Countries’ experiences in reforming hospital administration structure based on the Parker and Harding model: A systematic review study
نویسندگان
1 Department of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
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doi
چکیده
In recent years, many reforms have been made on the structure of hospital administration, mostof which are proposed by Parker–Harding models. Therefore, the purpose of this study is tosystematically review global relevant experiences in reforming the hospital governance structurewith emphasis on the Parker–Harding model. Required information was collected using keywordsautonomization, corporatization, privatization, decentralization, reform, hospital autonomy, governancemodel, and structural reform in databases such as EMBASE, PubMed, Scopus, SID, MagIran, andother resources. Information on the subjects under study was collected from 1990 to 2020. Thecontent extraction method was used for data extraction and data analysis. Thirty‑nine sources wereincluded in the study. Results of searching for relevant evidence on a variety of hospital governancemodels (government, board, corporate, and private) based on the Parker–Harding model in fourcategories including strengths (31), weaknesses (30), outcomes (26), and interventions (21) areoutlined. In this study, strengths, weaknesses, outcomes, and corrective interventions were presentedfor different models of hospital administration that could be used by healthcare policymakers. Also,According to the results of this study, governmental model less recommended.
