Authors
1 Msc, Social determinants of health research center,Mashhad university of medical science,Mashhad, Iran
2 professor,Departments of health services management,school of management and medical informatics, Kerman university of medicals Science, Kerman ,Iran
3 Social determinants of health research center,Mashhad university of medical science,Mashhad, Iran
Abstract
Introduction: Health master plan is a tool designed to promote health and it is essential to define strategies, policies, and directions to health system programs. Therefore, the present study aimed to find obstacles to intersectoral planning and help it to implement.
Methods: This was a qualitative and content analysis study (Mixed method). The study participants consisted of 12 managers and experts in planning involved in the development of the health master plan of Kerman and were selected through purposive and snowball sampling. Data collection was conducted through semi-structured and were analyzed using framework analysis method. The four criteria of “Credibility, Dependability, Confirmability, and transferability” were considered to increase the validity and reliability of the research.
Results: Two themes are internal and external factors in the form of 8 sub-themes, including Stewardship, management commitment, Financing, training, information, policymaking, laws and regulations and intersectoral collaboration identified as obstacles to the implementation of intersectoral planning in health master plan of Kerman.
Conclusion: Each plan, especially long-term and intersectoral planning, needs a set of collaboration, resources, legal requirements and most importantly, commitment to achieve its ultimate goal that, if this goal is related to the health of the community, the importance of the program’s implementation is doubled.
Keywords
- Taylor-Powell E, Henert E. Developing a logic model: Teaching and training guide. Benefits 2008; 3:22.
- China and Mongolia Sustainable Development Unit (EASCS). China road traffic safety: the achievements, the challenges, and the way ahead. World Bank, Working Paper, 2008.
- Los Angeles Trust for Children's Health. Sustaining and Improving School Health Centers in LAUSDRecommendations for Action: 2009-2013. [cited 2019 Nov 17] Available from: https://pachealth.org/wp-content/uploads/2019/03/LA_Trust_Priorities_08.pdf.4. WHO. Preventing road traffic injury: a public health perspective for Europe.[cited 2019 Oct 15] Available from: https://apps.who.int/iris/handle/10665/107554.
- WHO. Closing the gap in a generation: Health equity through action on the social determinants of health. [cited 2019 Oct 15] Available from: https://apps.who.int/iris/bitstream/handle/10665/43943/9789241563703_eng.pdf;jsess.
- Ministry of Health and Medical Education (MHME). Achievements, Challenges and Horizons Facing the Health System of the Islamic Republic of Iran. Tehran: MHME; 2010. [In Persian].
- Management, Policy and Health Economics Research center. Health Master Plan of Kerman Province. Kerman: Kerman University of Medical Sciences; 2011. [In Persian].
- Bagheri Lankarani K, Lotfi F, Karimiyan Z. An Income on Justice in the Health System. Shiraz: Health Policy Research Center, Shiraz University Of Medical Sciences; 2010. [In Persian].
- Ghafarian V, Ali Ahmadi AR. Explain the causes of strategic planning failure and provide two new findings. Modares Human Sciences 2002; 6(3): 83-98 [In Persian].
- Khalili Shorini S, Mahzari M. Understanding the barriers to implementing strategic programs and prioritizing them. Journal of Strategic Management Researches 2015; 20(56): 111-32. [In Persian].
- Mahmoodian S, Safaei F, Meraji M, Kimiafar K, Farsinegar N, Ghasemi R. Challenges and strengths of implementing accreditation process from health information management staff perspective. Journal of Paramedical Science and Rehabilitation (JPSR) 2016; 5(2): 25-33. [In Persian].
- Asefzadeh S, Hosseini M. Strategic planning in Qazvin University of Medical Science, 2007-2008. Journal of Qazvin University of Medical Sciences 2008; 12(3): 99-102. [In Persian].
- Ministry of Health and Medical Education. The Comprehensive Scientific Health Map. [cited 2019 Oct 25] Available from: http://behdasht.gov.ir/health_map.pdf. [In Persian].
- Polit D, Beck CT. Nursing Research: Principles and Methods. 7th ed. US: Lippincott Williams & Wilkins; 2004. p.792.
- Haradhan M. Qualitative research methodology in social sciences and related subjects. Journal of Economic Development, Environment and People 2018; 7(1): 23-48. [DOI:10.26458/jedep.v7i1.571]
- Yazd University of Medical Science. Health Master Plan of Yazd Province. [cited Oct 25] Available from: http://www.ssu.ac.ir/fileadmin/templates/fa/Marakeze_Tahghighati/syasatsalamat/asli/_.pdf. [In Persian].
- Rahmanian E, Arab M, Hosseini SM, Mardani M. the relationship between organizational justice and responsibility in hospitals of Tehran University of Medical Sciences. Iran Occupational Health 2017; 14(3): 152-63. [In Persian].
- Hong K, Yamkasikorn M. Obstacles to effective implementation of strategic managment system plan in Cambodian dual-system school. Burapha University Journal of Education 2015; 26(1): 47-64.
- Mosadeghrad AM, Fayaz-Bakhsh A, Amini F. Challenges of strategic planning in welfare organization. Journal of Payavard Salamat 2018; 11(5): 518-31. [In Persian].
- Latif B, Gohar FR, Hussain A, Kashif MM. Barriers to effective strategic planning. International Journal of Management and Organizational Studies 2012; 1(2): 16-21.
- Abdollahzade Barforoush A, Haji Heidari N. Review the strategic planning problems of information systems from the point of view of experts. Management Knowledge 2004; 17(5): 65-83. [In Persian].
- Sull DN, Spinosa C. Promise-based management: The essence of execution. Harv Bus Rev 2007; 85(4): 78-86.
- MacLennan A. Strategy Execution: Translating Strategy into Action in Complex Organizations. USA: Routledge; 2010. [DOI:10.4324/9780203847336]
- Nyagah AS. Challenges of formulation of strategic plans in secondary schools in Kenya: A case of Mombasa county and its environs. Journal of Education and Practice 2015; 6(13): 182-6.
- Ivančić V. The biggest failures in managing strategy implementation. Interdisciplinary Management Research 2013; 9: 197-208.
- Shah AM. The foundations of successful strategy implementation: Overcoming the obstacles. Global Business Review 2005; 6(2): 293-302. [DOI:10.1177/097215090500600208]
- Hrebiniak LG. Obstacles to effective strategy implementation. Organizational Dynamics 2006; 35(1): 12-31. [DOI:10.1016/j.orgdyn.2005.12.001]
- Cascella V. Effective strategic planning. Quality Progress 2002; 35(11): 62-7.
- Milner BM. Implementing hospital accreditation: individual experiences of process and impacts [dissertation]. Waterford: Waterford Institute of Technology; 2007.
- Ngonjo C, Sindani M. Strategy implementation process in commercial banks in Kenya. International Academic Journal of Information Sciences and Project Management 2013; 1(1): 1-18.
- Mosadeghrad AM. Strategic collaborative quality management and employee job satisfaction. Int J Health Policy Manag 2014; 2(4): 167-74. [DOI:10.15171/ijhpm.2014.38] [PMID]
- Mosadeghrad AM. Implementing strategic collaborative quality management in healthcare sector. International Journal of Strategic Change Management 2012; 4(3-4): 203-28. [DOI:10.1504/IJSCM.2012.051846]
- Alvani SM, Khosravi M. The role of Management Information Systems (MIS) in decision making. Management Studies 2005; 12(47): 81-98 [In Persian].
- Kabir MJ, Heidari A, Jafari N, Honarvar MR, Vakili MA, Aghapour SA, et al. Internal environment assessment of hospitals in Gorgan and Gonbad-e Qabus cities, Iran, according to Weisbord six-dimension model. Journal of Mazandaran University of Medical Sciences 2014; 23(108): 123-32. [In Persian].
- Rahimnia F, Polychronakis Y, Sharp JM. A conceptual framework of impeders to strategy implementation from an exploratory case study in an Iranian university. Education Business and Society Contemporary Middle Eastern Issues 2009; 2(4): 246-61. [DOI:10.1108/17537980911001080]
- Beikzad J, Seyed Mofid AR. The survey of effective factors on Strategic human resource planning implementation in National Iranian Oil Products Distribution Company (N.I.O.P.D.C). Human Resource Management in the Oil Industry 2014; 5(19): 73-102. [In Persian].
- Rahmani Z, Rah Chamani A, Tayebi S. A study of strategy implementation barriers in tax affairs organization of Golestan province. Journal of Development Evolution Management 2013; 1391(9): 11-8. [In Persian].
- Vilà J, Canales JI. Can strategic planning make strategy more relevant and build commitment over time? The case of RACC. Long Range Planning 2008; 41(3): 273-90. [DOI:10.1016/j.lrp.2008.02.009]
)