Background: Massive Open Online Courses (MOOCs) have transformed global higher education, yet their implementation faces challenges in resource allocation and faculty engagement, particularly in specialized fields like medical education. This study examines the multidimensional factors influencing MOOCs development through the perspectives of e-learning experts across 10 Iranian universities of medical sciences, addressing a critical gap in institutional readiness for digital education. Methods: A qualitative content analysis was carried out in 2022 involving 15 e-learning experts with at least two years of experience selected via purposeful snowball sampling until data saturation. Semi-structured interviews were administered online via Adobe Connect, with two participants providing written responses. Data analysis followed Bolman and Deal’s organizational framework, employing open, axial, and selective coding in MAXQDA to identify codes, themes, and categories. Trustworthiness was ensured through peer debriefing (10 external experts), member checking (participant validation of codes), and adherence to COREQ guidelines for qualitative rigor. Results: Thematic analysis resulted in 28 codes, 12 themes, and 4 categories. Influential factors on MOOCs development and engagement included: 1) structural factors (rules/regulations, clarity, structure); 2) human resources (empowerment, support, attitude, motivation); 3) cultural factors (symbols, unity); and 4) political factors (equity, participation, and negotiation, profit). Participants emphasized that only intrinsically motivated faculty currently engage in MOOCs development, as extrinsic rewards (e.g., promotion credit) remain insufficient. Conclusion: Successful MOOC implementation requires systemic reforms, including streamlined governance, faculty workload adjustments, cultural shifts to value digital pedagogy, and equitable political frameworks. The study recommends targeted interventions such as centralized MOOC development guidelines, workload credits for faculty, and national recognition programs. These findings have implications for global medical institutions. |
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