Designing an Organizational Health Model for Iranian Hospitals

Organizational health is the ability of an organization to adapt to environmental conditions and develop the ability of itself and its employees to attain its set goals and objectives. Due to the existence of multiple patterns and the lack of a specific model for hospitals, the current study aimed to design an organizational health model for Iranian hospitals.

Initially, the existing organizational health models were obtained by searching reputable electronic databases and domestic and foreign websites. Comparative analysis was performed to examine the overlapping of the desired models. After calculating the compliance percentage, the items above 30% were designed as a checklist and were given to 30 relevant specialists to perform the Delphi technique which was conducted in two stages.

A total of 13 models were obtained in the study of organizational health. The checklist obtained from the overlapping of these cases included three domains, 13 dimensions, and 25 concepts (as a subset of dimensions) that two dimensions and five concepts in the Delphi stages did not score and were eliminated. The final model was approved containing 3 domains (namely staff, management, and organization), 11 dimensions (including morale, scientific emphasis, communication adequacy, commitment, participation, adherence, duty orientation, manager influence, focus on goals, innovation, and problem-solving adequacy) and 20 concepts. The highest percentages in the two stages of the Delphi method were reported in the dimensions of morale (85.3%), the influence of the manager (75.2%), and scientific emphasis (73.4%).

The model obtained for the health system has been localized and includes organizational health in hospitals. It can be used in hospitals to inform about the state of organizational health and its improvement.