Space or no space for managing public hospitals; a qualitative study of hospital autonomy in Iran

International Journal of Health Planning and Management

Volumn 26, Issue 3, 2011, Pages e121-e137

  Jafari, Mehdi ^a,b   Rashidian, Arash ^b,c   Abolhasani, Farid ^b   Mohammad, Kazem ^b   Yazdani, Shahram ^d   Parkerton, Patricia ^e   Yunesian, Masud ^b   Akbari, Feizollah ^b   Arab, Mohammad ^b  

^a IRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^b TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^c TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^d SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^e UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Decentralization; Hospital autonomy; Organizational reform; Public hospital; Qualitative research

Indexed keywords

DECENTRALIZATION; HEALTH POLICY; HOSPITAL SECTOR; PUBLIC SPACE; QUALITATIVE ANALYSIS; RESEARCH WORK;

IRAN;

EID: 79961133160     PISSN: 07496753     EISSN: 10991751     Source Type: Journal    
DOI: 10.1002/hpm.1050     Document Type: Article

References (36)

1. Arredondo A, Orozco E. 2008. Equity, governance and financing after health care reform: lessons from Mexico. Int J Health Plann Manage 23: 37-49.
2. Bossert T, Hsiao W, Barrera M, Alarcon L, Leo M, Casares C. 1998. Transformation of ministries of health in the era of health reform: the case of Colombia. Health Policy Plan 13(1): 59-77.
3. Castano R, Bitran RA, Giedion U. 2004. Monitoring and Evaluating Hospital Autonomization and its Effects on Priority Health Services. Partners for Health Reform Plus. Abt Associates: Bethesda, Maryland.
4. Chawla M, Govindaraj R. 1996. Improving hospital performance through policies to increase hospital autonomy. Harvard School of Public Health: Boston.
5. Collins D, Nieru G, Meme J, Newbrander W. 1999. Hospital autonomy: the experience of Kenyatta national hospital. Int J Health Plann Manage 14: 129-153.
6. Ensor T. 2004. Informal payments for health care in transition economies. Soc Sci Med 58: 237-246.
7. Ensor T, Savelyeva L. 1998. Informal payments for health care in the former Soviet Union: some evidence from Kazakstan. Health Policy Plan 13(1): 41-49.
8. Flessa S. 2005. Hospital development plans: a new tool to break ground for strategic thinking in Tanzanian hospitals. Eur J Health Econ 6(4): 322-326.
9. Govindaraj R, Chawla M. 1996. Recent Experiences With Hospital Autonomy in Developing Countries-What Can we Learn? Data for Decision Making Project. Harvard University: Boston, MA.
10. Green A, Collins C, Stefanini A, et al. 2007. The role of strategic health planning processes in the development of health care reform policies: a comparative study of Eritrea, Mozambique and Zimbabwe. Int J Health Plann Manage 22(2): 113-131.
11. Harding A, Preker AS. 2000. Understanding Organisational Reforms. World Bank: Washington DC.
12. Hawkins L, Chris H. 2003. Reviewing the Case Studies: Tentative Lessons and Hypotheses for Further Testing. Innovation in Health Service Delivery. World Bank: Washington DC.
13. Hennock M. 2007. China's health insurance system is failing poor people. Br Med J 335(7627): 961.
14. Jakab M, Harding A, Preker AS, Hawkins L. 2000. Module on Organisational Reform and Management of Public Providers: Focus on Hospitals. 1.
15. Jakab M, Preker AS, Harding A. 2002. Linking organisational structure to the external environment: experiences from hospital reform in transition economies. In Hospitals in a Changing Europe, McKee M, Healy J. (eds). Open University Press: Philadelphia.
16. Jakab M, Preker AS, Harding A. 2003. The Missing Link? Hospital Reform in Transition Economies. Innovation in Health Services. World Bank: Washington DC.
17. Lacey A, Luff D. 2001. Trent focus for research and development in primary health care: An introduction to qualitative data analysis. United Kingdom: Trent Focus Group.
18. Magnussen J, Hagen TP, Kaarboe OM. 2007. Centralized or Decentralized? A Case Study of Norwegian Hospital Reform. Soc Sci Med 64: 2129-2137.
19. Mcpake BI. 1996. Public autonomous hospitals in sub-Saharan Africa: trends and issues. Health Policy 35: 155-177.
20. Ministry of Health and Medical Education (MOHME). Related laws. Available at: [23 April 2008].
21. Ministry of Health and Medical Education (MOHME). 1995. New payment mechanism instructions (fee-for-services). MOHME: Tehran.
22. Ministry of Health and Medical Education (MOHME). 2007. The financial and trade off regulations of medical universities and colleges. Available at: [6 April 2008].
23. Ozgulbas N, Koyuncugil AS. 2009. Financial profiling of public hospitals: an application financial profiling of public hospitals: An application by data mining. Int J Health Plann Manage. 24(1): 69-83.
24. Parliament (Majles) of I.R. Iran. 1994. Iran universal health insurance law. Issuing date: 1994. Available at: Accessed: 7 July 2007.
25. Preker AS, Harding A. 2003. Innovations in Health Service Delivery: The Corporatization of Public Hospitals. World Bank: Washington DC.
26. Rashidian A, Eccles MP, Russell I. 2008. Falling on stony ground: a qualitative study of implementation of clinical guidelines' prescribing recommendations in primary care. Health Policy 85(2): 148-161.
27. Regional Health Systems Observatory. 2002. Health Systems Profile, Islamic Republic of Iran. WHO Regional Office for the Eastern Mediterranean.
28. Rethelyi JM, Miskovits E, Szocska MK. 2002. Organisational Reform in the Hungarian Hospital Sector: Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization. World Bank: Washington DC.
29. Ritchie J, Spencer L. 1993. Qualitative data analysis for applied policy research. In Analysing Qualitative Data. Bryman A, Burgess R (eds). Routledge: London.
30. Sadaghaini, E. 1998. Hospital Organisation and Management. Jahan Rayaneh: Tehran.
31. Secretariat of hospital economical and management reform. 2003. Introduction of Hospital Economical and Management Reform. MOHME: Tehran.
32. Ssengooba F, Atuyambe L, McPake B, Hanson K, Okuonzi S. 2002. What could be achieved with greater public hospital autonomy? Comparison of public and PNFP hospitals in Uganda. Public Adm Dev 22(5): 415-428.
33. Supreme Audit Court (SAC) of Iran. Objectives of the SAC according to the Constitution of the Islamic Republic of Iran. Available at: Accessing date: 2/1/2008.
34. WHO. 2006. Working Together for Health, The World Health Report 2006. World Health Organisation: Geneva.
35. WHO. 2007. Iran NHA, Iranian National Health Accounts. World Health Organisation: Geneva.
36. World Bank Independent Evaluation Group. 2007. Development Results in Middle Income Countries, An Evaluation of the World Bank's Support. World Bank: Washington DC.