Developing the Strategic Control System in Hospital Setting

Subject Areas : Health Management

Jamil Sadeghifar ¹ , Mehdi Raadabadi ² , Zahra Toulideh ³ , Mohammadkarim Bahadori ⁴

1 - PhD in Health Services Management, Health and Environment Research Center, Ilam University of Medical Sciences, Ilam, Iran.
2 - PhD in Health Economic, Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3 - PhD student in Health Economics, Student Research and Technology Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
4 - PhD in Health Services Management, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Received: 2025-09-29 Accepted : 2025-10-25 Published : 2025-10-29

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.

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