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Reasons for turnover of hospital managers in Iran: A qualitative study

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  • Mahdi Gharasi Manshadi
  • Ali Mohammad Mosadeghrad
  • Ebrahim Jaafaripooyan

Abstract

Background Managerial stability is believed to play a crucial role in the success of health care organisations and health managers. High managerial turnover seems to be a common phenomenon of the Iranian health system. This study thus aimed to investigate the reasons for managerial turnover in Iranian hospitals. Methods Following a qualitative approach, 53 semi‐structured interviews were conducted with different managerial levels in the hospitals, the high officials of medical universities, and health policymakers. Interviewees were selected using the purposive sampling techniques. Interviews were continued up to the data saturation. Data analysis was conducted thematically using MAXQDA 10. Results Four groups of reasons were identified leading into the managerial turnover in hospitals, ranging from the micro to macro level factors, that is, those related to the managers, hospitals, medical universities, and the country. Insufficient support from the officials, managerial poor performance, conflict with other managers and colleagues, changes of senior managers, and presidential and parliamentary elections representing the key reasons underlying the turnover of hospital managers in Iran. Conclusion Given the variety of reasons emerged behind the managerial turnover, the efforts to improve the awareness and engage the all actors ranging from health policymakers to organisational decision‐makers could be a valuable step to regulate and optimise the managerial turnover and stability in health care organisations in order to enhance the productivity and accountability in healthcare industry, particularly in the hospitals.

Suggested Citation

  • Mahdi Gharasi Manshadi & Ali Mohammad Mosadeghrad & Ebrahim Jaafaripooyan, 2022. "Reasons for turnover of hospital managers in Iran: A qualitative study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(5), pages 2869-2888, September.
  • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:5:p:2869-2888
    DOI: 10.1002/hpm.3526
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    References listed on IDEAS

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    1. Leonardo BADEA & Nicolae Alexandru PANĂ, 2010. "The Role of Empathy in Developing the Leader’s Emotional Intelligence," Theoretical and Applied Economics, Asociatia Generala a Economistilor din Romania / Editura Economica, vol. 2(2(543)), pages 69-78, February.
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    Cited by:

    1. Hamid Reza Saberi & Amir Hossein Khoshakhlagh & Fereydoon Laal & Marziyeh Mirzahosseininejad & Mitra Hannani & Umesh Bamel, 2023. "Investigating the Reasons for Turnover Intention of Workers in the Spinning and Weaving Industries in Iran," Corporate Reputation Review, Palgrave Macmillan, vol. 26(4), pages 320-331, November.

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