Analyzing the Agenda Setting of the Reforming Policy of the Structure of the Central Staff of Medical Universities in Iran in 2013 Using the Model of Multiple Streams of Kingdon

Abstract

Improving the organizational structure of medical universities and the continuous adaptation to the mission and new functions is an irrefutable necessity. The current article aimed to explain how this improvement was happened in 2019 in Iran medical universities. Methods: It takes qualitative method with managers and experts from the Ministry of Health and 17 medical universities. Via the Snowball sampling method 57 people were interviewed by using semi-structured in-depth method. MAXQDA 2020 software was used for the content analysis. Results: The opportunity window was opened for medical universities to reform their organizational structure according the agenda of the Ministry of Health in 11th government. High-level documents and laws related to this subject, in addition to the cooperation of medical universities process owners and the Ministry of Health stakeholders and the formation of specialized working groups lead to formulate organizational structure (policy stream). Conclusion:Regarding to having a dynamic and flexible structure for meeting environmental needs, Iranian medical universities were modified in 2013 by Ministry of Health policymakers and managers. The Kingdon Multi-Stream Model helps to better understand the content of this policy.