Social Determinants of Health (May 2022)
A model of sustainable development based on performance management of the health system
Abstract
Background: performance management requires evaluation of the economic, environmental and social situations. The purpose of this study is to present one model of the performance management of the organization in the health system. Methods: This was mix method research. Participants of qualitative phase were experts of universities and health system, which were selected through purposive sampling and snowball method (15 people). The data collection method was semi-structured interview. The statistical population of the qualitative phase was the experts of universities and health system. Cochran's formula was used to determine the sample size and 170 people were selected as a sample by simple random sampling. Data were collected using a researcher-made questionnaire with Cronbach's alpha coefficient of 0.89. The validity of the questionnaire was confirmed by experts. Data analysis was performed using Spss and Smart Pls software. Qualitative data analysis was performed through content analysis and coding of interviews and quantitative data analysis was performed using Smart PLS software and factor load coefficient test. Result: 26 categories and 5 political, social, environmental, economic and cultural dimensions and 74 indicators were identified. The criteria of total suitability, coefficients of determination and prediction of structural models and measurements are all acceptable and indicated the approval of the model. Conclusion: Paying attention to all the identified dimensions of sustainable development, in addition to the social dimension in the performance management of universities and health system, makes it possible to achieve the goals of sustainable development.
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