Medical workforce education and training: A failed decentralisation attempt to reform organisation, financing, and planning in England

Ovseiko, Pavel V; Buchan, Alastair

doi:10.1016/j.healthpol.2015.09.005

Cited by 3 publications

(1 citation statement)

References 9 publications

(11 reference statements)

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“…The study of educational systems in different countries indicates two currents; one is decentralization in centralized educational systems and centralism in decentralized educational systems (Guerra & Lastra-Anadon, 2019). The discussion of centralism and decentralization in the history of curriculum studies has always been one of the most challenging issues in educational systems, including the education system (Ovseiko & Buchan, 2015). In general, there is no absolute focus or decentralization, but to better understand these two concepts, they can be considered as two ends of a spectrum.…”

Section: Introductionmentioning

confidence: 99%

Presenting Model of Rotation from Centralization to Reducing of Focus on the Field of Formality and Power in Decision-Making of Staff Levels in Education in Tehran

Heydari

Toorani²,

Ahghar³

2021

Iranian Journal of Educational Sociology

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The aim of tis research was presenting model of rotation from centralization to reducing of focus on the field of formality and power in decision-making of staff levels in education of Tehran. Methodology: Present research in terms of purpose was applied and in terms of implementation was quantitative. The study population was the principals and employees of the staff level of education ministry and the principals and teachers of secondary high schools of Tehran city in the academic years of 2018-19, which based on Cochran's formula from them, were selected 440 people by simple random and multi-stage cluster sampling methods. To collect data was used from 37-items researcher-made questionnaire that its content validity was confirmed by experts and the structure validity of instrument was confirmed by factor analysis and its reliability was calculated 0.94 by Cronbach's alpha method. Data were analyzed with exploratory factor analysis and structural equation modeling methods in SPSS and AMOS software. Findings: The findings showed that the model of rotation from centralization to reducing of focus on the field of formality and power in decision-making had six components of formality, power in decision-making, horizontal communication, delegation of authority, information technology and schoolbased. Also, the mentioned model had a good fit and all six components of formality, power in decision-making, horizontal communication, delegation of authority, information technology and school-based had a significant direct effect on the rotation from centralization to reducing of focus (P<0.05). Conclusion:Regarded to the results of the present study through improving the components of formality, power in decision-making, horizontal communication, delegation of authority, information technology and schoolbased can be achieved from centralization to reducing of focus on the field of formality and power in decision-making.

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Section: Introductionmentioning

confidence: 99%

Presenting Model of Rotation from Centralization to Reducing of Focus on the Field of Formality and Power in Decision-Making of Staff Levels in Education in Tehran

Heydari

Toorani²,

Ahghar³

2021

Iranian Journal of Educational Sociology

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Future strategic topics in the business model of hospitals in Austria

Kriegel¹,

Riedl

Tuttle-Weidinger

et al. 2018

International Journal of Healthcare Management

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The Mixed-Method 5W2D Approach for Health System Stakeholders Analysis in Quality of Care: An Application to the Moroccan Context

Frichi

Jawab

Boutahari

2019

IJERPH

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(1) Background: Quality of care (QC) is not only about satisfying patients, but also about satisfying the various health system stakeholders (HSS). This makes it a complex and difficult objective to achieve. This study aims at proposing a methodological framework for identifying HSS, prioritizing them in QC, and analyzing their interrelationships. (2) Methods: The proposed framework is the mixed-method 5W2D approach, which uses a combination of three basic methods: the 5W questioning technique (What, Who, Why, Where, and When), the Delphi method, and the Decision making trial and evaluation laboratory (DEMATEL) technique. It consists of three interdependent phases. First of all, a preliminary list of HSS is established based on a systematic literature review, which is then projected and adapted to the national context using the 5W questioning technique. Secondly, the identified HSS are classified in order according to their influence and impact on QC by employing Delphi method. Thirdly, the interrelationships between HSS are determined and analyzed by applying DEMATEL technique. An application of 5W2D is conducted in the Moroccan context as its health system involves a wide range of stakeholders. (3) Results: Results defined 17 groups of HSS, whose prioritization led to three groups that are at the core of the health system: patients and their families, health personnel, and government. Roles and expectations of these groups regarding QC are divergent and contradictory, which require making trade-offs. The findings of this study intend to guide the development of inclusive strategies and policies that involve key stakeholders for QC assessment and improvement.

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Medical workforce education and training: A failed decentralisation attempt to reform organisation, financing, and planning in England

Cited by 3 publications

References 9 publications

Presenting Model of Rotation from Centralization to Reducing of Focus on the Field of Formality and Power in Decision-Making of Staff Levels in Education in Tehran

Presenting Model of Rotation from Centralization to Reducing of Focus on the Field of Formality and Power in Decision-Making of Staff Levels in Education in Tehran

Future strategic topics in the business model of hospitals in Austria

The Mixed-Method 5W2D Approach for Health System Stakeholders Analysis in Quality of Care: An Application to the Moroccan Context

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