Designing an Organizational Health Model for Iranian Hospitals

Document Type : Original article

Authors

1 MSc student of health care management, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad

3 MSc in Statistics, Mashhad University of Medical Sciences, Mashhad, Iran

4 Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction: Organizational health is the ability of an organization to adapt to environmental conditions and develop the ability of itself and its employees to attain its set goals and objectives. Due to the existence of multiple patterns and the lack of a specific model for hospitals, the current study aimed to design an organizational health model for Iranian hospitals.
Materials and Methods: Initially, the existing organizational health models were obtained by searching reputable electronic databases and domestic and foreign websites. Comparative analysis was performed to examine the overlapping of the desired models. After calculating the compliance percentage, the items above 30% were designed as a checklist and were given to 30 relevant specialists to perform the Delphi technique which was conducted in two stages.
Results: A total of 13 models were obtained in the study of organizational health. The checklist obtained from the overlapping of these cases included three domains, 13 dimensions, and 25 concepts (as a subset of dimensions) that two dimensions and five concepts in the Delphi stages did not score and were eliminated. The final model was approved containing 3 domains (namely staff, management, and organization), 11 dimensions (including morale, scientific emphasis, communication adequacy, commitment, participation, adherence, duty orientation, manager influence, focus on goals, innovation, and problem-solving adequacy) and 20 concepts. The highest percentages in the two stages of the Delphi method were reported in the dimensions of morale (85.3%), the influence of the manager (75.2%), and scientific emphasis (73.4%).
Conclusion: The model obtained for the health system has been localized and includes organizational health in hospitals. It can be used in hospitals to inform about the state of organizational health and its improvement.

Keywords

References

  1. SeyedJvadin R, Alavi A, Ansari S. Organizational health index in isfahan university of medical sciences (IUMS); 2009. J Health Administrat. 2010; 13(41):63-72.
  2. Jafari H, Mohammadian M, Hosseinpour D. Organizational health and its relation to organizational commitment in personnel of selected teaching hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences: 2011. Jundishapur J Health Sci. 2012; 4(1):41-8.
  3. Ahmadi E, Bazrafshan AA. Relationship management styles to organizational health and job stress. J N Appr Educ Manag. 2014; 5(2):73-90.
  4. Yüceler A, Doğanalp B, Kaya ŞD. The relation between organizational health and organizational commitment. Mediterr J Soc Sci. 2013; 4(10):781.
  5. Nasiry F. Organizational health: (definitions, concepts, theories). Tehran: Chenar; 2011.
  6. Ghorooneh D, Malekinia E. The perception of teachers about organizational health in boy public schools of educational districts 3 and 12 in Tehran. J N Appr Educ Administrat. 2015; 6(3):111-25.
  7. Hosseinzadeh O, Pazargadie M, Jamali A. Investigating female teachers’attitude in identifying and explaining factors of organi-zational health to promote it in Sama institutions, regions 2 and 13 during academic year 2011-2012. Woman Stud Family. 2011; 3(12):27-48.
  8. Shariatmadari M. Investigating the relationship between organizational health and effectiveness of school administrators in Tehran. J Educ Sci. 2009; 2(6):119-52.
  9. Nasiri F, Ghanbari S, Emadi R, Karimi I. The relationship between organizational health of western universities and their employees' mental health. J Educ N Thoughts. 2012; 8(3):127-51.
  10. Shahsavari T, Afrasiaby R, Bahramzadeh H. Investigating the relationship between the managers'decision-making methods and organi-zational health of second-degree high-schools in Bojnurd. J Manag Futures Res. 2015; 25(101):53-64.
  11. Hasani K, Sheikhesmaeili S, Aeini T. The survey of cybernetic management and its relation to organizational health. Syst Pract Action Res. 2015; 28(3):229-54.
  12. Lin YW, Lin YY. A multilevel model of organizational health culture and the effectiveness of health promotion. Am J Health Promot. 2014; 29(1):e53-63.
  13. Alman D. Organizational health: improving organizational performance and employee well-being. J Saf Sci. 2010; 28:13.
  14. Gagnon C, John E, Theunissen R. Organizational health: a fast track to performance improvement. Washington: McKinsey Quartely; 2017.
  15. Measure and manage a performance-driven culture. Washington: McKinsey Quartely; 2017.
  16. Jalalian N, Geramipour M, Borjali M. Mediating role of mental health in the relationship between religious beliefs and organizational health (Case Study: public universities in Tehran). Counsel Culture Psychother. 2016; 7(27):129-48.
  17. Ansari ME, Ostadi H, Javeri F. The relationship between organizational health and working positive attitudes in Isfahan tax affairs head offices. Iran Natl Tax Administrat. 2009; 17(6):41-66.
  18. Mosadeghrad AM, Esmaeili M. A survey of organizational health in University hospitals of Isfahan. J Health Based Res. 2017; 2(4):329-44.
  19. Shekari H, MohammadiAhmadabadi N, Dehghani M, Afkhami Aghda M. Investigating the effect of organizational health on work engagement among nurses in Yazd social security hospital. Tolooebehdasht. 2017; 15(6):90-106.
  20. Marani B, Haghani H, Mohammadi R, Moradi F, Rouhani B, Torsaki M, et al. The relationship between organizational health and performance indicators of health care in teaching hospitals affiliated to Tehran University of Medical Sciences: 2011. J Health Administrat. 2012; 14(46):31-8.
  21. Sadeghi N, Alavi A. Relation of organizational health indicators and organizational effectiveness in health system. Health Syst Res J. 2014; 10(3):548-7.
  22. Haghighatjoo Z, Naazem F. Relationship between managers creativity and organizational health with employees efficiency in medical sciences universities of Iran. Health Inform Sci. 2007; 4(1):143-51.
  23. Farzad M, Arab M, Ganji H. Relationship between organizational health and organizational commitment in the central headquarters' staff of Zabol University of Medical Sciences, 2014. Int J Adv Biotechnol Res. 2016; 7:2055-60.
  24. Jáimez MJ, Bretones FD. Towards a healthy organisation model: the relevance of empowerment. ISGUC J Indust Relations Hum Res. 2011; 13(3):7-26.
  25. Zahradnik A. Intergenerational differences and their relation to recruitment and retention in a rapidly changing public safety workplace: applying a 12-Factor, 4-Tier model of organizational health. Washington, DC: American Psychological Association; 2009.
  26. Nair HA, Kumar D, Ramalu SS. Organizational health: Delineation, constructs and development of a measurement model. Asian Soc Sci. 2014; 10(14):145.  
Navid No
Volume 23, Issue 75
December 2020
Pages 13-28

Files

Share

How to cite

Statistics