Authors
1
Ph.D. Student in Social Welfare, Department of Cooperation and Social Welfare, Faculty of Social Sciences, Allameh Tabataba’i University, Tehran, Iran.
2
Professor, Department of Cooperation and Social Welfare, Faculty of Social Sciences,Allameh Tabataba’i University, Tehran, Iran.
3
Associate Professor, Department of Cooperation and Social Welfare, Faculty of Social Sciences,Allameh Tabataba’i University, Tehran, Iran.
4
4Associate Professor, Department of Sociology, Faculty of Literature and Humanities, Kharazmi University, Tehran, Iran.
10.22080/ssi.2025.29390.2291
Abstract
Objectives: This study was conducted to identify and analyze themes related to justice in Iran’s health policy, with an emphasis on the legislation of the 9th to 12th governments (2005–2021). The significance of this study lies in the fact that analyzing the content of official policies can reveal the hidden patterns of justice orientation in the health system and provide a basis for revising and improving future policy-making. Methods: This study was qualitative, using a thematic analysis approach and based on purposive sampling of the “extreme case selection” type. Data were collected through the review and analysis of official documents related to justice in health policies during the post-Islamic Revolution period (1979 onwards). The reviewed documents included development plans, general health system policies, guidelines and health system transformation programs, the Family Physician Plan, the Law on the Structure of the Comprehensive Welfare and Social Security System, the 1404 Vision Document, legislative acts of the Islamic Consultative Assembly, and directives of the Supreme Leader. Data analysis was conducted in two stages, including open and axial coding, and the extracted concepts were ultimately organized into categories and overarching themes. Results: The results of the thematic analysis included 211 basic concepts, 19 subcategories, and 5 main categories, which were analyzed, summarized, and coded into the overarching themes of “distributive justice,” “epistemic justice,” “corrective justice,” “procedural justice,” and “justice in health outcomes.” Conclusion: The findings of this research identify diverse patterns of justice in health policymaking in the documents, programs, and official policies of the country and emphasize the need to strengthen the conceptual cohesion and executive integration of justice in health policymaking.
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