Outsourcing of Pharmacies of the Program "Family Doctor and Rural Insurance" of Comprehensive Health Service Centers of Iran

Background: This study aimed to explore the advantages, disadvantages, and outsourcing solutions for pharmacies within Iran's "Family Doctor and Rural Insurance" program at comprehensive health service centers. Methods: This qualitative research utilized the snowball method and maximum diversity sampling to conduct interviews. The criteria for participant selection included a minimum of three years of experience in the Family Doctor and Rural Insurance program and sufficient knowledge of its processes. After categorizing the data, logical connections were established using MAXQDA version 2022 software. Results: A total of 40 individuals were interviewed. The most significant benefits of outsourcing identified by respondents included improvements in quality, the use of software systems, and better management of financial resources. Key operational solutions for enhancing outsourced pharmacy services included identifying high-performing contractors, signing contracts with these contractors, and implementing a qualification test approved by the pharmaceutical affairs department under the university's vice-chancellor of health. Conclusions: To improve the delivery of services by outsourced pharmacies, it is recommended to incorporate expert opinions (particularly from pharmacists) when setting up and finalizing contracts. Additionally, a wide-scale announcement should be made to encourage greater participation from private sector pharmacies.