Challenges of implementing outsourcing of primary health services from the perspective of stakeholders.

ABSTRACT:

Background

In recent years, outsourcing of primary health services has emerged as a strategic response to growing demands for efficiency and sustainability in healthcare systems. However, especially in low- and middle-income countries like Iran, the implementation of outsourcing faces multiple systemic and contextual challenges. This study aimed to examine the challenges associated with outsourcing primary healthcare services from the perspectives of key stakeholders in Iran.

Methods

A qualitative study was conducted using directed content analysis, guided by Donabedian's Quality of Care Model and the WHO Health System Governance Framework. Twenty-one stakeholders-including policymakers, university managers, healthcare providers, and private contractors-were selected through

SUBMITTER: Ebrahimipour H 

PROVIDER: S-EPMC12606836 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature