Abstract: In 1995 a huge revolution occurred in Iran’s health system, the entire medical-related education program integrated into the Ministry of health. This paper aims to explain the beneficial and adverse effect of the integration after 27 years of implementation. For this purpose, responses from two Round Delphis were analyzed, addressing Iranian medical education policymakers. This paper provides a qualitative survey carried out using the Delphi method. Results of other studies as well as the information gathered by means of several semi-structured interviews conducted fed into the Delphi instrument for measuring each item importance. Participants were selected according to their experience and their role on the integration of Medical Education and Health Service Delivery. Statements were around the integrated system strengths and weaknesses in five core subjects which were combined and formed 10 major subscales. In addition, two other subscales extracted to show barriers and recommendations; so statements were organized into 12 subscales. New integrated system was successful in enlarging education facilities to address acute human resource shortage. Furthermore, the results of the analyses indicated 3 most ranked statements were "Main focus of universities is on specialty and subspecialty training", "Many of researches are done just to be published in ISI journals" and "The faculty members' promotion criteria are not related to integration". The study results led us to suggest a revised approach to developing new integrated system in which promoting the quality of education and health service delivery is emphasized without pursuing an increase in the production capacity as a main objective.