Designing a Model for the Management of Modern Health Services of Middle-aged Adults in the Iranian Health System

Authors

DOI:

https://doi.org/10.7175/fe.v26i1.1578

Keywords:

Middle-age, Management, Health services, Iran

Abstract

BACKGROUND: Middle adulthood can represent a peak stage of life if health is addressed comprehensively across all dimensions. This study aimed to develop an appropriate model for managing modern health services for middle-aged adults within the Iranian health system in 2019.

METHODS: This mixed-method study was conducted in two phases. In the qualitative phase, the participants were 21 policymakers and experts involved in the middle-aged adults’ program at the Ministry of Health as well as provincial and county health centers, selected through purposive sampling. In the quantitative phase, 431 executives of the middle-aged adults’ program in Ardabil Province were enrolled. Data were analyzed using SPSS version 20 (Chicago, IL, USA) and Amos software.

RESULTS: The mean age of participants was 35.41 ± 6.94 years. The Content Validity Ratio (CVR) was 0.79, and Cronbach’s alpha for the questionnaire was 0.95. Six key components of health service management were identified: human resources, financial resources, executive management, health service package, essential medicines and equipment, and community participation.

CONCLUSIONS: The proposed model was most strongly influenced by human resources and the health service package, whereas community participation had the weakest impact. This model can serve as a guide for policymakers and health authorities to improve health indicators among middle-aged adults in Iran.

Author Biography

  • Fatemeh Dabaghi, Department of Health Services Management, Sari.C.,Islamic Azad University, Sari, Iran
    Hospital Management Research Center, Sari Branch, Islamic Azad University, Sari, Iran

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Published

2025-10-10

Issue

Section

Original Research

How to Cite

Designing a Model for the Management of Modern Health Services of Middle-aged Adults in the Iranian Health System. (2025). Farmeconomia. Health Economics and Therapeutic Pathways, 26(1). https://doi.org/10.7175/fe.v26i1.1578