Why does strategic plans implementation fail? A study in the health service sector of Iran

This research aims to identify effective factors on the failure of strategic decisions implementation in the Iranian health service sector. Reviewing the literature and using expertsʹ opinion, 16 variables were identified. Using exploratory and confirmatory factor analysis, variables were categorized in the form of 4 factors. This model, in the order of effect, identifies context dimension (0.94), content dimension (0.87), operational dimension (0.71) and structural dimension (0.67) as effective factors on the failure of strategic decisions implementation in Iranian health service sector.