Volume 28, Issue 2 (4-2025)
J Arak Uni Med Sci 2025, 28(2): 121-132 |
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Shamsi D, Mohammadian Saravi M, Mohamadzadeh K A, Ashrafi A. Designing a Good Governance Model in Iran's Healthcare System Using a Mixed Approach of Thematic Analysis and Partial Least Squares (PLS) Method. J Arak Uni Med Sci 2025; 28 (2) :121-132
URL: http://jams.arakmu.ac.ir/article-1-7929-en.html
URL: http://jams.arakmu.ac.ir/article-1-7929-en.html
1- PhD Student, North Tehran Branch, Islamic Azad University, Tehran, Iran
2- Assistant Professor, Department of Public Administration, North Tehran Branch, Islamic Azad University, Tehran, Iran ,Mo.Mohammadian@iau.ac.ir
3- Professor, Department of Health Services Management, Islamic Azad University, North Tehran Branch, Health Economics Policy Research Center, Islamic Azad University of Medical Sciences, AND Associate Member of the Academy of Medical Sciences of the Islamic Republic of Iran Tehran, Iran
4- Assistant Professor, Department of Public Administration, North Tehran Branch, Islamic Azad University, Tehran, Iran
2- Assistant Professor, Department of Public Administration, North Tehran Branch, Islamic Azad University, Tehran, Iran ,
3- Professor, Department of Health Services Management, Islamic Azad University, North Tehran Branch, Health Economics Policy Research Center, Islamic Azad University of Medical Sciences, AND Associate Member of the Academy of Medical Sciences of the Islamic Republic of Iran Tehran, Iran
4- Assistant Professor, Department of Public Administration, North Tehran Branch, Islamic Azad University, Tehran, Iran
Abstract: (819 Views)
Introduction: Good governance, as one of the fundamental concepts in healthcare system management, plays a key role in enhancing the efficiency, effectiveness, and equity of healthcare services. This concept, Emphasizing principles such as transparency, accountability, participation, and legality, has been considered as a framework for improving policymaking and management in Iran's healthcare system.
This study conducted in 2024 aimed to design and present a model of good governance in the healthcare system using a mixed approach of thematic analysis and Partial Least Squares (PLS) method.
Methods: The research method included both qualitative and quantitative components. The qualitative phase, involved managers, health policy experts, specialists from the Ministry of Health and Medical Education, and academic scholars. Sampling was done using purposive and snowball sampling methods, with 17 participants selected until theoretical saturation was reached. In the quantitative phase, the Partial Least Squares (PLS) method was used for model fitting. The statistical population for this section included all experts and managers in Iran's healthcare sector, with a minimum sample size of 384 determined based on Cochran's formula.
Results: The results of thematic analysis of the qualitative data and model fitting showed that the final good governance model in the healthcare system consists of seven main dimensions: effectiveness, efficiency, equity, transparency and accountability, participation, legality, and leadership. Each dimension comprised specific components, and the importance of each was confirmed in strengthening good governance.
Conclusions: This study presents a comprehensive good governance model for the healthcare system, offering a framework for improving policymaking, management, and performance in this sector. The proposed model can be used as a strategic decision-making tool and improving management structures.
This study conducted in 2024 aimed to design and present a model of good governance in the healthcare system using a mixed approach of thematic analysis and Partial Least Squares (PLS) method.
Methods: The research method included both qualitative and quantitative components. The qualitative phase, involved managers, health policy experts, specialists from the Ministry of Health and Medical Education, and academic scholars. Sampling was done using purposive and snowball sampling methods, with 17 participants selected until theoretical saturation was reached. In the quantitative phase, the Partial Least Squares (PLS) method was used for model fitting. The statistical population for this section included all experts and managers in Iran's healthcare sector, with a minimum sample size of 384 determined based on Cochran's formula.
Results: The results of thematic analysis of the qualitative data and model fitting showed that the final good governance model in the healthcare system consists of seven main dimensions: effectiveness, efficiency, equity, transparency and accountability, participation, legality, and leadership. Each dimension comprised specific components, and the importance of each was confirmed in strengthening good governance.
Conclusions: This study presents a comprehensive good governance model for the healthcare system, offering a framework for improving policymaking, management, and performance in this sector. The proposed model can be used as a strategic decision-making tool and improving management structures.
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