Stakeholder's experience on financial incentive-based regulatory instruments for public-private partnership in developing countries: a study from Iran's primary health care delivery system.

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Τίτλος:	Stakeholder's experience on financial incentive-based regulatory instruments for public-private partnership in developing countries: a study from Iran's primary health care delivery system.
Συγγραφείς:	Keliddar I; https://ror.org/01rws6r75Ahvaz Jundishapur University of Medical Sciences: Ahvaz Jondishapour University, Islamic Republic of Iran., Torabipour A; https://ror.org/01rws6r75Ahvaz Jundishapur University of Medical Sciences: Ahvaz Jondishapour University, Islamic Republic of Iran., EmamianFard S; https://ror.org/01rws6r75Ahvaz Jundishapur University of Medical Sciences: Ahvaz Jondishapour University, Islamic Republic of Iran.
Πηγή:	Primary health care research & development [Prim Health Care Res Dev] 2026 Jul 10; Vol. 27, pp. e75. Date of Electronic Publication: 2026 Jul 10.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Cambridge University Press Country of Publication: England NLM ID: 100897390 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-1128 (Electronic) Linking ISSN: 14634236 NLM ISO Abbreviation: Prim Health Care Res Dev Subsets: MEDLINE
Imprint Name(s):	Publication: Cambridge : Cambridge University Press Original Publication: London : Arnold, c2000-
Ιατρικοί όροι (MeSH):	Public-Private Sector Partnerships/economics , Public-Private Sector Partnerships/legislation & jurisprudence , Primary Health Care/economics , Primary Health Care/organization & administration , Primary Health Care/legislation & jurisprudence , Delivery of Health Care/economics , Stakeholder Participation*, Iran ; Humans ; Developing Countries ; Qualitative Research ; Motivation ; Interviews as Topic
Περίληψη:	Background: Regulatory instruments are a key necessity to implement public-private partnership's strategy. This study aimed to explore the stakeholders' experience on financial incentive-based regulatory instruments for public-private partnership in Iran's primary health care (PHC) delivery system. Methods: This qualitative study was involved face-to-face interviews with 18 stakeholders in primary health care partnership projects including employers, experts, contractors, and executive managers of contracted companies operating as a private health sector participant in primary health care services. The data were analyzed using the framework analysis method. Results: Twenty-four codes were developed. Findings showed that the current state of financial incentive-based regulatory instruments in Iran's PHC delivery system faced some challenges despite existing capacities. These challenges include the lack of an independent trustee for access to capital, and a comprehensive regulatory program to facilitate private sector participants' access to capital, and partnership contracting mechanisms. Findings also showed main challenges of these instruments related to access to capital, tax incentives and subsidies, staff mobility control mechanisms, partnership contracting mechanisms, and provider payments. Conclusion: The presence of significant challenges in Iran's health care system can impact the private sector's motivation to participate in primary health care. By improvement the infrastructure, reforming legal processes, and providing financial incentives, the government can boost the private sector's motivation in primary health care and advance the health sector's goals.
Grant Information:	Non-US Government Research Support type
Contributed Indexing:	Keywords: Iran; PHC; financial incentives; public-private partnership; regulatory instruments
Entry Date(s):	Date Created: 20260710 Date Completed: 20260710 Latest Revision: 20260726
Update Code:	20260726
PubMed Central ID:	PMC13370180
DOI:	10.1017/S1463423626101431
PMID:	42427108
Βάση Δεδομένων:	MEDLINE

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Περιγραφή
ISSN:	1477-1128
DOI:	10.1017/S1463423626101431