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GOOD GOVERNANCE IN THE HEALTH SYSTEM: A QUALITATIVE STUDY |
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| รหัสดีโอไอ | |
| Creator | Faranak Jafari, Kamran HajiNabi, Katayoun Jahangiri, Leila Riahi |
| Title | GOOD GOVERNANCE IN THE HEALTH SYSTEM: A QUALITATIVE STUDY |
| Contributor | - |
| 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. | 1127-1141 |
| Keyword | Modern public management, Good health governance, Health policies, Content analysis, Health assessment system, Healthy society. |
| URL Website | http://tuengr.com/Vol10_8.html |
| Website title | ITJEMAST V10(8) 2019 @ TuEngr.com |
| ISSN | 2228-9860 |
| Abstract | Good governance, a key concept of public management, integrates and coordinates governmental and managerial sets and all relevant stakeholders so that it can provide reforms to improve the living conditions of all citizens. This concept has been raised frequently in modern public management, but it has been neglected in the health system. This study aimed to explain good governance in Iran's health system. This qualitative study used inductive content analysis. Participants were ten experts in the field of health. The study method was purposive. Semi-structured interviews were conducted to collect qualitative data. The findings were analyzed using MAXQDA?11 software. This research, ten components (dimensions) and 55 sub-components (factors) of good governance in the health system were explained. The dimensions were: participation, rule of law, transparency, accountability, equity, efficiency and effectiveness, responsiveness, consensus orientation, health orientation, and decentralization. Iran's health system has undergone profound changes over the past decades, but it is faced with many challenges regarding good health governance. The lack of decentralization and consensus between intrasectoral and intersectoral institutions, lack of stakeholder participation in policy and decision making, lack of transparency and responsiveness, lack of equality of stakeholders against the law, and treatment-orientation instead of health-orientation have been the most important challenges. Despite the 2014 Iran's promotion of health system, there is still a long way before the components of good health governance are realized. |
