Management of the Independent Hospital, Obstacles and Challenges and Solutions: A Qualitative Research

Abstract

Background: According to the plan of the new system of hospital administration, the hospital as a health center should provide services for a fee. Despite the approval of the independent hospitals, this plan has not been implemented so far. This research aimed to clarify the obstacles and challenges in the way of establishing independent hospitals.

Methods: This research was qualitative research carried out on 20 managers and experts in the field of hospital management. The method of data collection was in-depth semi-structured interview. After defining the interview questions, the interviews were conducted, and the qualitative content analysis method with a contractual approach was used to analyze the data.

Results: After analyzing the data, seven principal codes, 18 accessory codes and 85 categories were obtained. The principal codes included the executive committee, educational activities, plan implementation method, human resources, level of authority, structure and infrastructure, and financial affairs of hospitals.

Conclusion: Changing the composition of hospital decision-makers, a delegation of authority, executive guarantee to carry out educational programs, fundamental changes in the organizational chart, independence of hospitals in terms of financial balance and granting of all income can be the basic steps in the success of the plan of independent hospitals.