en Health Management and Economics Health Management and Economics Original Research Original Research <strong>Background: </strong>Different factors affect Iran&#39;s health care financing system, and regardless of this impact, the future of this system will face fundamental challenges. In this environment, a health system is successful if it is able to anticipate the effects of these factors in the future of health care financing and preplan appropriate interventions towards health care financing system. The present study aims to identify these factors and trends.<br> &nbsp;&nbsp; <strong>Methods:</strong> This study compiled a round view of the experts on the subject, with a future studies approach through a qualitative method. To collect data, a deep and semi-structured interview was performed. The results of the interviews were analyzed using content analysis method, and the primary and secondary themes were extracted using the Micmac software.<br> &nbsp;&nbsp; <strong>Results:</strong> A total of 71 variables were identified in the form of 12 groups with titles of stewardship, service provision, resource gathering, purchasing and resource allocation, sociocultural, technological, environmental, economic, political, and managerial, and laws and values. Four variables, including distant-service provision, administrative bureaucracy, administrative focus and corruption, low-support decision-making, economic blockade, and sales of oil were among the influential factors and drivers.<br> &nbsp;&nbsp; <strong>Conclusion:</strong> The findings showed Iran&#39;s financing system is relatively stable but fragile and 3 areas of technology, politics, and economics have the most impact on structuring Iran&rsquo;s financing system. The financing system, Future studies, Key forces, Drivers, Health system functions 718 725 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2378-4&slc_lang=en&sid=1 Maryam Ramezanian maryamramezanian86@yahoo.com 200319475328460064283 200319475328460064283 No Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, & Research institute for Endocrine Science, Shahid Beheshti university of Medical Sciences, Tehran, Iran Ali Akbar Haghdoost ahaghdoost@kmu.ac.ir 200319475328460064284 200319475328460064284 Yes Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Mohammad Hossein Mehrolhassani mhmhealth@gmail.com 200319475328460064285 200319475328460064285 No Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Masoud Abolhallaje mohme2003@gmail.com 200319475328460064286 200319475328460064286 No Ministry of Health & Medical Education, Tehran, Iran Reza Dehnavieh rdehnavi@gmail.com 200319475328460064287 200319475328460064287 No Health Services Management Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Atousa Poursheikhali atousa_prsh@yahoo.com 200319475328460064288 200319475328460064288 No Health Services Management Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran