Developing the Strategic Control System in Hospital Setting
Subject Areas : Health Management
Keywords: Strategy, Control System, Hospital.,
Abstract :
Background and Aim: Application of a suitable strategic control system helps managers of healthcare organizations to accurately develop a strategic program, implement the strategies, and monitor and evaluate the outcomes of program implementation. The present study was conducted with the aim of developing a strategic control system in Iranian hospitals. Materials and Methods: In this descriptive study, a total of 15 academic, hospital, and healthcare informants of strategic control and management were selected by purposive sampling method. A researcher-made questionnaire based on pair-wise comparisons was used to collect data. MATLAB software was used to analyze data with FUZZY DEMATEL technique. Results: On the basis of results of cause-effect relations, the most effective causes were the parameters “sharing program and performance data (8.17, 0.916)”, “clarification of the landscape and strategies and their conversion to action (7.63, 1.21)”, and “feedback and strategic learning (8.41, 0.160)”; the least effective parameters were “planning and goal setting (7.92, -1.44)” and “infrastructures and external support (6.85, -0.84)” that were rendered as “effects”. Conclusion: It was concluded that establishment of information flow, sharing of landscape and strategies, and provision of purposeful feedback to different organizational levels can greatly improve planning and goal setting leading to acquisition of external support and reinforcement of infrastructures required in this field
1. Mahamoud Hasan M, Aparisi-Torrijo S, González-Ladrón-de-Guevara F. Change management and organizational performance: current key trends. Cogent Business & Management. 2025;12(1):2478447.
2. Kumar A, Lam SSW, Chan SL, Xu Y, Ge Y, Gui GKT, et al. Strategizing towards the future hospital: a systems thinking approach. Health Research Policy and Systems. 2025;23(1):71.
3. Kutschera I, Ryan MH. Implications of intuition for strategic thinking: Practical recommendations for gut thinkers. SAM Advanced Management Journal. 2009;74(3):12-20.
4. Endalamaw A, Khatri RB, Mengistu TS, Erku D, Wolka E, Zewdie A, et al. A scoping review of continuous quality improvement in healthcare system: conceptualization, models and tools, barriers and facilitators, and impact. BMC Health Services Research. 2024;24(1):487.
5. Sebire N, Adams A, Celi L, Charlesworth A, Gorgens M, Gorsky M, et al. The Future Hospital in Global Health Systems: The Future Hospital Within the Healthcare System. The International journal of health planning and management. 2025;40(3):741-51.
6. Rachuba S, Reuter-Oppermann M, Thielen C. Integrated planning in hospitals: a review. OR Spectrum. 2024:1-54.
7. Wongsin U, Pannoi T, Prutipinyo C, Maruf MA, Pongpattrachai D, Quansri O, et al. Strategic planning and organizational performance in public health sector: a scoping review. BMC Health Services Research. 2025;25(1):1017.
8. Grigoroudis E, Orfanoudaki E, Zopounidis C. Strategic performance measurement in a healthcare organisation: A multiple criteria approach based on balanced scorecard. Omega. 2012;40(1):104-19.
9. Lunkes RJ, Naranjo-Gil D, Lopez-Valeiras E. Management control systems and clinical experience of managers in public hospitals. International Journal of Environmental Research and Public Health. 2018;15(4):776.
10. King R, Clarkson PM, Wallace S. Budgeting practices and performance in small healthcare businesses. Management Accounting Research. 2010;21(1):40-55.
11. Mintzberg H. Understanding Strategic Management, Chapter 10: Organizational Systems and Strategic Change.2nd edition, Oxford University Press. 2011.
12. Nejatbakhsh A, Tavalaei R. Developing National Model for Strategic Control of Iranian Cultural Organization. Journal of Human Management Researchs. 2008(1):105-48.
13. Tzeng G-H, Chiang C-H, Li C-W. Evaluating intertwined effects in e-learning programs: A novel hybrid MCDM model based on factor analysis and DEMATEL. Expert systems with Applications. 2007;32(4):1028-44.
14. Wu W-W, Lee Y-T. Developing global managers’ competencies using the fuzzy DEMATEL method. Expert systems with Applications. 2007;32(2):499-507.
15. Kaplan RS, Norton DP. The balanced scorecard: translating strategy into action: Harvard Business Press; 1996.
16. Ginter PM, Duncan WJ, Swayne LE. The strategic management of health care organizations: john wiley & sons; 2018.
17. Čater T, Pučko D. Factors of effective strategy implementation: Empirical evidence from Slovenian business practice. Journal for east european Management Studies. 2010:207-36.
18. Foreman J, Argenti PA. How corporate communication influences strategy implementation, reputation and the corporate brand: an exploratory qualitative study. Corporate Reputation Review. 2005;8(3):245-64.
19. Mapetere D, Mavhiki S, Nyamwanza T, Sikomwe S, Mhonde C. Strategic role of leadership in strategy implementation in Zimbabwe's state owned enterprises. International Journal of Business and Social Science. 2012;3(16):271-6.
20. Porter ME, Lee TH. The strategy that will fix health care. Harv Bus Rev. 2013;91(10):50-70.
21. Kaissi AA, Begun JW, Welson T. Strategic planning processes and hospital financial performance. Journal of healthcare management. 2008;53(3):197.
22. Groene O, Brandt E, Schmidt W, Moeller J. The Balanced Scorecard of acute settings: development process, definition of 20 strategic objectives and implementation. International Journal for Quality in Health Care. 2009;21(4):259-71.
23. Schalm C. Implementing a balanced scorecard as a strategic management tool in a long-term care organization. Journal of Health Services Research & Policy. 2008;13(suppl 1):8-14.
24. Amaratunga D, Baldry D, Sarshar M. Process improvement through performance measurement: the balanced scorecard methodology. Work study. 2001;50(5):179-89.
25. Rabbani F, Lalji S, Abbas F, Jafri S, Razzak JA, Nabi N, et al. Understanding the context of balanced scorecard implementation: a hospital-based case study in Pakistan. Implement Sci. 2011;6(1):31.
26. Slater SF, Olson EM. Marketing's contribution to the implementation of business strategy: An empirical analysis. Strategic Management Journal. 2001;22(11):1055-67.
27. Bhimani A, Langfield-Smith K. Structure, formality and the importance of financial and non-financial information in strategy development and implementation. Management Accounting Research. 2007;18(1):3-31.
28. Matanda T, Ewing MT. The process of global brand strategy development and regional implementation. International Journal of Research in Marketing. 2012;29(1):5-12.
29. Rajasekar J. Factors affecting effective strategy implementation in a service industry: A study of electricity distribution companies in the sultanate of oman. International Journal of Business and Social Science. 2014;5(9):169-83.
30. Bushardt SC, Glascoff DW, Doty DH. Organizational culture, formal reward structure, and effective strategy implementation: A conceptual model. Journal of Organizational Culture, Communication and Conflict. 2011;15(2):57.
31. Miller S, Wilson D, Hickson D. Beyond Planning:: Strategies for Successfully Implementing Strategic Decisions. Long range planning. 2004;37(3):201-18.
32. Radnor Z, Lovell B. Success factors for implementation of the balanced scorecard in a NHS multi-agency setting. International Journal of Health Care Quality Assurance. 2003;16(2):99-108.
33. Kaplan RS, Norton DP. Alignment: Using the balanced scorecard to create corporate synergies. Boston: Harvard Business School Press; 2006.
34. Mihic MM, Obradovic VL, Todorovic ML, Petrovic DC. Analysis of implementation of the strategic management concept in the healthcare system of Serbia. HealthMed. 2012;6(10).