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New public management in Iran’s health complex: a management framework for primary health care system
New public management (NPM) was developed as a management reform to improve the efficiency and effectiveness in public organizations, especially in health sector. Using the features of private sector management, the managers of health organizations may try to implement the elements of NPM with the h...
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Published in: | Primary health care research & development 2018-05, Vol.19 (3), p.264-276 |
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creator | Tabrizi, Jafar Sadegh HaghGoshayie, Elaheh Doshmangir, Leila Yousefi, Mahmood |
description | New public management (NPM) was developed as a management reform to improve the efficiency and effectiveness in public organizations, especially in health sector. Using the features of private sector management, the managers of health organizations may try to implement the elements of NPM with the hope to improve the performance of their systems.AimsOur aim in the present study was to identify the elements and infrastructures suitable for implementing NPM in the Iranian health complex.
In this qualitative study with conventional content analysis approach, we tried to explore the NPM elements and infrastructures in Iranian public health sector. A series of semi-structured interviews (n=48) were conducted in 2016 with a managers in public and private health complex. Three focus group discussions with nine faculty members were also conducted. A data collection form was used to collect the demographic characteristics and perspectives of the participants.FindingsFrom the perspective of managers, managerialism, decentralization, using market mechanism, performance management, customer orientation and performance budgeting were the main elements of NPM in the Iranian context. The most important infrastructures for implementing this reform were as follows: education and training, information technology, the proper use of human resources, decision support systems, top management commitment, organizational culture, flexibility of rules, rehabilitating of the aging infrastructures, and expanding the coverage of services.
The NPM was generally identified to be an effective replacement for the traditional administration method. These reforms may be helpful in strengthening the public health complex and the management capacity, as well. NPM also seems to be useful in interacting the public health sector with the private sector in terms of personnel and resources, performance, reward structure, and methods of doing business. |
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In this qualitative study with conventional content analysis approach, we tried to explore the NPM elements and infrastructures in Iranian public health sector. A series of semi-structured interviews (n=48) were conducted in 2016 with a managers in public and private health complex. Three focus group discussions with nine faculty members were also conducted. A data collection form was used to collect the demographic characteristics and perspectives of the participants.FindingsFrom the perspective of managers, managerialism, decentralization, using market mechanism, performance management, customer orientation and performance budgeting were the main elements of NPM in the Iranian context. The most important infrastructures for implementing this reform were as follows: education and training, information technology, the proper use of human resources, decision support systems, top management commitment, organizational culture, flexibility of rules, rehabilitating of the aging infrastructures, and expanding the coverage of services.
The NPM was generally identified to be an effective replacement for the traditional administration method. These reforms may be helpful in strengthening the public health complex and the management capacity, as well. NPM also seems to be useful in interacting the public health sector with the private sector in terms of personnel and resources, performance, reward structure, and methods of doing business.</description><identifier>ISSN: 1463-4236</identifier><identifier>EISSN: 1477-1128</identifier><identifier>DOI: 10.1017/S1463423617000767</identifier><identifier>PMID: 29310744</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Content analysis ; Developing countries ; Health care policy ; Health education ; Health informatics ; Health services ; LDCs ; Managers ; Primary care ; Public administration ; Public sector ; Public services ; Reforms ; Urban areas</subject><ispartof>Primary health care research & development, 2018-05, Vol.19 (3), p.264-276</ispartof><rights>Cambridge University Press 2018</rights><rights>Cambridge University Press 2018 2018 Cambridge University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-36cd6ddfcaadb2acda9b62904dd4f92c36bee22f73b57ea6943f703b7ef16f253</citedby><cites>FETCH-LOGICAL-c471t-36cd6ddfcaadb2acda9b62904dd4f92c36bee22f73b57ea6943f703b7ef16f253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452965/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1463423617000767/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793,72960</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29310744$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tabrizi, Jafar Sadegh</creatorcontrib><creatorcontrib>HaghGoshayie, Elaheh</creatorcontrib><creatorcontrib>Doshmangir, Leila</creatorcontrib><creatorcontrib>Yousefi, Mahmood</creatorcontrib><title>New public management in Iran’s health complex: a management framework for primary health care system</title><title>Primary health care research & development</title><addtitle>Prim Health Care Res Dev</addtitle><description>New public management (NPM) was developed as a management reform to improve the efficiency and effectiveness in public organizations, especially in health sector. Using the features of private sector management, the managers of health organizations may try to implement the elements of NPM with the hope to improve the performance of their systems.AimsOur aim in the present study was to identify the elements and infrastructures suitable for implementing NPM in the Iranian health complex.
In this qualitative study with conventional content analysis approach, we tried to explore the NPM elements and infrastructures in Iranian public health sector. A series of semi-structured interviews (n=48) were conducted in 2016 with a managers in public and private health complex. Three focus group discussions with nine faculty members were also conducted. A data collection form was used to collect the demographic characteristics and perspectives of the participants.FindingsFrom the perspective of managers, managerialism, decentralization, using market mechanism, performance management, customer orientation and performance budgeting were the main elements of NPM in the Iranian context. The most important infrastructures for implementing this reform were as follows: education and training, information technology, the proper use of human resources, decision support systems, top management commitment, organizational culture, flexibility of rules, rehabilitating of the aging infrastructures, and expanding the coverage of services.
The NPM was generally identified to be an effective replacement for the traditional administration method. These reforms may be helpful in strengthening the public health complex and the management capacity, as well. NPM also seems to be useful in interacting the public health sector with the private sector in terms of personnel and resources, performance, reward structure, and methods of doing business.</description><subject>Content analysis</subject><subject>Developing countries</subject><subject>Health care policy</subject><subject>Health education</subject><subject>Health informatics</subject><subject>Health services</subject><subject>LDCs</subject><subject>Managers</subject><subject>Primary care</subject><subject>Public administration</subject><subject>Public sector</subject><subject>Public services</subject><subject>Reforms</subject><subject>Urban areas</subject><issn>1463-4236</issn><issn>1477-1128</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1UctuFDEQtBCIhMAHcEGWuHAZ8GvsNQckFAWIFMEBOFs9dnt3wni82LOE3PIb_B5fwixZlgDi1C11VXWVipCHnD3ljJtn77nSUgmpuWGMGW1ukUOujGk4F4vb213LZns_IPdqPWeML5g2d8mBsJIzo9QhWb7FC7redEPvaYIRlphwnGg_0tMC4_erb5WuEIZpRX1O6wG_PqdwExgLJLzI5RONudB16ROUyz0FCtJ6WSdM98mdCEPFB7t5RD6-Ovlw_KY5e_f69PjlWeOV4VMjtQ86hOgBQifAB7CdFpapEFS0wkvdIQoRjexag6CtktEw2RmMXEfRyiPy4lp3zpQw-NljgcHtjLkMvfvzMvYrt8xfnFatsHor8GQnUPLnDdbJpb56HAYYMW-q43Zh21a0P389_gt6njdlnOM5wURrhbaCzSh-jfIl11ow7s1w5rY1un9qnDmPbqbYM371NgPkThRSV_qwxN-__y_7A3X4qoo</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Tabrizi, Jafar Sadegh</creator><creator>HaghGoshayie, Elaheh</creator><creator>Doshmangir, Leila</creator><creator>Yousefi, Mahmood</creator><general>Cambridge University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180501</creationdate><title>New public management in Iran’s health complex: a management framework for primary health care system</title><author>Tabrizi, Jafar Sadegh ; HaghGoshayie, Elaheh ; Doshmangir, Leila ; Yousefi, Mahmood</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-36cd6ddfcaadb2acda9b62904dd4f92c36bee22f73b57ea6943f703b7ef16f253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Content analysis</topic><topic>Developing countries</topic><topic>Health care policy</topic><topic>Health education</topic><topic>Health informatics</topic><topic>Health services</topic><topic>LDCs</topic><topic>Managers</topic><topic>Primary care</topic><topic>Public administration</topic><topic>Public sector</topic><topic>Public services</topic><topic>Reforms</topic><topic>Urban areas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tabrizi, Jafar Sadegh</creatorcontrib><creatorcontrib>HaghGoshayie, Elaheh</creatorcontrib><creatorcontrib>Doshmangir, Leila</creatorcontrib><creatorcontrib>Yousefi, Mahmood</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest_Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Primary health care research & development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tabrizi, Jafar Sadegh</au><au>HaghGoshayie, Elaheh</au><au>Doshmangir, Leila</au><au>Yousefi, Mahmood</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>New public management in Iran’s health complex: a management framework for primary health care system</atitle><jtitle>Primary health care research & development</jtitle><addtitle>Prim Health Care Res Dev</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>19</volume><issue>3</issue><spage>264</spage><epage>276</epage><pages>264-276</pages><issn>1463-4236</issn><eissn>1477-1128</eissn><abstract>New public management (NPM) was developed as a management reform to improve the efficiency and effectiveness in public organizations, especially in health sector. Using the features of private sector management, the managers of health organizations may try to implement the elements of NPM with the hope to improve the performance of their systems.AimsOur aim in the present study was to identify the elements and infrastructures suitable for implementing NPM in the Iranian health complex.
In this qualitative study with conventional content analysis approach, we tried to explore the NPM elements and infrastructures in Iranian public health sector. A series of semi-structured interviews (n=48) were conducted in 2016 with a managers in public and private health complex. Three focus group discussions with nine faculty members were also conducted. A data collection form was used to collect the demographic characteristics and perspectives of the participants.FindingsFrom the perspective of managers, managerialism, decentralization, using market mechanism, performance management, customer orientation and performance budgeting were the main elements of NPM in the Iranian context. The most important infrastructures for implementing this reform were as follows: education and training, information technology, the proper use of human resources, decision support systems, top management commitment, organizational culture, flexibility of rules, rehabilitating of the aging infrastructures, and expanding the coverage of services.
The NPM was generally identified to be an effective replacement for the traditional administration method. These reforms may be helpful in strengthening the public health complex and the management capacity, as well. NPM also seems to be useful in interacting the public health sector with the private sector in terms of personnel and resources, performance, reward structure, and methods of doing business.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>29310744</pmid><doi>10.1017/S1463423617000767</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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source | PubMed Central database; Cambridge Journals Online |
subjects | Content analysis Developing countries Health care policy Health education Health informatics Health services LDCs Managers Primary care Public administration Public sector Public services Reforms Urban areas |
title | New public management in Iran’s health complex: a management framework for primary health care system |
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