The present research aims to review the barriers to implementing general policies of Article 44 of the Islamic Republic of Iran's constitution at the universities of medical sciences of Zanjan province. The research is applied in terms of goal and descriptive-survey in terms of method. Research findings suggest barriers to implementing general policies of Article 44 of the Islamic republic of Iran's constitution include qualities of the rules and regulations, accepting the ceding of the hospitals, hospital employees' reactions to ceding the hospitals, and economic and social problems caused by ceding and planning at universities of medical sciences. The research investigates the effects of above variables on the privatization of the hospitals and found that the qualities of the rules, employees' reactions (e.g., implicit and explicit resistance, etc.), citizens and patients' economic and social problems and their dissatisfaction as well as planning (e.g., deficiencies and loss, etc.) will affect the tendency of the private sector to accept the ceding of the hospitals.