Analysis of the Structure of Public Hospitals Administration in Iran: A Qualitative Study

Nouri, Mahdi; Azami, Saber; Ebadi, Ali; Tabrizi, Jafar Sadegh

doi:10.5812/jhealthscope.112125

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…Factors outside the health system also affected managerial turnover, such as the poor economic conditions due to international sanctions, same as to the political changes caused by presidential and parliamentary elections managerial turnover. 61 For instance, when a new administration comes to the office, a new minister of health will be selected, accompanied by the managerial changes at lower levels (e.g., medical universities and hospitals). 62 This is because government officials tend to work with people who have common interests and trust them more to achieve their goals.…”

Section: Discussionmentioning

confidence: 99%

Reasons for turnover of hospital managers in Iran: A qualitative study

Manshadi

Mosadeghrad

Jaafaripooyan

2022

Health Planning & Management

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Background Managerial stability is believed to play a crucial role in the success of health care organisations and health managers. High managerial turnover seems to be a common phenomenon of the Iranian health system. This study thus aimed to investigate the reasons for managerial turnover in Iranian hospitals. Methods Following a qualitative approach, 53 semi‐structured interviews were conducted with different managerial levels in the hospitals, the high officials of medical universities, and health policymakers. Interviewees were selected using the purposive sampling techniques. Interviews were continued up to the data saturation. Data analysis was conducted thematically using MAXQDA 10. Results Four groups of reasons were identified leading into the managerial turnover in hospitals, ranging from the micro to macro level factors, that is, those related to the managers, hospitals, medical universities, and the country. Insufficient support from the officials, managerial poor performance, conflict with other managers and colleagues, changes of senior managers, and presidential and parliamentary elections representing the key reasons underlying the turnover of hospital managers in Iran. Conclusion Given the variety of reasons emerged behind the managerial turnover, the efforts to improve the awareness and engage the all actors ranging from health policymakers to organisational decision‐makers could be a valuable step to regulate and optimise the managerial turnover and stability in health care organisations in order to enhance the productivity and accountability in healthcare industry, particularly in the hospitals.

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Section: Discussionmentioning

confidence: 99%

Reasons for turnover of hospital managers in Iran: A qualitative study

Manshadi

Mosadeghrad

Jaafaripooyan

2022

Health Planning & Management

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“…Considering the large contribution of hospitals to health costs and the gap between the increase in available resources and the required resources in the health care sector, it sounds clear that the hospital as an economic enterprise should be exposed to financial analysis and identify the ways to improve its efficiency and productivity. Improving the efficiency of hospitals using existing resources can reduce costs and provide better and further services (12,13).…”

Section: Introductionmentioning

confidence: 99%

The Hospital Cost Reduction Strategies from the Managers’ Point of View: A Qualitative Study in Iran

Seyedin,

Moghimi,

Goharinezhad

et al. 2024

Health Scope

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Background: Nowadays, hospitals are increasingly facing a shortage of resources, posing a significant challenge. This situation has led to competition, where a successful organization is defined by its ability to cut costs while upholding the quality of services. Objectives: This study aimed to identify cost reduction strategies from the viewpoint of hospital managers in Tehran Province, Iran. Methods: This qualitative study was performed between April and September 2021 in Tehran Province, Iran. The data were collected using in-depth semi-structured interviews with 24 managers of public and private hospitals affiliated with Iran University of Medical Sciences. The participants were selected using purposive sampling. The obtained data were analyzed using the content analysis method in NVivo 10 software. Results: Through analyzing the interviews conducted with aware key participants, cost reduction strategies were presented in 3 themes, 10 categories, and 42 subcategories. Key themes for cost reduction strategies include human resources in 4 categories, management and organization in 4 subcategories, and building equipment and facilities in 2 subcategories. Conclusions: Policymakers, especially hospital managers, can cut costs by adding economic insight into health services and providing a platform to increase efficiency and optimal use of available resources. Formulation of strategies in the field of human resources management, equipment and construction facilities, and organization of hospitals can play a significant role in reducing hospital costs and achieving the goals of the health system.

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“…Management experts argue that human resource (HR) is the main asset of any system and organization (2). This issue gains an added importance when the subject matter is service organizations such as hospitals which deal with the health and treatment of people in the community (3). For many years, justice has been among the most fundamental issues in human life, and the methods by which it was achieved and implemented have been of great importance (4).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Perceived Organizational Justice with Organizational-Citizenship Behavior and Organizational Trust Among Iranian Surgical Technologists in Iran University of Medical Sciences in 2021

et al. 2022

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Background: The organizational-citizenship behavior and organizational trust change the behaviors and attitudes and can also improve performance and efficiency among nurses as the team working incentives. Numerous environmental and occupational factors can affect the mentioned variables in employees but organizational justice, among other factors, exert a significant impact in this regard. Objectives: The present study aimed to investigate the relationship between perceived organizational justice with organizational-citizenship behavior and organizational trust among Iranian surgical technologists at Iran University of Medical Sciences (IUMS) in 2021. Methods: In this descriptive-analytical and cross-sectional study, 183 surgical technologists of IUMS were investigated, and, therefore, the sampling method was census. Data collection tools were as follows: (1) Demographic characteristics questionnaire; (2) Niehoff and Moorman organizational justice questionnaire; (3) researcher-developed organizational-citizenship behavior scale; and (4) Gary A. Roeder Organizational Trust Questionnaire. Descriptive statistics (mean ± standard deviation; frequency and percentage), Pearson’s correlation coefficient, and multiple regression were performed to analyze the data by using SPSS software version 22. Results: Overall, the perceived organizational justice was poor, whereas the organizational-citizenship behavior and organizational trust were moderate. There was a positive and statistically significant correlation between organizational justice and citizenship-organizational behavior (r = 0.79), (P < 0.001). The same association was also observed between perceived organizational justice and organizational trust (r = 0.87), (P < 0.001). Moreover, 50% of the changes in perceived organizational justice, 67% in organizational trust, and 75% in organizational-citizenship behavior may have been explained and justified by demographic variables. Conclusions: It was concluded that citizenship-organizational behavior and organizational trust in surgical technologists may have been increased by taking appropriate interventions such as increasing the perception of organizational justice as well as improving the performance and quality of services in hospitals.

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Analysis of the Structure of Public Hospitals Administration in Iran: A Qualitative Study

Cited by 5 publications

References 24 publications

Reasons for turnover of hospital managers in Iran: A qualitative study

Reasons for turnover of hospital managers in Iran: A qualitative study

The Hospital Cost Reduction Strategies from the Managers’ Point of View: A Qualitative Study in Iran

The Relationship Between Perceived Organizational Justice with Organizational-Citizenship Behavior and Organizational Trust Among Iranian Surgical Technologists in Iran University of Medical Sciences in 2021

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