Validation and Prioritization of Organizing Themes in the Implementation Model of Therapeutic Policies in University Medical Hospitals
Keywords:
Therapeutic policies, Jihadi management, hospital administration, organizational empowerment, healthcare policyAbstract
The objective of this study was to design, validate, and prioritize a comprehensive model for implementing therapeutic policies in university medical hospitals in southeastern Iran based on a Jihadi management approach. This study employed a mixed-methods design conducted in two phases. In the qualitative phase, semi-structured interviews were conducted with 17 experts in therapeutic policy implementation, and the data were analyzed using thematic analysis to extract initial codes, basic themes, and organizing themes. In the quantitative phase, the population consisted of 4,420 hospital managers and staff, from whom 387 valid questionnaires were collected through stratified random sampling. An 82-item Likert-scale questionnaire with confirmed validity and reliability was used as the data collection tool. Statistical analyses were performed using standard analytical software, and structural equation modeling was applied to evaluate the measurement and structural models. A multi-criteria decision-making approach was used to prioritize the organizing themes. The qualitative results yielded 72 initial codes, 23 basic themes, and 9 organizing themes related to the implementation of therapeutic policies using a Jihadi approach. Structural equation modeling indicated that all paths between the organizing themes and the main construct were statistically significant. The strongest effects were attributed to continuous monitoring systems and staff ethical considerations. Prioritization results showed that “growth and empowerment,” “institutionalization of Jihadi culture,” and “staff ethical considerations” were the most influential themes in improving the implementation of therapeutic policies. The findings highlight that effective implementation of therapeutic policies requires strengthening value-based systems, establishing continuous monitoring structures, promoting ethical and professional behavior among staff, mobilizing resources, and enhancing human capacity development.
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Abdulai, M. A., Mevissen, F. E. F., Marien, V., Ruiter, R. A. C., Owusu-Agyei, S., Asante, K. P., & Bos, A. E. R. (2023). A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective. Health Research Policy and Systems, 21(1). https://doi.org/10.1186/s12961-023-01010-9
Ana Maria Vicente da, S., Muzzio, H., & Silveira, D. S. d. (2024). Analysing Public Policies for the Creative Economy: A Systematic Literature Review. Journal of International Development, 36(6), 2655-2669. https://doi.org/10.1002/jid.3930
Angez-e-Ghods, A., & Abdi, B. (2024). Designing an Iranian-Islamic Model of Public Policy: Explaining the Role of Specialized Institutions. Scientific Quarterly of Islamic-Iranian Progress Model Studies, 12(1), 219-258.
Arab Hassan Khani, M., Ma'toufi, A., Farahdi Mahali, A., & Tabari, M. (2022). A model for analyzing educational and research policies at Golestan University of Medical Sciences. Public Policy Journal in Management, 13(47), 1-11. https://civilica.com/doc/1569077/
Baki Hashemi, S. M. M. (2022). Analyzing the components of conflict emergence in the behavioral discretion of street-level bureaucrats with organizational policies (Case study: Pre-hospital Emergency Center and Incident Management in Gilan Province). Quarterly Journal of Social Development Studies in Iran, 15(1), 357-372. https://elmnet.ir/doc/2573666-81402
Boostan Zar, J., Rahman Nasrat, H., Sharifzadeh, F., & Taghvi Fard, M. T. (2022). A model for the smart implementation of public policies in governmental organizations: A grounded theory study. Iranian journal of management sciences, 17(65), 29-51. https://journal.iams.ir/article_372.html?lang=fa
Ebrahimi, S. A., Farahani Nejad, M., & Baki Nejadi, S. M. M. (2020). Policy analysis in the health system based on the Coalition Advocate Framework model (case study: Health System Transformation Plan). Quarterly Journal of Strategic Studies, 23(2), 96-112. https://quarterly.risstudies.org/article_114581.html
Edmond, B. C. (2024). Public Policy Implementation and Workforce Diversity: How Important is the Latter in Enhancing Policy Outcomes? In Street-Level Public Servants (pp. 88-109). Routledge. https://www.taylorfrancis.com/chapters/edit/10.4324/9781003359579-8/public-policy-implementation-workforce-diversity-beverly-edmond
Farahbod, M., Tabibi, S. J. a.-D., Kamali, M., & Masoudi Asl, I. (2023). Comparing the rehabilitation structure in the health systems of Iran, Germany, Japan, Canada, Turkey, and South Africa: A comparative study. Rehabilitation Quarterly, 94, 101-113. https://doi.org/10.32598/RJ.24.1.3582.1
Hassani, H., Golshani, A., & Mirtorabi, S. S. (2024). The Public Policy Process and an Examination of China's Success in Attracting Foreign Direct Investment from the 1990s to 2022. Journal of Political and International Studies(58), 42-56.
Karamzadeh, S., & Abedini, A. (2020). Legal dimensions of the assassination of Major General Qasem Soleimani by the United States in Iraq. Comparative Research on Islamic and Western Law, 24, 219-240. https://csiw.qom.ac.ir/mobile/article_1581.html
Kokole, D., Mercken, L., Anderson, P., Mejía-Trujillo, J., Perez-Gomez, A., Bustamante, I., Piazza, M., Natera R, G., Arroyo, M., Pérez De León, A., & Bautista Aguilar, N. (2023). Policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru. An International Journal for Research, Policy and Practice, 18(1). https://www.tandfonline.com/doi/abs/10.1080/17441692.2023.2207410
Mohammadi, R., & Yousofi, M. (2021). Investigating the Health System Transformation Plan from the perspective of the Holy Quran. Islam and Health Quarterly, 6(1), 48-56. http://iahj.ir/browse.php?a_id=221&sid=1&slc_lang=fa
Mohammadzaheri, M. (2020). Proposing a management model in line with the Revolution for senior managers of the Islamic Republic of Iran based on the management style of Martyr Major General Qasem Soleimani. Islamic Management, 110, 21-46. https://im.ihu.ac.ir/article_205138_6037f40de00ed311d861906f84fcbc86.pdf
Mousavi, S. M., Soltani, H., Mousavi, S. F., Salajegheh, S., & Mahdizadeh, S. (2022). Designing a model for the implementation of supportive and service policies based on jihadist management style (Case study: Martyrs and Veteran Affairs Foundation in Fars, Bushehr, and Kohgiluyeh and Boyer-Ahmad Provinces). Quarterly Journal of Strategic Studies in Basij, 25(95), 5-35. https://bsrq.cuir.ac.ir/article_152948.html
Najafi Rostaqi, H., & Zolfaqarzadeh, M. M. (2023). Challenges and Solutions for Smartening Public Policy-Making Processes: Suggestions for the Development Planning System in Iran. Governance and Development, 3(2), 3-36. https://civilica.com/doc/1742334/
Pryadilnikov, M. (2016). Public policy training and development of MPA/MPP programs in the Russian Federation. Policy and Society, 35(4), 371-383. https://doi.org/10.1016/j.polsoc.2016.12.001
Shahsavari Goughari, E., Hadawi Nejad, M., Tabli, H., & Ziaoddini, M. (2021). Identifying and prioritizing actions to reduce the failure of health and safety policy implementation based on failure modes and effects analysis. Human Resource Excellence Quarterly, 5, 51-72. https://www.noormags.ir/view/en/articlepage/
Silva, J., Silva, A., Araújo, A., & Silva, A. (2025). Agile Project Management in Government Software Development: Addressing Challenges in Education Public Policy https://doi.org/10.5220/0013434800003929
Taghvaee, M., Hosseinekhah, H., & Mohamadidost, S. (2021). Strategic evaluation of the spatial structure of cities with emphasis on new patterns of urban planning (Case study: Yasuj city). Spatial Planning, 11(3), 117-144. https://sppl.ui.ac.ir/article_26182.html?lang=en
Taghvaee, V. M., Arani, A. A., Nodehi, M., Shirazi, J. K., Agheli, L., Ghojogh, H. M. N., Salehnia, N., Mirzaee, A., Taheri, S., Saber, R. M., Faramarzi, H., & Alvandi, R. (2023). Sustainable Development Goals: Transportation, Health and Public Policy. Review of Economics and Political Science, 8(2), 134-161. https://doi.org/10.1108/reps-12-2019-0168
Taghvaei, R., & Sheikh Baklou, S. (2021). The antecedents of forming administrative health policies on inter-organizational performance with the mediation of transparency in Kermanshah Governorate. Public Policy in Management, 12(4), 15-22. https://sanad.iau.ir/Journal/ijpa/Article/790598
Tekel, E., & Su, A. (2023). Access versus Quality Trade-off: How Citizen-Centered Is the Public Policy Making in the Expansion of the Turkish Higher Education System? In Citizen-Centered Public Policy Making in Turkey (pp. 385-404). https://doi.org/10.1007/978-3-031-35364-2_21
Tomori, F. R., & Trinidad, M. A. M. (2023). Using DEMATEL and ISM for Designing Green Public Policies Based on the System of Systems Approach. Sustainability, 15, 10765. https://doi.org/10.3390/su151410765
Tshuma, V., & Mpofu, S. (2024). Analysing Public Policies and Communication Strategies in Zimbabwe's Eye Healthcare Industry. In Public Sector Communication in the Digital Age (pp. 201-227). https://doi.org/10.36615/9781776489909-08
Yotebieng, M., Brazier, E., Addison, D., Kimmel, A. D., Cornell, M., Keiser, O., Parcesepe, A. M., Onovo, A., Lancaster, K. E., Castelnuovo, B., Murnane, P. M., Cohen, C. R., Vreeman, R. C., Davies, M. A., Duda, S. N., Yiannoutsos, C. T., Bono, R. S., Agler, R., Bernard, C., . . . Nash, D. (2019). Research priorities to inform "Treat All" policy implementation for people living with HIV in sub-Saharan Africa: a consensus statement from the International Epidemiology Databases to Evaluate AIDS (IeDEA). Journal of the International AIDS Society, 22(1). https://doi.org/10.1002/jia2.25218
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Copyright (c) 2025 Behnood Nazeri (Author); Shahin sharafi; Shiva Madahian (Author); Mehdi Mohammad Bagheri
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