طراحی مدل حکمرانی الکترونیک در نظام سلامت (مطالعه موردی: وزارت بهداشت درمان و آموزش پزشکی ایران)

نوع مقاله : مقاله علمی پژوهشی

نویسنده

دانش آموخته دکتری مدیریت سیستم-دانشگاه تهران-

چکیده

هدف اصلی این پژوهش طراحی الگویی برای حکمرانی الکترونیک در نظام سلامت است. روش تحقیق از حیث نتیجه جز تحقیقات توسعه‌ای و از حیث هدف جز تحقیقات اکتشافی و از حیث روش جز تحقیقات کیفی از نوع مطالعه موردی است. ابزار جمع‌آوری داده‌های تحقیق مصاحبه است و به منظور تحلیل داده‌ها، از روش تحلیل تم استفاده شده است. بر اساس نتایج به دست آمده، زمینه‌های اصلی حکمرانی الکترونیک در نظام سلامت شامل مشارکت اجتماعی، آگاهی بخشی، زیرساخت‌های قانونی، سرمایه‌گذاری در حوزه‌های مختلف، اعتماد اجتماعی و طراحی راهبردی فراگیر می‌باشد. هم چنین، قابلیت‌های اصلی این الگو شامل مدیریت سلامت الکترونیک، بهبود کارایی، دسترسی بهینه به خدمات، اداره الکترونیک و بهبود اثربخشی شناسایی شد. موانع این الگو شامل کمبود بودجه تخصیصی، فقدان حمایت و پشتیبانی، عدم مشارکت فراگیر، فقدان زیرساخت‌های مناسب فناوری اطلاعات، آماده نبودن بستر فرهنگی، عدم آموزش کافی و پایین بودن امنیت سایبری می‌باشد. در ادامه، نتایج و پیامدهای این الگو، شامل پیامدهای فردی، سازمانی و اجتماعی شناسایی گردید و در نهایت الگوی نهایی ارائه شد.لازم به ذکر است که الگوی ارائه شده در این پژوهش می‌تواند نقشه راه مناسبی برای توسعه حکمرانی الکترونیک در حوزه سلامت کشور باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The design of E-Governance pattern in health system (Case study: Ministry of Health and Medical Education of Iran)

نویسنده [English]

  • samira loghman Estarki
ph.D in management (system), Tehran university
چکیده [English]

The main goal of this research is to design a model for electronic governance in the health system. The research method is part of developmental research in terms of results, exploratory research in terms of purpose, and qualitative research of case study in terms of method. The research data collection tool is interview, and the theme analysis method has been used to analyze the data. Based on the obtained results, the main fields of electronic governance in the field of health include social participation, awareness, legal infrastructure, investment in various fields, social trust and comprehensive strategic design. Also, the main capabilities of this model include electronic health management, improving efficiency, optimal access to services, electronic administration and improving effectiveness. The obstacles of this model include the lack of allocated funds, lack of necessary support, lack of inclusive participation, lack of appropriate information technology infrastructure, cultural platform not being ready, lack of sufficient training and low level of cyber security. In the following, the results and consequences of this pattern were identified, including individual, organizational and social consequences and finally, the final model was presented. It should be noted that the model presented in this research can be a suitable road map for the development of e-governance in the health field of the country.

کلیدواژه‌ها [English]

  • electronic governance
  • health system
  • case study
  • theme analysis

مراجع

  • Jafari, S.M., Zarei Matin, H., and Jokar, Sh. (2016). “Identifying and Prioritizing the Values of E-governance in Municipalities”. Management in Research in Iran, 20(3), pp. 73-104. {In Persian}
  • Javadi, M., and Emami, S.M. (2021). “Governance of Research: Nature, Scope and Tools”. journal of Public Administration, 13(2), pp. 233-276. {In Persian}
  • Hassanzadeh Abbasabadi, A. (2016). From E-government to E-governance: A study of government agencies in Kerman. MA. Thesis, Rafsanjan: Valie-Asr University of Rafsanjan. {In Persian}
  • Danaei-fard, H. (2013). “Governmental Network Management in Iran: Theoretical, Scientific, and Intelligence”. Journal of Management Studies in Iran, 17(2), pp. 69-104. {In Persian}
  • Deghati, A., Yaghoubi, N., Kamalian, A.R., Dehghani, M., and Moradi, E. (2020). “Presenting an Establishment and Development Pattern of Electronic Governance Using Meta-synthesis Approach”. Public Administration Perspective, 10(4), pp. 89-120. {In Persian}
  • Raei, B., and Baradaran, V. (2021). “A Model for Evaluating Electronic Governance (e-governance) in Iran's Executive Sectors”. Journal of Information and Communication Technology, 13(49), pp. 135-150. {In Persian}
  • Ronaghi, M.H., and Mahmoodi, J. (2016). “The Relationship Between Corporate Governance and IT Governance In Public Organization”. Journal of Information Technology Management, 7(3), pp. 615-634. {In Persian}
  • Sepahvand, R., Aref-Nejad, M., and Shariat-Nejad, A. (2017). “Identification and Prioritization of Organizational Inertia Developing Factors Using Fuzzy Delphi”. Journal of New research in decision making, 2(1), 95-117. {In Persian}
  • Ebadi, N. (2016). “Evaluating the Maturity of Electronic Governance in the Ministry of the Interior's Portal”. Journal of Government Management, 8(3), pp. 487-510. {In Persian}
  • Mombini, Y., Doustar, M., and Goudarzi, M. (2017). “Political Intelligence and Organizational Change: Examining The Role Of Organizational Culture Moderator”. Journal of Management Research in Iran, 21(2), Pp. 113-135. {In Persian}
  • Mosadeghrad, A.M., and Rahimi-Tabar, P. (2019). “Health System Governance in Iran: A Comparative Study”. Razi J Med Sci, 25(9), pp. 10-28. {In Persian}
  • Mosadeghrad, A.M. (2015). Essentials of healthcare organization and management. Tehran: Dibagran Tehran. {In Persian}
  • Adler-Milstein, J., Holmgren, A.J., Kralovec, P., Worzala, C., Searcy, T., and Patel, V. (2017). “Electronic health record adoption in US hospitals: the emergence of a digital "advanced use" divide”. Journal of the American Medical Informatics Association, 24(6), pp. 1142-1148.
  • Al-Omran, G. T. (2021). “Improving E-Health Governance Through Syndromic Surveillance Systems and Data Mining In KSA”. International Journal of Knowledge Engineering and Data Mining, 7(1-2), pp. 39-52.
  • Akotam Agangiba, W., and Akotam Agangiba, M. (2013). “E-governance Justified”. International Journal of Advanced Computer Science and Applications, 4(2), pp. 223-225.
  • Angula, N., and Kandjeo, F.T. (2020). “National COVID-19 Health Contact Tracing and Monitoring System: A Sustainable Global and Namibian E-business and E-governance Context”. International Journal, 1(1), pp. 35-38.
  • Bindu, N., Prem Sankar, C., and Satheesh Kumar, K. (2019). “From conventional governance to E-democracy: Tracing the evolution of E-governance research trends using network u7analysis tools”. Government Information Quarterly, 36(3), pp. 385-399.
  • Brown, M. M., and Brudney, J. L. (2001). Achieving Advanced Electronic Government service: An examination of obstacles and implications from an international perspective. In National Public Management Research Conference, Bloomington, IN 2001 Oct 18. 2, pp. 143-149.
  • Calista, D., and Melitski, J. (2007). “E-government and e-governance: Converging Constructs Of Public Sector Information and Communications Technologies”. Paq Spring, 31(1-2), pp. 87-120.Estevez, E., and Janowski, T. (2013). “Electronic Governance For Sustainable Development -Conceptual Framework and State Of Research”. Journal of Government Information Quarterly, 30, pp. 94-109.Heeks, R. (2001). “Understanding E-governance for Development”. I-Government Paper, 1(12), http://www.man.ac.uk/idpm/idpm_dp.htm.
  • Holden, K., and Van Klyton, A. (2016). “Exploring the Tensions and Incongruities of Internet Governance in Africa”. Journal of Government Information Quarterly, 33(4), pp. 1-10.
  • Ilyas, M. (2016). “E-Governance Practices and Models; Options for Pakistan, Institute for Strategic Studies”. Journal of Research and Analysis (ISSRA), 8(1), pp. 43-64.
  • Iyad, D. (2019); Electronic governance: An overview of opportunities and challenges. MPRA (hosted by university library LMU Munich), paper No. 92545.Jimison, H., Gorman, P., Woods, S., Nygren, P., Walker, M., Norris, S., and Hersh, W. (2008). “Barriers and Drivers of Health Information Technology Use for the Elderly, Chronically Ill, and Underserved”. Evidence Report/Technology Assessment, (175), 1-1422.
  • Jahangir Alam, M. (2012). “E-Governance in Bangladesh: Present Problems and Possible Suggestions for Future Development”. International Journal of Applied Information Systems, 4(8), pp. 21-25.
  • Kompella, L. (2017). “E-Governance Systems As Socio-Technical Transitions Using Multi-Level Perspective with Case Studies”. Journal of Technological Forecasting and Social Change, 123, pp. 80-94.
  • Kaufmann, D., Kraay, A., and Zoido-Lobaton, P. (1999). Governance matters (World Bank Policy Research Working Paper 2196). Washington, DC: The World Bank.
  • Lee, G., and Lee, T. D. (2019). “Using Government Websites to Enhance Democratic E-Governance: A Conceptual Model for Evaluation”. Government Information Quarterly, 36(2), pp. 221-238.
  • McVeigh, K.H., Newton – Dame, R., Perlman, S., Chernov, C., Thorpe, L., Singer, J., and Greene, C. (2018). Developing an Electronic Health Record - Based Population Health Surveillance System. New York: New York City Department of Health and Mental Hygiene.
  • Mahundu, F. (2016). “E-Governance: A Socialogocal Case Study of the Central Admission System in Tanzania”. The electronic Journal of information systems in developing countries, 76(1), pp. 1-11.
  • Radhikaashree, D. S. (2018). “E-governance in Health Sector- Challenges”. Eurasian Journal of Analytical Chemistry, 13(SP), pp. 170-172.Rodríguez-Bolívar, M.P., Alcaide-Muñoz L., and Cobo, M.J. (2018). “Analyzing the Scientific Evolution and Impact of E-Participation Research in JCR Journals Using Science Mapping”. International Journal of Information Management, 03(1), pp. 111-119.Santos, L. C., and Santos, C. D. D. (2017). “A Study on the Impact Of Non-Operational Mechanisms on the Effectiveness of Public Information Technology Governance”. Journal of Revista de Administração, 52(3), pp. 256-267.Sinha, R. P. (2006). “E-governance in India”. Initiatives and 1st Ed. New Delhi: Ashok Kumar Mittal, https://books.google.com/books?id=izm7Jc2IRZ0Candsource.
  • Solaja, O.A., Olusola, A.C., Olajugba, O.J., and Daramola, O.A. (2021). “Improving Public Healthcare with E-Governance”. Health Management & Information Science. 8(4), pp. 217-225.
  • Thompson, N., Mullins, A., and Chongsutakawewong, T. (2020). “Does high e-government adoption assure stronger security? Results from a cross-country analysis of Australia and Thailand”. Government Information Quarterly, 32(5), pp. 535038-2323.
  • Ud Din, I., Xue, M.C., Abdullah, S.A., Shah, T., and Aasir, I. (2017). “Role of Information and Communication Technology (ICT) and E-Governance in Health Sector of Pakistan: A Case Study of Peshawar”. Cogent Social Sciences, 3(1), pp. 2-18.
  • Vinod Kumar, T. M. (2015). “E-governance for Smart Cities”. Advances in 21st century human settlement, Singapore: Springer, 1-43.
  • Wadhwa, M. (2020). “E-governance in Healthcare Sector In India”. ICT Indian Working Paper, Delhi: Centre for Sustainable Development, Columbia University, No. 28, 3-24.
  • Xia, S. (2017). “E-governance and Political Modernization: An empirical study based on Asia from 2003 to 2014”. Administrative Sciences, 7(3), p. 25.

فایل ها

سابقه مقاله

  • تاریخ دریافت: 11 مهر 1401
  • تاریخ بازنگری: 25 مهر 1401
  • تاریخ پذیرش: 30 مهر 1401

هم رسانی

ارجاع به این مقاله

آمار