States—along with 6 domestic articles, showed main strategies of Iranian conflict of interest which included participation, transparency, legal oversight, processes reform, restructuring and reorganization. Although, using collective campaigns for correction of process behaviors and decisions, definition of ethical ethic codes, and standardization may help implementation of these strategies. Also, the most common cause of conflict of interest in the health system is individual rather than organizational, which requires regulation, the use of legislative levers, and the transparency of financial relations in the health system.
Conclusion: Accurate identification of potential examples of conflict of interests among the agents of health care system by implementing information clarification, and using modern procedures may decrease the challenges in formulating and implementing strategies of conflict of interests among Iranian health care system. Although benchmarking from successful countries will be helpful in these countries. The implementation of these recommendations may face challenges within Iranian society, including resistance from certain professional groups, a lack of financial and technical resources, and the complexity and specific conditions of the health system. Therefore, a step-by-step approach to implementing policy recommendations for managing conflicts of interest in the health system should be considered.