Identifying and Prioritizing Failure Factors of the Implementation of Health System Policies Using Failure Modes and Effects Analysis, Their Effects, and  Analytical Hierarchy Process

Mohammad Sadegh  Abolhasani; Mohammad  Ziaadini; Mohamad Ali Nikbakhsh

doi:10.18502/mshsj.v8i3.14464

Mohammad Sadegh Abolhasani Ph.D. student of public administration, Department of Management, Rafsanjan Azad University
Mohammad Ziaadini Assistant Professor of Management Department, Rafsanjan Branch, Islamic Azad University, Rafsanjan, Iran
Mohamad Ali Nikbakhsh Assistant Professor of Management Department, Bandar Dilam Branch, Islamic Azad University, Bandar Dilam, Iran

DOI: https://doi.org/10.18502/mshsj.v8i3.14464

Keywords: Policy making, health system, Analytical hierarchy process (AHP), risk

Abstract

Background: After the policies are formulated and approved, they are communicated to the managers for implementation. Several factors lead to the failure of health system policies. In this research, these factors have been identified and ranked.

Methods: This was an applied research, and in terms of strategy, it was a survey. The research community consisted of 21 experts in the field of health in the Ministry of Health and universities of medical sciences, who were selected through random and targeted sampling. The tools of data collection were interviews and questionnaires, and to analyze data, Failure Modes and Effects Analysis (FMEA) and Analytical Hierarchy Process (AHP) were used.

Results: In this research, 4 dimensions of failure factors regarding the implementation of the health system policy were identified, including governance, management, environmental and financial resources, and 23 components of the mentioned dimensions were identified. Moreover, the most important identified failure factors through AHP and FMEA were prioritized and evaluated.

Conclusion: Knowledge of failure factors can help to improve the capacity of the implementation of health system policies.