Abstract

Introduction: Considering the importance of the subject of health, treatment, and patient and the very high impact of health and its direct and indirect impact on the quality of life, community health, and the health of future generations, and also the lack of a coherent model in the field of the value chain, we decided to identify the factors affecting the patient value chain and present a model following Iranian culture in this field by investigatingprevious studies and interviewing with the experts of industry andlocalization. Methods: The present study is a systematic review consisting of 3 various stages. In the first stage, using the systematic review method, previous researches (without time limit) were investigated; 834 initial articles were found and based on the 50-point Rubric scale, a preliminary investigation was performed, 234 final articles wereinvestigated, and the factors affecting the value chain were extracted. In the second stage, the obtained factors were localized through the Delphi method and interviewing with the healthcare industry and university experts. In the third stage, using the grounded theory method and through an interview with the healthcare industry and university experts, the results were identified. To measure the reliability of the model, the Kappa index was used and its value was calculated to equal to 0.95, which was located at anexcellent level. Besides, the content validity of the model was confirmed by university professors using the relative coefficient of CVI and CVR with an excellent level and number 1. For analysis and designing the model, NVIVO10 software was used. Results: The main result is to achieve a value chain model in the healthcare industry, including causal, contextual, intervening criteria, and strategies with 15 criteria and 73 sub-criteria. Discussion and Conclusion: According to the findings of the study, the value chain in the health industry was investigated as a case study,and a comprehensive model was presented that can help patients, medical staff, and healthcare provider organizations to create structured value for the patient, and structural processes are created to present these models.