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Depiction of Health. 2021;11(4): 305-315.
doi: 10.34172/doh.2020.39
  Abstract View: 2124
  PDF Download: 943

Health Care System Management

Original Article

Identifying Effective Strategies for More Delegation of Authority to Managers: A Case Study

Haniye Sadat Sajadi 1 ORCID logo, Maryam Nazari 1 ORCID logo, Leila Mounesan 2 ORCID logo, Fatemeh Rajabi 3 ORCID logo, Laleh Ghadirian 3* ORCID logo

1 Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Epidemiology and Biostatistics Research, Center for Emerging and Re-Emerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran
3 Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, and University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Author: Email: lalehghadirian@gmail.com

Abstract

Background and Objectives: It is difficult to run current organizations without delegating some of the authority to management levels. Despite the importance of delegating authority to managers, this seems to have been neglected in organizations. The aim of this study was to identify effective strategies for delegation of authority in Tehran University of Medical Sciences.
Material and Methods:
The present study was conducted in 2019 in two stages. In the first stage, existing strategies to increase the willingness of managers to delegate authority were extracted through a review study. In the second stage, by conducting 18 semi-structured face-to-face interviews and holding a focused group meeting, effective and appropriate solutions were identified to increase the desire of managers to delegate authority at the university from the perspective of stakeholders. At this stage, data were analyzed by thematic analysis method by 2 people.
Results: The review of studies showed two groups of strategies at the organizational and individual levels to increase the willingness of managers to delegate authority. The effect of implementing the solutions has not been fully investigated in previous studies. In the analysis of qualitative findings, three themes (including the importance of delegation at the university management levels, barriers to delegation at university and effective strategies for delegation to administrators at the university) and four sub-themes (including clarification of the delegation process, teaching how to delegate, establishing methods Correct monitoring and evaluation and the use of motivational methods appropriate to the performance of managers) were identified.
Conclusion: With regard to the most important barrier to delegation at the managerial level is process-related, it is suggested that the training method and process of performance appraisal and organizational reward be reviewed to increase skills and motivate further delegation. So that, measure the effectiveness and implementation considerations, it is recommended to conduct further studies on the effective implementation of strategies and to monitor and evaluate the effects of the implementation of strategies.
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Submitted: 20 Apr 2020
Accepted: 15 Jul 2020
ePublished: 04 Jan 2021
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