Investigating the Effect of Participatory Management Components on Healthcare Policy Implementation
نویسندگان
1 2Department of Public Administration, Kerman Branch, Islamic Azad University, Kerman, Iran
2 Department of Public Administration, Policy-Making and Decision-Making, Kerman Branch, Islamic Azad University, Kerman, Iran
3 2Department of Public Administration, Kerman Branch, Islamic Azad University, Kerman, Iran
4 2Department of Public Administration, Kerman Branch, Islamic Azad University, Kerman, Iran
5 2Department of Public Administration, Kerman Branch, Islamic Azad University, Kerman, Iran
doi
10.34172/JHAD.92382چکیده
AbstractBackground: Healthcare policy implementation is of great importance due to its effect on society and is only possible via theintellectual and practical participation of various levels of employees. Participatory management leads to elevating productivityand respecting human values. The present study investigated the effect of participatory management components on healthcarepolicy implementation.Methods: This cross-sectional study was conducted on 384 managers and employees at Kerman and Sistan and Baluchestanuniversities of medical sciences experienced in policy implementation. The samples were selected using a simple random samplingmethod. A researcher-made questionnaire (derived from the results of qualitative interviews with experts) was used to collect data.Data were analyzed using structural equation modeling (SEM) using Amos 22 software.Results: The results indicated that the model had a reasonable fit and contained 12 main categories, including implementationfacilitator (with a factor loading [FL] of 0.97), implementation inhibitor (FL = 0.96), laying the groundwork for implementation(FL = 0.65), designing implementation method (FL = 0.88), systematic implementation (FL = 0.80), evaluation and correction(FL = 0.67), environmental facilities and conditions (FL = 0.69), environmental culture (FL = 0.94), compilation method (FL = 0.99),implementation method (FL = 0.74), positive consequences (FL = 0.73), and negative consequences (FL = 0.58) in five axes (causalconditions, background conditions, mediating conditions, strategies, and consequences), and 42 subcategories presented in theproposed model with latent relationships.Conclusion: The mentioned variables well explain the participatory management style related to the extent of healthcarepolicy implementation, and the use of participatory management has considerable positive consequences in healthcare policyimplementation for policy-makers, managers, and beneficiaries of the health sector.
