A MODEL DEVELOPMENT FOR HOSPITAL HOLDING GOVERNANCE IN THE IRANIAN SOCIAL SECURITY ORGANIZATION
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Creator Farideh Mohammadi, Iravan Masoudi Asl, Soad Mahfoozpour, Somayeh Hessam
Title A MODEL DEVELOPMENT FOR HOSPITAL HOLDING GOVERNANCE IN THE IRANIAN SOCIAL SECURITY ORGANIZATION
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Publisher TuEngr Group
Publication Year 2562
Journal Title International Transaction Journal of Engineering, Management, & Applied Sciences & Technologies
Journal Vol. 10
Journal No. 8
Page no. 1061-1069
Keyword Healthcare quality, Healthcare strategic planning, Healthcare management, Healthcare evaluation, and accountability, Healthcare financing, ISSO.
URL Website http://tuengr.com/Vol10_8.html
Website title ITJEMAST V10(8) 2019 @ TuEngr.com
ISSN 2228-9860
Abstract Hospitals are facing a wide range of challenges regarding healthcare quality, efficiency, and costs of services. Considering the importance of hospital holding in effective and efficient hospital governance, we aimed to identify the key factors affecting in the hospital holding governance of the Iranian Social Security Organization (ISSO) and designing a suitable model. This descriptive study was performed in two qualitative and quantitative stages. First, factors influencing hospital holding governance were extracted through literature review and interview with 15 experts in the field of hospital governance, and a proposed model was designed. Then, a questionnaire was developed and data was collected from 405 experts in the staff-and-line sector of the ISSO across the country. The research model was analyzed using exploratory and confirmatory factor analyses in SPSS? and AMOS? software. Five factors influencing hospital holding governance were identified, including strategic planning, decision rights, financing, monitoring and evaluation, and accountability. Decision rights, with factor loadings of 0.83 and 0.44, had the most and least significant effects on hospital holding governance, respectively. This finding revealed that, for optimal hospital holding governance, while considering all five factors, financing and monitoring and evaluation should be emphasized.
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