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With the advent of digital platforms, entrepreneurs have been able to communicate and share information in visible environments. By focusing on the visibility aspect of digital platform in a resource-constrained economy, this study aims to propose a conceptual model for exploring entrepreneurial opportunity identification. Furthermore, this study delves into the moderating influence of entrepreneurial alertness on opportunity recognition.

A research model is constructed using the theory of communication visibility to investigate how message transparency and network translucence affect the identification and development of entrepreneurial opportunities, with additional exploration of the moderating influence of entrepreneurial alertness. A questionnaire survey is conducted with 152 Iranian founder-entrepreneurs to test the proposed conceptual model. The research model’s constructs are analyzed using the partial least squares structural equation modeling method.

The results confirm that communication visibility impacts both aspects of entrepreneurial opportunity identification. In addition, this study reveals the distinctive moderating effects of entrepreneurial alertness on the relationship between message transparency and the creation and discovery of entrepreneurial opportunities, while finding no significant effect on network transparency and opportunity identification.

This paper stands out for its originality in collecting data from an emerging market. Besides, it explores the association between entrepreneurs’ communication dimensions and the recognition of new opportunities at the intersection of digital platforms and entrepreneurship literature. Furthermore, it empirically illustrates the moderating role of entrepreneurial alertness in the relationships between communication visibility and opportunity identification, contributing significantly to existing research.

Health Sector Evolution Plan (HSEP) is known as the biggest and most comprehensive reform in Iran’s health system. One of the goals of HSEP is to reduce inequity in the healthcare financing. The purpose of this paper is to demonstrate HSEP agenda setting from the perspective of equity in healthcare financing (EHCF) using the multiple streams model.

This qualitative study was conducted by 26 documents review and analysis, and 30 semi-structured interview with Iranian key informants in the field of HSEP that were selected based on purposeful and snowball sampling method. Data were collected using a researcher-made checklist based on the goals. All audio-taped interviews were transcribed and analyzed thematically. Data management and analysis were performed using the framework analysis in MAXQDA software.

The framework analysis identified 12 complementary sub-themes totally. Problem stream included four sub-themes (high share of Out Of Pocket, high index of catastrophic health expenditures, low EHCF index, and inappropriate economic state and sanctions). Focus on EHCF in general policies of the Iran World Health Organization’s report in 2000, the Targeted Subsidies Law and emphasis on equalizing healthcare financing in the Fourth and Fifth Development Plan were considered as policy stream sub-themes. Finally, political stream showed four sub-themes including strong support from the Minister of Health for HSEP, mass media, the pressure of WHO and people’s request to reduce health costs.

The limitations of the present study included paying attention to one package (evolution in the treatment sector) of three health packages to assess EHCF, as well as the lack of similar national and international evidence in implementation framework.

The results of this study can be used to analyze other health sector reforms around the word and can help the formulation and implementation of most practical reforms, especially in field of health system financing.

This study gives a holistic view about health system policy setting that can be used for understanding policy-making streams to population.

This is the first study that has examined HSEP (the biggest health sector reform in Iran) from the perspective of agenda setting. In addition, using the popular and well-known Kingdon’s model to explain HSEP agenda setting is one of the strengths of this study. Furthermore, taking advantage of a wide range of related views by including highly informed people increased the strength of the results of the study. In addition, the short interval between the interview and reviewing the results on reforms reduced the recall bias of the participants in the study.