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Managerial aspects on governance of healthcare in Iceland
Nordiska ministerrådet, Nordic School of Public Health NHV.
2014 (Engelska)Självständigt arbete på avancerad nivå (masterexamen)Studentuppsats (Examensarbete)
Abstract [en]

Purpose: This study aimsto analyze managerial aspects of governance within Icelandic healthcare institutions, particularly regarding job descriptions and policy-making plans.

Method: We used a qualitative research method and content analysis to examinedata collected from semi-structured interviews Ten participants (5 malesand 5 females) who worked as senior managers, middle-management executives in the healthcare service, and Ministry of Welfare officials. The participants reflected a breadth of experience and education across the spectrum of age, length of service, and work experience in both hospitals and primary care.

Results: Data analysis revealed three main categories including policy-making plans in healthcare, which identified a considerable gap between managers and executives on one side and the Ministry of Welfareon the other, especially regarding strategy. Incidental control and effect of politicians on healthcare operation. Second, inrelation to the Ministry of Welfareand healthcare institutions we observed unstructured, onerous, and remote communications and organization that focused too little on professional issues. The Ministry of Welfare tended to interfere with managers’ responsibilities and scope of work. Third, we observeds trengths and weaknesses in management. Strengths includedad ministrators’ enthusiasm, ideas of empowerment, short lines of communications, and often straightfor ward interactions, compared withweaknesses in the workprocesses within healthcare institutions and toward the Ministryo f Welfare, and also in job descriptions and vague definitions of the institutions’role.

Conclusion: The indications reported here suggestun clear policy-making plansfor healthcare institutions. Although managers and executives maintained that visions for the futureare vague, the Ministry of Welfare stated that the strategy was clear. The study identified a need of strengthening and restructuring the way of communications, as well as clarifying managers’ role toward the Ministry of Welfare

Ort, förlag, år, upplaga, sidor
2014. , s. 58
Serie
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2014:42
Nyckelord [en]
communication, governance, health care management, health policy, leadership
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:norden:org:diva-3640OAI: oai:DiVA.org:norden-3640DiVA, id: diva2:783583
Presentation
2014-12-09, Nordic School of Public Health NHV, Göteborg, Sweden, 16:14 (Engelska)
Handledare
Anmärkning

ISBN 978-91-982282-7-4

Tillgänglig från: 2015-01-26 Skapad: 2015-01-26 Senast uppdaterad: 2015-01-26Bibliografiskt granskad

Open Access i DiVA

MPH 204:42(1079 kB)206 nedladdningar
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Medicin och hälsovetenskap

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