An analysis of network governance theories with an emphasis on the requirements and challenges of the health system of Iran

Document Type : Research Paper

Authors
Fattah Sharifzadeh
Hamed Soleimani
Davood Hosseinpour
Ali Seyed Naghavi
Department of Public Management, University of Allameh Tabataba'i, Tehran, Iran
10.22075/ijnaa.2023.29953.4301
Abstract
The present study aimed to analyze the network governance theories with an emphasis on the requirements and challenges of the health system in Iran according to theoretical principles and studies, as well as formulating the network governance model of the health system of Iran after interviewing experts. The research was applied in terms of purpose, and qualitative in terms of method. Since the research was exploratory in terms of purpose, the use of grounded theory was the main strategy in applying the research. Taking notes was initially performed using the study of theoretical principles and research background, and then the final dimensions, components, and indices for the network governance model of Iran's health system were identified and determined by classification and tabulation, the semi-structured interviews with experts, obtaining the necessary agreement, and then analyzing the data using the MAXQDA software. According to the analysis of previous studies, interviews with 15 experts, analysis of data, removing duplicate codes and categories, and integrating similar codes and categories, 767 key points, 53 abstract concepts, 18 sub-categories, and finally, 6 main categories were extracted as mentioned below: External effective categories with 2 sub-categories; predictive factors with 4 subcategories; contextual factors with 3 subcategories; elements with 3 subcategories; functions with 3 subcategories, and the results of implementing the network governance model in the health system with 3 subcategories. According to the results, the health system is a multifaceted and complex phenomenon, and a set of strategies must be implemented for its improvement. The effective implementation of the presented strategies can have many consequences, the most important of which is the society and citizens' health promotion. The research results are presented in a model with the main predictive categories, internal effective categories, elements, contextual categories, functions, results, and consequences.
Keywords
governance
network governance
health system
Iran
[1] A. Abd Rahim, R. Abdul Manaf, M. H. Juni and N. Ibrahim, Health system governance for the integration of mental health services into primary health care in the sub-Saharan Africa and South Asia region: A systematic review, J. Health Care Organ. Provis. Financ. 58 (2021), 00469580211028579.
[2] R. Alikhani, A. Aliahmadi and M. R. Rasouli, Out-of-network factors affecting governance in the health system: Systematic review, ORMR 9 (2020), no. 3, 45–60.
[3] R. Alikhani, M.R. Rasouli and A. Ali-Ahmadi, The effects of key factors on the optimal network governance model in the health system: A structural equation modeling (SEM) approach, Health Manag. (2018), no. 74, 19–34.
[4] D. Boumans and M. Ferry, Networks and efficient policy implementation: Insights from cohesion policy, Evaluation 25 (2019), no. 4, 411–429.
[5] R. Courtney, Network governance in the heritage ecology, J. Manag. Govern. 22 (2017), no. 3, 689–706.
[6] H. Danaeifard, Network public management in Iran: Theoretical and practical principles, requirements, Manag. Res. Iran 17 (2013), no. 2 (Serial 80).
[7] M. Etemadi, P. Kenis, K. Ashtarian, H. Abolghasem Gorji and H. Mohammadi, Network governance theory as basic pattern for promoting financial support system of the poor in Iranian health system, BMC Health Serv. Res. 21 (2021), no. 556.
[8] E. Gholampour Ahangar, An overview of the concept of network governance, Majlis Research Center Press, Office of Basic Government Studies, Tehran, 2016.
[9] G.A. Huppe and H. Creech, Developing Social Capital in Networked Governance Initiatives: A lock-step approach, International Institute for Sustainable Development, 2012.
[10] A. Khaje Naeini, H. Mohammadi Kangarani and K. Ashtarian , Network analysis of the decision-making stage in Iran’s nanotechnology policy-making: Case Study of Nanotechnology Plan, Manag. Res. Iran 18 (2014), no. 2, 25–54.
[11] I. Kickbusch and D. Gleicher, Governance for Health in the 21st Century, WHO Regional Office for Europe, 2012.
[12] R. Lozano, N. Fullman, J. E. Mumford, M. Knight, C. M. Barthelemy, C. Abbafati and A. Abedi, Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019, Lancet 396 (2020), 1250-1284.
[13] A.M. Mossadeghrad and P. Rahimi-Tabar, Health system governance in Iran: A comparative study, RJMS. 26 (2019), no. 9, 10–28.
[14] V. Vahdaninia and A. Vosough-Moghadam, Understanding late logic of health policy making: The transition to governance for health, Payesh (Health Monitor) 17 (2018), no. 6, 631–646.
[15] S. Van den Oord, N. Vanlaer, H. Marynissen, B. Brugghemans, J. Van Roey, S. Albers and P. Kenis, Network of networks: Preliminary lessons from the Antwerp Port Authority on crisis management and network governance to deal with the COVID-19 pandemic, Public Admin. Rev. 80 (2020), no. 5, 880–894.
[16] WHO, The World Health Report 2000: Health Systems: Improving Performance, World Health Organization, Geneva, 2000.
[17] E. Wilson, Towards Accountability in Democratic Network Governance, Doctoral dissertation, Dalhousie University, Canada, 2015.
International Journal of Nonlinear Analysis and Applications
Volume 15, Issue 3
March 2024
Pages 65-78

  • Receive Date 17 November 2022
  • Revise Date 01 January 2023
  • Accept Date 27 February 2023

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