[Home ] [Archive]   [ فارسی ]  
:: ::
:: Volume 14, Issue 1 (March 2020) ::
Qom Univ Med Sci J 2020, 14(1): 11-20 Back to browse issues page
Barriers to the Implementation of the Strategic Plan from the Viewpoint of Managers of the Hospitals of Qom Province in 2019 (Iran)
Atiehsadat Bigdeli1 , Mohammad Aghaali 2
1- School of Management & Medical Education Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Epidemiology, School of Health, Qom University of Medical Sciences, Qom, Iran , dr.aghaali@yahoo.com
Abstract:   (1812 Views)
Background and Objectives: Increasing complexity and changes in environmental conditions, policies, attitudes, systems, and structures, are factors influencing the goals of strategic planning, which can change programs. Programs without strategic thinking are not able to cope with such changes, thus they fail. Understanding of the factors affecting strategic planning, is crucial for the goals to be achieved. Therefore, the present study aimed to determine the barriers to the implementation of the strategic plan from the viewpoints of hospitals managers in Qom province.
Methods: The current study was performed as a cross-sectional study in the hospitals of Qom province in 2019. Samples included 50 senior executive and operational managers, quality improvement officers, and administrative-financial managers of hospitals. Barriers to the strategic plan implementation, were collected by a pre-designed questionnaire. Data analysis was performed using independent t- and ANOVA tests.
Results: The present study showed that structural barriers (1.82), human-motivation barriers (1.81), and process barriers (1.8), were the most important barriers to the implementation of the strategic plan. Senior and executive managers, financial managers cited the structural barriers, quality improvement officers mentioned the process barriers and managers of administrative units cited human-motivation factors as the most important barriers to the implementation of the strategic plan.
Conclusion: The results of the present research explained the points of view of Qom hospital managers in terms of the barriers to the implementation of strategic plan. It seems that when designing and implementing a strategic plan, the participation of human resource that is the most important elements, should be considered in complex organizations, such as hospitals.
Keywords: Strategic Plan, Strategic Plan Barriers, Senior and Executive Managers, Hospital
Full-Text [PDF 831 kb]   (375 Downloads)    
Type of Study: Original Article | Subject: مدیریت بهداشتی
Received: 2020/01/10 | Accepted: 2020/04/20 | Published: 2020/03/29
References
1. Asgari H. The Estimation Of Cost Function In Ilam Hospitals (2003-2012). journal of ilam university of medical sciences. 2014;22(4):190-8.
2. Altuwaijri M. Health information technology strategic planning alignment in Saudi hospitals: A historical perspective. Journal of Health Informatics in Developing Countries. 2012;5(2):338-55.
3. Mosadeghrad AM. Essentials of healthcare organisation and management. Tehran: Dibagran; 2015.
4. Alexander LD. Successfully implementing strategic decisions. Long Range Planning. 1985;18(3):91-7. [DOI:10.1016/0024-6301(85)90161-X]
5. Liu CF, Rubenstein LV, Kirchner JE, Fortney JC, Perkins MW, Ober SK, et al. Organizational cost of quality improvement for depression care. Health Serv Res. 2009;44(1):225-44. [DOI:10.1111/j.1475-6773.2008.00911.x]
6. Speziale G. Strategic management of a healthcare organization: engagement, behavioural indicators, and clinical performance. European Heart Journal Supplements. 2015;17(suppl_A):A3-A7. [DOI:10.1093/eurheartj/suv003]
7. Swayne LE, Duncan, W.J. and Ginter, P.M. Strategic Management of Health Care Organizations. San Francisco, CA: John Wiley and Sons; 2012.
8. Bahadori M, Izadi AR, Ghardashi F, Ravangard R, Hosseini SM. The Evaluation of Hospital Performance in Iran: A Systematic Review Article. Iran J Public Health. 2016;45(7):855-66.
9. Sadeghifar J, Tofighi S, Roshani M, Toulideh Z, Mohsenpour S, Jafari M. An assessment of implementation and evaluation phases of strategic plans in Iranian hospitals. SAGE Open Med. 2017;5:2050312117736227. [DOI:10.1177/2050312117736227]
10. Bryson JM. Strategic planning for public and nonprofit organizations: A guide to strengthening and sustaining organizational achievement: John Wiley & Sons; 2018.
11. Hicksen DJ BR, Cray D, Mallory GR, Wilson DC Top Decisions: Strategic Decision-Making in Organizations. San Francisco: Jossey-Bass; 1986.
12. Mapetere D, Mavhiki S, Nyamwanza T, Sikomwe S, Mhonde C. Strategic role of leadership in strategy implementation in Zimbabwe's state owned enterprises. International Journal of Business and Social Science. 2012;3(16):271-6.
13. Mosadeghrad AM, Ebneshahidi A, Abdolmohammadi N. The impact of Strategic planning on hospital employees' job satisfaction: A case study. Health_Based Research. 2017;3(2):99-114.
14. Miller S, Hickson D, Wilson D. From Strategy to Action: Involvement and Influence in Top Level Decisions. Long Range Planning. 2008;41(6):606-28. [DOI:10.1016/j.lrp.2008.09.005]
15. Saleh S, Kaissi A, Semaan A, Natafgi NM. Strategic planning processes and financial performance among hospitals in Lebanon. Int J Health Plann Manage. 2013;28(1):e34-45. [DOI:10.1002/hpm.2128]
16. Zeinaloo A, Hosseini M, Asefzadeh S. Assessing the progress of strategic plan in Qazvin University of Medical Sciences, 2008-2009. The Journal of Qazvin University of Medical Sciences. 2010;13(4):76-82.
17. Hosseini SY, Hamzeian K. identification barriors to implementation of strategic plan using interpretive structural modeling. 5th International Conference on Strategic Management; Tehran2010.
18. Faraj pour G, Nooronesa R. An Integrated Framework for Formulate and Implement Strategies at the Islamic Republic of Iran Postal Company. International Journal of Industiral Engineering & Producion Management. 2011;22(1):77-90.
19. Shopati AK, Mitonga KH, Aipinge LP. Factors affecting strategic plan execution process in public healthcare. International Journal Of Community Medicine And Public Health. 2018;5(2):474-81. [DOI:10.18203/2394-6040.ijcmph20180222]
20. Edwards RL, Wollner SB, Weddle J, Zembrodt JW, Birdwhistell MD. Diagnosing and Resolving Conflict Created by Strategic Plans: Where Outreach Strategies and Execution Meet at an Academic Health Center. Hosp Top. 2017;95(3):72-8. [DOI:10.1080/00185868.2017.1301172]
21. Amerion A, Shahabi nejad M. Assessing the Barriers of Strategic Plan Implementation from Hospital Managers' Perspective in Kerman City. Hospital. 2015;14(4):95-102.
22. Khalili Shourini S, Mahzari M. Understanding the barriers to implementing strategic plans and prioritizing them. Journal of Strategic Management Researches. 2015;20(56):111-32.
23. Esfahani P, Mosadeghrad AM, Akbarisari A. The success of strategic planning in health care organizations of Iran. Int J Health Care Qual Assur. 2018;31(6):563-74. [DOI:10.1108/IJHCQA-08-2017-0145]
24. Nasser Pour S. Obstacles Ahead of the Implementation of Organizational Strategies in Iranian State Universities. Scientific Journal Management System. 2014;14(53):1-22.
25. Farajpour G, Barati M, Marzban S, Vahabzadeh H. Identifying and Ranking the Barriers to Implementing Strategic Plans in the Water and Wastewater Company of West Tehran Cities and Towns Using FANP Fuzzy Network Analysis Process Approach. International Conference on New Orientations in Management; Tabriz2014.
26. Kalali NS, Anvari MRA, Pourezzat AA, Dastjerdi DK. Why does strategic plans implementation fail? A study in the health service sector of Iran. African Journal of Business Management. 2011;5(23):9831-7.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bigdeli A, Aghaali M. Barriers to the Implementation of the Strategic Plan from the Viewpoint of Managers of the Hospitals of Qom Province in 2019 (Iran). Qom Univ Med Sci J. 2020; 14 (1) :11-20
URL: http://journal.muq.ac.ir/article-1-2708-en.html


Volume 14, Issue 1 (March 2020) Back to browse issues page
مجله دانشگاه علوم پزشکی قم Qom University of Medical Sciences Journal
Persian site map - English site map - Created in 0.07 seconds with 30 queries by YEKTAWEB 4256