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Components of contributing conditions to strengthen health system management and leadership capacity building: a systematic review and decision making framework

Rona Bahreini (Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran and Department of Health Service Management, School of management and medical informatics, Tabriz University of Medical Sciences, Tabriz, Iran)
Masoumeh Gholizadeh (Iranian Center of Excellence in Health Management (IceHM), Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran)
Fethiye Gulin Gedik (Coordinator, Health Workforce Development, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt)
Mahmoud Yousefi (Department of Health Economics, School of Management and Medical Informatics, Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran)
Ali Janati (Iranian Center of Excellence in Health Management (IceHM), Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran)

Leadership in Health Services

ISSN: 1751-1879

Article publication date: 24 August 2021

Issue publication date: 21 September 2021

682

Abstract

Purpose

The purpose of this study is to identify components of contributing conditions to strengthen leadership and management capacity in the health system.

Design/methodology/approach

A systematic search was undertaken in databases including PubMed, Scopus, Web of Science and local resources of Scientific Information Database and Magiran in January 2020. Two independent researchers checked the research process, screening of articles and quality assessment. The quality of the studies was assessed by JBI critical appraisal tools for qualitative studies. The components of the dimensions of health system management and leadership capacity were categorized according to the WHO conceptual framework using a content analysis approach.

Findings

A total of 17 articles were included in this study. In total, 16 categories of components include human resource information system (n = 5); criteria, plans and procedures for selection and appointment (n = 5); development of education system (n = 11); skills (n = 39); knowledge (n = 8); attitudes (n = 6); behaviors (n = 10); resource and critical management system (n = 7); performance and processes management (n = 3); operational planning for critical systems (n = 4); establish control systems (n = 2); inputs and outputs of organizations (n = 2); accountability and responsibility to customers and stakeholders (n = 4); legal authority and requirements to play the role of managers (n = 9); external and internal environment management (n = 7); establish a system of appreciation and encouragement (n = 6). Each of these categories also contains subcategories.

Originality/value

Identifying prerequisite conditions are necessary for building leadership and management capacity in health systems. Therefore, extracted components provide a simple but coherent framework that can be adapted or modified for use in local situations. The components have a variety of uses, including mapping current activities, needs assessment, planning leadership and management development strategies and monitoring and evaluation.

Keywords

Acknowledgements

Funding. This systematic review is part of joint project between the National Public Health Management Center and the WHO Eastern Mediterranean Office that will be funded by NPMC “Mapping/Assessing the Leadership and Management Capacity in Health Systems for the Eastern Mediterranean Countries,” code: 65248.

Declarations.

Ethics approval and consent to participate: Not applicable.

Consent for publication: Not applicable.

Availability of data and materials: Data generated or analyzed during this study are included in this published article and its supplementary information files.

Competing interests: The authors declare no conflicts of interest.

Citation

Bahreini, R., Gholizadeh, M., Gedik, F.G., Yousefi, M. and Janati, A. (2021), "Components of contributing conditions to strengthen health system management and leadership capacity building: a systematic review and decision making framework", Leadership in Health Services, Vol. 34 No. 4, pp. 527-545. https://doi.org/10.1108/LHS-01-2021-0006

Publisher

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Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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