en Health Health Short Communication Short Communication <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background:</span></i></b><b> </b>In recent years, there have been many non-teaching hospitals that have become teaching hospitals. Although the decision to make this change is made at the policy level; But the unknown consequences can create many problems. The present study investigated the experiences of hospitals in changing the function of a non-teaching to a teaching hospital in Iran.<span style="font-size:9.0pt"></span></span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Methods:</span></i></b> A<span lang="EN"> Phenomenological qualitative study was conducted using semi-structured interviews with 40</span> <span lang="EN">hospital managers and policy makers</span> who had the experience of changing the function of hospitals in Iran <span lang="EN">through a purposive&nbsp;sampling in 2021. Thematic analysis using inductive approach and MAXQDA 10 was used for data analysis. </span></span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Results:</span></i></b> <span lang="EN">According to the results extracted 16 </span>main <span lang="EN">categories and 91 subcategories. Considering the complexity and instability of command unity, understanding the change of organizational hierarchy, developing a mechanism to cover client&rsquo;s costs, considering increase management team&rsquo; legal and social responsibility, coordinating policy demands with Providing resources, funding the teaching mission, organizing the multiple supervisory organizations, transparent communication between hospital and colleges, understanding the complexity of processes, considering change the performance appraisal system and pay for performance were the solutions for decrease problems of changing the function of non-teaching to teaching hospital.</span><b><i><span style="color:blue"></span></i></b></span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Conclusion:</span></i></b> Important matter about the improvement of university hospitals is evaluating the performance of hospitals to maintain their role as progressive actors in hospital network and also as the main actors of teaching future professional human resources. In fact, in the world, hospital becoming teaching is based on the performance of hospitals.<b><i><span style="color:#0033cc"></span></i></b></span></span></span> teaching hospitals, Systems Integration, Health Systems Agencies, university hospitals‎ 365 370 http://caspjim.com/browse.php?a_code=A-10-2393-1&slc_lang=en&sid=1 Niusha Shahidi sadeghi sadeghi.niusha@gmail.com 100319475328460041891 100319475328460041891 No Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Mohammadreza Maleki mrmaleki43@gmail.com 100319475328460041892 100319475328460041892 No Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Hasan Abolghasem gorji gorji.h@iums.ac.ir 100319475328460041893 100319475328460041893 No Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Soudabeh Vatankhah s-vatankhah@iums.ac.ir 100319475328460041894 100319475328460041894 No Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Bahram Mohaghegh bmohaghegh@gmail.com 100319475328460041895 100319475328460041895 Yes Department of Public Health, School of Health, Qom University of Medical Sciences, Qom, Iran