Method: The present study was conducted using a comparative method with qualitative content analysis technique based on data collection from valid sources related to the health system in Iran (including medicine, health, etc.) ,the text of development programs ,evaluations , andrelated reports. In this way, the success or failure of development and development programs before and after the Islamic Revolution was compared to achieve social policy objectives, including health policy, and the impact of previous programs on future policies and programs. The research data were extracted from first-hand sources, second-hand sources, previous evaluation, and research reports, and they were analyzed using the basic concepts of institutionalization approach.