Background and Objective: This study aimed to identify the dimensions of implementing health policy in the administrative system, with an emphasis on conflict of interest management.



Research Method: This applied research used a mixed-method (qualitative-quantitative) exploratory design. The qualitative part employed the Delphi method, and the quantitative part used a descriptive survey. The qualitative population comprised 20 managers from Mazandaran University of Medical Sciences holding a doctoral degree, over 10 years of managerial experience, an academic rank of associate professor or higher, and expertise in the research topic. The quantitative population included 434 managers, deputies, and chief experts from the same university. In the qualitative phase, 10 participants were selected via purposive sampling based on saturation law. In the quantitative phase, 204 individuals were chosen through stratified random sampling using Cochran's formula. A researcher-made questionnaire with 55 items measured the variables; its validity and reliability were confirmed. Data were analyzed using exploratory and confirmatory factor analysis.



Findings: All dimensions and components significantly affected the implementation of health policy in the administrative system with an emphasis on conflict of interest management. The strategic dimension had a greater effect (factor loading = 0.979), while the structural dimension had a lesser effect (factor loading = 0.969).



Conclusion: The variable of implementing health policy in the administrative system with an emphasis on conflict of interest management comprises two structural and strategic dimensions. The structural dimension includes three components: "infrastructure, human resources, and appropriate structure." The strategic dimension includes four key components: "planning, strategic vision, culture building, and education." Both structural and strategic dimensions play a significant role in policy implementation, with the strategic dimension having the greatest role and the structural dimension the least. The proposed model also demonstrates a good fit. These results highlight that while structural factors are necessary, strategic factors such as forward-looking vision, systematic planning, institutional culture, and continuous education are more influential in managing conflicts of interest. The findings offer practical insights for policymakers and health administrators aiming to enhance policy effectiveness and reduce ethical tensions within public health systems.