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A framework to assess management performance in district health systems

A qualitative and quantitative case study in Iran

Bibliographic Data

ID5223178
AuthorsJafar Sadegh Tabrizi (0000-0002-1458-8672, Tabriz University of Medical Sciences), Kamal Gholipour (0000-0002-6595-4150, Tabriz University of Medical Sciences), Shabnam Iezadi (0000-0002-9644-5105, Tabriz University of Medical Sciences, Iran), Mostafa Farahbakhsh (0000-0001-5754-7750, Tabriz University of Medical Sciences, Iran), Akbar Ghiasi (0000-0002-1477-4985, The University of Alabama at Birmingham, USA)
Year2018
Volume34
Issue4
Pagese00071717-e00071717
Publication date2018-04-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00071717
PMID29694543
OpenAlexW2800539629
SCIELO_PIDS0102-311X2018000405010
LanguageEN
Citations received1
References cited15

The aim was to design a district health management performance framework for Iran's healthcare system. The mixed-method study was conducted between September 2015 and May 2016 in Tabriz, Iran. In this study, the indicators of district health management performance were obtained by analyzing the 45 semi-structured surveys of experts in the public health system. Content validity of performance indicators which were generated in qualitative part were reviewed and confirmed based on content validity index (CVI). Also content validity ratio (CVR) was calculated using data acquired from a survey of 21 experts in quantitative part. The result of this study indicated that, initially, 81 indicators were considered in framework of district health management performance and, at the end, 53 indicators were validated and confirmed. These indicators were classified in 11 categories which include: human resources and organizational creativity, management and leadership, rules and ethics, planning and evaluation, district managing, health resources management and economics, community participation, quality improvement, research in health system, health information management, epidemiology and situation analysis. The designed framework model can be used to assess the district health management and facilitates performance improvement at the district level

Business · Content validity · Focus group · Health management system · Knowledge management · Performance indicator · Performance Management · Public health · Qualitative research · Sociology · Computer Science · Global Maternal and Child Health · Healthcare Systems and Reforms · Marketing · Medicine · Nursing · Patient Satisfaction in Healthcare

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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