Volume 10, Issue 1 (Jan-Mar 2021)                   JCHR 2021, 10(1): 68-82 | Back to browse issues page


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Rabee mandejin M R, Janbazi S. Designing a Comprehensive Evaluation Model for Health Reform Plan in Iran. JCHR. 2021; 10 (1) :68-82
URL: http://jhr.ssu.ac.ir/article-1-584-en.html
1- 1. Department of Public Administration, Faculty of Management, Islamic Azad University, Central Tehran Branch, Tehran, Iran , m.rabiee2012@yahoo.com
2- 2. Department of Public Policy, Islamic Azad University of Hamedan, An independent researcher, Hamedan, Iran
Abstract:   (470 Views)
Background: The present study aimed to design a comprehensive model to evaluate the health system reform plan so the indicators of this model can lead to the health reform plan's effectiveness. Hence, this plan's effective factors, including policymakers and managers, suppliers, and clients, were identified and explained.
Methods:  According to the practical purpose and nature of the research, the combined/mixed research method was used, in 2018-2019. For the qualitative phase, the Delphi technique was used in exploratory interviews, and quantitative methods were used to collect data through a questionnaire. In the quantitative phase, 400 employees of 10 hospitals were selected by stratified random sampling; and in the second section, 300 clients were randomly selected in two hospitals with the highest and lowest evaluation scores in the previous phase. Content analysis method and Delphi technique were used for classification and analysis of qualitative data, and SPSS Ver.22, AMOS Ver.24, and Expert Choicev24 were used for data description and dimensions and indices' weight extraction. Dimensions under consideration include the financial, social responsibility, growth and learning, citizens and client, and internal process fields.
Results: The components with the highest and lowest weight and impact on the effectiveness of the plan were identified in the following dimensions: financial field, Social responsibility field, growth and learning field, citizens and client field, internal process field, including weights 0.266, 0.244, 0.202, 0.164, 0.124, respectively.
Conclusion: Given the results, the components, indicators, dimensions, and levels of the model designed, the comprehensive evaluation of the Health System Reform Plan in Iran (CEHSRP-IR) with the normal mean was confirmed by the statistical population, and this model can be used in all organizations implementing this plan.
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Review: Research | Subject: General
Received: 2019/11/9 | Accepted: 2021/03/20 | Published: 2021/03/29

References
1. 1. Gholipour R, Netagh F. The analysis of health system reform plan- challenges and consequences, The first national conference on public administration in Iran, Tehran, Faculty of Management, University of Tehran, 2015. Recovered from https://www.civilica.com/Paper-CIPA01-CIPA01_046.html
2. OliaeiManesh A. et al., Performance of health insurance organizations in intersectional collaboration with the ministry of health and education in effective implementation of health system reform plan, Proceedings of 11th National Conference on Critique of Government Performance in Health Field, Tehran, National Institute of Health Research. 2015; (1):17-18. [Persian]
3. Harirchi I. The need for evaluation of health system reform plan according to international indicators [performance report], 2016. Available from: http://dolat.ir/detail/281042
4. Bozorg Haddad E. Multidimensional model design for performance evaluation of National Iranian Gas Company, PhD thesis, University of Tehran, Campus of Qom, 2018.
5. Wu X, Li S, Xu N, et al. Establishing a balanced scorecard measurement system for integrated care organizations in China. The International Journal of Health Planning And Management. 2019; 34(2): 672-92. [DOI:10.1002/hpm.2726]
6. Farooq SAM, Firdouse R, Diana FM. University performance evaluation and strategic mapping using balanced scorecard (BSC): Case study - Sohar University, Oman. International Journal of Educational Management. 2018; 32(4): 689-700. [DOI:10.1108/IJEM-05-2017-0107]
7. Leksono EB, Suparno S, Vanany I. Development of Performance Indicators Relationships on Sustainable Healthcare Supply Chain Performance Measurement Using Balanced Scorecard and DEMATEL. International Journal on Advanced Science Engineering Information Technology. 2018; 8 (1):115-122. [DOI:10.18517/ijaseit.8.1.3852]
8. Rahmat N, Saripuji P, Djoko SG. Extended Balanced Scorecard. International Journal of Engineering & Technology. 2018; 7 (2): 48-51.
9. Gutacker N, Street A. Multidimensional performance assessment of public sector organizations using dominance criteria. Health Economics. 2018; 27(2): 13-27. [DOI:10.1002/hec.3554]
10. Mehralian Gh, Jamal A, Nazari N, et al. TQM and organizational performance using the balanced scorecard approach. International Journal of Productivity and Performance Management. 2017; 66(1): 111-125. [DOI:10.1108/IJPPM-08-2015-0114]
11. Anjomshoae A, Hassan A, Kunz N, et al. Toward a dynamic balanced scorecard model for humanitarian relief organizations' performance management. Journal of Humanitarian Logistics and Supply Chain Management. 2017;7(2):194-218. [DOI:10.1108/JHLSCM-01-2017-0001]
12. Kailash M, Jitesh T. Development of Balanced Scorecard for healthcare using Interpretive Structural Modeling and Analytic Network Process. Journal of Advances in Management Research. 2014; 11(3):232-256. [DOI:10.1108/JAMR-12-2012-0051]
13. Dadgar, R. The examination of effect of health system reform plan on hospital performance indicators in Lorestan province. Journal of scientific research of Lorestan University. 2017; 19(2):10-15. [Persian]
14. OliaeiManesh A. The impact of the implementation of the targeted subsidies law and health system reform plan on equity index on household health expenditure, Proceedings of 11th National Conference on Critique of Government Performance in Health Field, Tehran, National Institute of Health Research. 2015; 1:33-34.
15. OliaeiManesh A. Performance of health insurance organizations in intersectional collaboration with the ministry of health and education in effective implementation of health system reform plan, Proceedings of 11th National Conference on Critique of Government Performance in Health Field, Tehran, National Institute of Health Research. 2015; 1:17-18.
16. Piri, Z. The importance of patient satisfaction in health system reform plan: experience, Tabriz University of Medical Sciences, Proceedings of 11th National Conference on Critique of Government Performance in Health Field, Tehran, National Institute of Health Research. 2015; 1:23-24.
17. Riyazi SR. The analysis of key performance indicators in the field of human resources. 3rd National and International Conference on Management and Accounting in Iran, Tehran, 2016. Available from: from http://www.tpbin.com/ article/53709.
18. Doshmangir L, Rashidiyan A. The analysis of the choice of policy interventions and the decisions of policy makers in health system (and analysis of thinking pattern about decision-making and policy- making), 1979-2014, Iran, Proceedings of 11th National Conference on Critique of Government Performance in Health Field, Tehran, National Institute of Health Research, 2015; 1:48.
19. Kheyri, F. Patients pay reduction program in hospitals, Proceedings of 11th National Conference on Critique of Government Performance in Health Field, Tehran, National Institute of Health Research. 2015; 1:12-13.
20. Stone Fish L, Busby DM. The Delphi method. In D. M Sprenkle and F. P. Piercy, Research Methods in Family Therapy. 2015; 1(1):238-253.
21. Kaplan R, Norton TD. The Balanced scorecard Translating Strategy into Action. Business School Press. 2013; 48: 217-225.

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