Considering the objectives of our research (functions of IR in medical universities), we initially assessed the current status of KUMS using a case study design. Afterward, valuable information was obtained regarding the associated themes, as well as the theoretical and specialized constructs of IR, by conducting interviews and assessing upstream documents. As mentioned earlier, 71 basic themes were identified as the specialized constructs, and 17 organizing themes were considered as the theoretical constructs, which were analyzed within a framework encompassing the four inclusive themes of information authority, spin doctor, policy analyst, and scholar and researcher. At the next stage, the identified themes were presented in the form of a conceptual model.
Spin doctor (responsiveness of the university) is defined as the recognition, collective accountability, and commitment of academics to the scientific-professional demands, expectations, and needs of the main external stakeholders of the university (scientific society, civil society, and labor market), as well as the maximum use of efforts, motivations and abilities, continuous improvement of performance in line with these issues, and transparent, accurate, timely, and continuous reporting of university performance to the stakeholders to gain their trust, satisfaction, support, and cooperation for the management of the university (
17). One of the philosophical approaches of postgraduate education is the perspectives on accountability and social commitment. In the 2025 vision plan of the medical education system in Iran, meeting the health needs of the community is emphasized as a pillar of the health system in line with the operationalization of the responsive medical package from the 12 packages of transformation in medical education. In this approach, medical universities are considered as an inherent element of the existing philosophy of postgraduate education as a social unit that has accountability perspectives to the community's needs and expectations. Social accountability is a commitment to the guidance, education, research, and provision of healthcare services based on the priorities of the community. This issue is regarded as the key mission of medical universities (
18), and universities adopt numerous mechanisms to realize this mission and meet their responsibilities to address the needs of the community.
One of the most important mechanisms of universities for community relations and understanding their social responsibilities is communicating with the industry through establishing joint research centers, implementing the educational courses required by industries based on the situations and needs of the workplace and employees, and designing in-service courses in an actual environment. Scientific environments could be promoted through more emphasis on cooperation with the industries outside academic environments, which mutually benefits students, graduates, and recruiters (
19). Today, industry-university communication is considered essential to development. In this organizational role, IR obligates the expansion of communication with the community and industry in the field of health. The proper interaction between university, which is in close contact with new scientific developments and strives to improve the quantity and quality of its scientific-research services, and production/service organizations, which are concerned with increased efficiency and productivity and the provision of optimal service delivery as a constant priority, are known to be critical in the survival of both. Undoubtedly, the improper correlations of scientific findings and practical experiences not only threaten universities with the risk of 'thinking in a vacuum', but they also complicate the improvement of welfare in the community by depriving organizations of scientific business management instruments. Notably, the mentioned cultural infrastructures should be provided for this purpose, and professional ethics should be institutionalized within the academic community.
Disease diagnosis should be carried out to develop and respond to community needs, and attempts should be made to identify and eliminate problems and damages to the internal processes and functions of the university and effectively respond to the needs and demands of the outside environment. Meanwhile, universities compete in various areas, including student and faculty management dimensions at national and international levels, research management, and investment. These institutions must maintain their credibility and popularity, produce high-quality research, keep students and faculty members satisfied, and respond to the growing demands of the community (
20). As such, universities and higher education centers are affected by powerful and complicated forces and demand for higher education increases every day. Given the increased rate of unemployment and economic crises, attempts are made to gain expertise and receive academic degrees to find suitable jobs. Therefore, postgraduate education should provide better services and education to the community members, and the competencies and continuous improvement of faculty members and the community of academics play a fundamental role in the IR field in this regard. Considering this issue, empowering faculty members through their improvement and continuous staff training in the fields of medicine and health has been defined as another function of IR.
A more specialized aspect of IR is the role of researchers in leading academic research from applied and HSR research to policy research and education. From this perspective, unbiased institutional researchers assist university authorities in the decision-making process through research. Today’s competitive world needs managers who can make decisions rapidly and accurately. Proper management requires information for decision-making, and available data should be turned into information to be used for this purpose. To realize organizational goals, managers should analyze the environment, recognize variables, and take appropriate measures, which require access to updated information inside and outside the organization. Some of the main problems in organizational research projects that may prevent adequate returns include defining and implementing similar projects in various subsidiary units, incompliance of research projects with the goals and development strategies of the organization, irrelevance of research projects to the problems and issues threatening the entire organization, high probability of failure due to the unclear planning, creation, evaluation, implementation, and control of research projects, and development and transfer of inappropriate technology by the subsidiary units.
Recently, extensive research activities have been carried out in Iran, especially in the health and treatment system although they have mostly been in a scattered and uncoordinated manner regardless of the needs of the system and the development of its dimensions due to the absence of a unified and coherent system of applied research (
21). One of the consequences in this regard is the improper decision-making of managers and lack of coordination between the actual needs and provision of health services (
22). An important factor that has a further complicated investment in the research and development of these institutions is the lack of an efficient structure for the formation and defining research projects in the university headquarters, as well as the inability to determine goals and strategies, which in turn affects developing the related programs and performance of the affiliated units. The pivotal role of universities in community health has doubled the necessity of corrective measures in the field.
In general, a system is required in the central headquarter of universities for determining the process of the formation and defining of research projects, so that the research activities of the affiliated units could be guided to obtain comprehensive information on the current status and corrective measures and provided to managers (
23). With any mission, goal/vision, executive institutions, and organizations will ultimately operate on a national or international scale and must be accountable to their clients and stakeholders. Such examples are a company aiming for customer satisfaction and profitability and an organization aiming for the complete and accurate implementation of legal duties to achieve the development and excellence goals of a country and must remain accountable in this regard (
24). Comprehensive quality management is a commitment to having the optimal function in the organization through teamwork and establishing a continuous improvement process. Comprehensive quality management should also result in the better/optimal provision of high-quality services to meet customers’ needs and exceed their expectations (
25). Medical universities are no exception, and their clients constitute a community of students, faculty members, academicians, and community members. An IR unit plays an accelerating role in the assessment, design, and continuous evaluation of the performance, resources, human resources, plans/processes, comprehensive quality management, accreditation/quality assurance, and development based on standards and metrics. In line with our findings, these activities have been confirmed by Peterson, Cyert and March, Olsen, Whitchurch, and Saketi (
7,
26-
29).
Playing the role of information authority, an institutional researcher provides reports tailored to government agencies to raise funds and attract student enrollment data and graduate enrollment information. An IR office is regarded as the databank of the university, which provides descriptive data for academic audiences by the preparation of data and the conversion and processing of information. The information supports the decision-making of the university management and acts as a council. Moreover, timely access to information is ensured by preparing academic reports, which in turn results in the identification of strengths and weaknesses, control of employees, reduction of staff costs, and fundraising (
6,
30-
32).
One of the activities of the OIR is to provide counseling services to students and community members (i.e., intra-university and extra-university counseling). This dimension of IR is administrative, presented in a bureaucratic manner, and improves internal university affairs. In this respect, our findings are congruent with the results obtained by Knight and Nemati (
33,
34). Due to the particular nature of the health sector, policymaking in this area is more important and sensitive than in other sectors. The nature of decision-making in the health sector often involves the matters of life and death, and in most cases, health is affected by numerous decisions that might not be directly related to health care. Since health systems are technically complicated, any changes in this complex and interconnected system will have inevitable effects on other sectors, as well as the stakeholders (
35), which places more emphasis on the importance of attention to this area. Our findings in this regard are in line with the results obtained by Calderon and Mathies, Toroghi et al., Saketi, Peterson and Corcoran, Saupe, and Bidokhti et al. (
6,
17,
29,
36-
38). Nevertheless, studies conducted in the field have mainly contributed to the general policy-making in higher education and are not specifically related to the field of health care.
By observing the influential variables in the future of the Iranian health system, the future of medical information, and attention to the newly emerged processes in medical education, institutional researchers contribute to the upcoming research and experimentation in our country, while also supporting the necessary changes through conducting comparative research and modeling, policy reviewing, and administrative and executive re-organization. Moreover, such measures could help analyze the policies of the university and positively influence decision-making and conceptualization processes. Policymakers and decision-makers need the most effective research to make the most successful policies, which justifies the use of research findings in policymaking (
39).
The compilation of the 20-year vision plan of Iran is a valuable step toward directing the country's activities to achieve development, and one of the most important phrases of the document is focused on Iran's position in the 2025 vision in the field of science and technology. Achieving the goals set out in the vision requires comprehensive management and planning in all dimensions. Besides, the most important factors should be identified, and proper plans should be designed and implemented in the field of science and technology management. Since the vision looks to the future, using foresight approaches is crucial to measuring the correct orientation of the policies and quality of the programs designed for achieving the vision goals (
40). The key roles of IR in this dimension are the analysis of knowledge and technology management, as well as converting an idea into a product, creating a health knowledge city, preparing a science and technology planning document, and creating a knowledge-based community. Our findings in this regard are consistent with the results obtained by Serban, Saketi, Volkwein, Entezari, and Nemati and Amiri (
10,
29,
41-
43).
5.1. Conclusions
With the instantaneous increase in the environmental complications and variables involved in the success of higher education and university, the existing opportunities cannot be fully exploited, and higher education should be developed with a greater emphasis on higher education policies in today’s competitive world. Therefore, moving in line with the formation of a construct known as IR is regarded as an effectual strategy to improve policy studies in the Iranian higher education system. The goals of IR are mainly related to the policy studies of institutes and centers, which could be used by the OIR and universities with some modifications. In this regard, recognizing the concept of academic independence and its requirements could be extremely beneficial as repeatedly emphasized by major higher education policymakers.