Strategy Mapping and Introducing the Health System Reform Plan: An Iranian Social Responsibility-Based Approach

Abstract Background and Aim:  The main function of the strategy map is to determine the relationship between cause and effect among the strategic objectives, dimensions, and components of an organization, a large project or plan in which programs can be implemented effectively. The studies indicated that there is no strategy map in the national program of the health system reform plan in Iran. Besides, the involvement of all decision-makers, executives, peers, and plans supervisors to clarify the relationship of each section with strategic goals of the social responsibility-based approach is another benefit of the strategy map in this study. Methods:  The current study is a qualitative and applied one using Balanced Scorecard (BSC) principles and using the Comprehensive Evaluation Model for Health System Reform Plan in Iran (CEHSRP-IR) model in 2019. Using the views of 17 experts selected in management and health issues based on purposive non-random sampling, as well as Delphi technique, paired comparisons, common techniques in strategy mapping, and SPSS and EXPERT CHOICE software, the strategy map of the health system reform plan was designed in Iran. Results:  The present study resulted in designing a strategy map of the health system reform plan in Iran based on 5 dimensions of financial, social responsibility, learning and growth, clients, internal processes, 17 components, and 25 connections. Conclusion:  After elaborating on the fundamental aspects of this research, setting the strategic goals, dimensions, and components, as well as determining the relative weight of the components and dimensions and then prioritizing them, explained their optimal relationships to achieve strategic goals. Finally, using VISIO software, a strategy for the health system reform plan was designed and presented concerning social responsibilities. This strategy map can be sufficiently comprehensive to effectively implement this national program at various organizational and implementing units’ levels of the health system reform plan in Iran. Keywords: Balanced Scorecard, Strategy Map, Health System Reform Plan, Comprehensive Evaluation Model for Health System Reform Plan