An Analytical Study of Health System Managers’ Decision-Making Models

lranian journal of Clinical Infectious Diseases

Kamran Bagheri Lankarani¹  Hassan Joulaei¹  Zahrataj Mohammad Alinejad³  Bahram Heshmati⁴  Alireza Mooghali³  Mojtaba Akbari² 

[1] Health Policy Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran;School of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran;Department of Management, Central Office, Payame-Noor University, Shiraz, IR Iran;HIV/AIDS Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran

关键词: Decision Making;    Health System;    Health Policy;    Nurse Administrators;   

DOI  :  10.17795/semj31330

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

Background:Culturaldifferencesbetweencountriesmayleadtodifferentdecision-makingstyles.Thismaycontributetovariedstylechoicesbeingusedbymanagers(indiversecountries),whoplaykeyrolesinorganizations’decision-makingprocesses.Objectives:Thepresentstudywasconductedtoanalyzedecision-makingmodelsusedbyhealthsystemmanagersinIran.PatientsandMethods:Thiswasaqualitativeresearchstudyconductedbyinterviews.Theparticipantsincluded30healthsystemmembersemployedatmicro,intermediateandmacrolevels.Inadditiontothequalitativecomponentoftheresearch,aftercodingtheresponseswereused.Togatherqualitativedata,participantswereinvitedtoillustratetheirviewsandperceptionsofhowtheyprocessedallocationdecisionsincomplexsystemsandwhatfactorstheyapplied.Datasaturationwasreachedifanexaggeratedresponsewasfoundduringanalysisoftheinterview,andtheresponsewasremovedfromthesample.Results:Thecollaborative,authoritysubmissionandconsultativedecision-makingstyleswerethemostwidelyusedamongIranianhealthsystemmanagers.Themostwidelyusedinformationsourcesfordecision-makingwereofficialinformation,internalexperts’opinions,mentalbackgroundandregulations,andupperleveldocuments.Furthermore,16.7%ofthemanagersbelievedthattheyalwayshadfreedomindecision-making.Therewasnosignificantassociationbetweenmanagers’decision-makingmodelandtheirpositionlevelsinthesystem,ortheirlevelofeducation.Conclusions:Crisisfrominsideorout-sidetheorganizationcanaffecthealthsystemmanagers’decision-makingprocesses.Duringthedecision-makingprocess,themostcommonrestrictionscanbeattributedtoashortageofmanpowerandothersources.

【 授权许可】

Unknown