Presenting an Optimization Model for Performing Health Care Tasks by the Iranian Government

authors:

avatar Mohammad Reza Salary 1 , avatar Farajollah Rahnavard , * , avatar Naser Hamidi 1 , avatar Gholamreza Memarzadeh Tehran 1

Department of Public Administration, Qazvin Branch, Islamic Azad University, Qazvin, Iran.

how to cite: Salary M R, Rahnavard F, Hamidi N, Memarzadeh Tehran G. Presenting an Optimization Model for Performing Health Care Tasks by the Iranian Government. J Inflamm Dis. 2020;24(5):e156248. 

Abstract

Background: Optimal performance of health care tasks by the government in a way that promotes public health and development of the country is one of the most important pillars of governance. Objective: This study aims to present an optimization model for performing health care tasks by the Iranian government. In this model, the optimal interaction of governmental actors at the three action levels of governance (individual, organizational, and systemic) is examined. Methods: This is an applied descriptive study. Participants were 8 governmental management experts and 350 managers and deputies of the public, private, and non-governmental organizations in Iran. Data were collected by a researcher-made questionnaire. For designing the research model, fuzzy inference system was used. Findings: Promoting health care at the individual, organizational, and systemic levels was effective in optimally performance of the health care tasks by the government. At the individual level, civil society had a more important role, while the private and public sectors had a more important at the organizational and systemic levels, respectively.  Conclusion: For optimal performance of macro-tasks in the field of health care, the Iranian government needs to pay more attention to the interaction of civil society and the private, public, and military sectors.

References

  • 1.

    Lee K. Civil society organizations and the functions of global health governance: What role within intergovernmental organizations? Glob Health Gov. 2010; 3(2). [PMID] [PMCID].

  • 2.

    Donath L, Milo M, Milo LR. Public investment and economic growth in the European Union member states. Transylvanian Rev Adm Sci. 2009; 26E:39-53. https://rtsa.ro/tras/index.php/ tras/article/view/202.

  • 3.

    Keping Y. Governance and good governance: A new framework for political analysis. Fudan J Humanit Soc Sci. 2018; 11:1-8. [DOI:10.1007/s40647-017-0197-4].

  • 4.

    Xiang J. Market disputes and government intervention: An explanatory framework of risk transformation. J Chin Sociol. 2020; 7:3. [DOI:10.1186/s40711-020-0115-z].

  • 5.

    Deeming Ch. Rethinking social policy and society. Soc Policy Soc. 2016; 15(2):159-75. [DOI:10.1017/S1474746415000147].

  • 6.

    Ventriss C, Perry JL, Nabatchi T, Brinton Milward H, Johnston JM. Democracy, public administration, and public values in an era of estrangement. Perspect Public Manag Gov. 2019; 2(4):275-82. [DOI:10.1093/ppmgov/gvz013].

  • 7.

    Qiao M, Ding S, Liu Y. Fiscal decentralization and government size: The role of democracy. Eur J Polit Econ. 2019; 59:316-30. [DOI:10.1016/j.ejpoleco.2019.04.002].

  • 8.

    Bryson J, George B. Strategic management in public administration. In: Guy Peters B, Thynne I, editors. The Oxford Encyclopedia of Public Administration. Oxford: Oxford University Press; 2020. [DOI:10.1093/acrefore/9780190228637.013.1396].

  • 9.

    Lakshminarayanan S. Role of government in public health: Current scenario in India and future scope. J Family Community Med. 2011; 18(1):26-30. [DOI:10.4103/1319-1683.78635] [PMID] [PMCID].

  • 10.

    Nau HR. Perspectives on international relations power, institutions, and ideas. Washington: George Washington University; 2012.

  • 11.

    Pahl-Wostl C. The role of governance modes and metagovernance in the transformation towards sustainable water governance. Environ Sci Policy. 2019; 91:6-16. [DOI:10.1016/j. envsci.2018.10.008].

  • 12.

    Jessop B. The state: Government and governance. In: Pike A, Rodrguez-Pose A, Tomaney J, editors. Handbook of Local and Regional Development. London: Routledge; 2011. p. 239-248. https://books.google.com/books?id=mzYNmAEACAAJ&dq.

  • 13.

    Akermi R, Triki A. The green energy transition and civil society in Tunisia: Actions, motivations and bbarriers. Energy Procedia. 2017; 136:79-84. [DOI:10.1016/j.egypro.2017.10.288].

  • 14.

    Bevilacqua C, Ou Y, Pizzimenti P, Minervino G. New public institutional forms and social innovation in urban governance: Insights from the Mayors Office of New Urban Mechanics (MONUM) in Boston. Sustainability. 2020; 12(1):23. [DOI:10.3390/su12010023].

  • 15.

    Nazarpour, M. The position of the armed forces in the system of the Islamic Republic of Iran. Hassoun. 2007; 11:136-62. [In Persian] https://hawzah.net/fa/Magazine/ View/5415/6369/71270.

  • 16.

    Rahnavard F. A model of public administration for realization of the vision of 1404. Iran J Public Adm Perspect. 2011; 2(2):4358. [In Persian] http://jpap.sbu.ac.ir/article_94395.html.

  • 17.

    Mcloughlin C. Facrors affecting state-non-governmental organisation relations in service provision: Key themes from the literature. Public Adm Dev. 2011; 31(4):240-51. [DOI:10.1002/ pad.611].

  • 18.

    Lewis J. Reviewing the relationship between the voluntary sector and the state in Britain in the 1990s. Voluntas: Int J Volunt Nonprofit Organ. 1999; 10(3):255-70. [DOI:10.1023/A:1021257001466].

  • 19.

    Clark J. The state, popular participation, and the voluntary sector. World Dev. 1995; 23(4):593-601. [DOI:10.1016/0305750X(94)00147-Q]##.