Authors
1 Health, Ministry of Health and Medical Education, Tehran, Iran.
2 .Performance Assessment, Municipality of Tehran, Tehran, Iran.
3 Associate Professor, Physiology, Shahed University of Medical Sciences, Tehran, Iran.
4 Health Services Management, Educational Center, Tehran Municipality, Tehran, Iran.
Abstract
Background: Nowadays, entrepreneurship stimulates economical development. It is the center of
individual and organizational activities. Since the government in developing countries
participates in all areas of cultural and socioeconomic affaires, especially in health services, it is
very important to change static organizations into dynamic ones. The aim of this study was to
detect factors affecting organizational performance, especially entrepreneurship, in Iranian
governmental health system. We also tried to suggest a model to develop entrepreneurial
organization.
Method: We used stratified random sampling method to select 43 governmental health systems
in both regional and national levels. To collect data, a questionnaire, with a Cronbach's alpha of
97%, was filled out by high- and middle-ranked executives. Correlation test was applied in SPSS
to analyze the data.
Results: Overall, 80% of managers responded to the questionnaire. Many factors, including
structural, behavioral, and circumstantial factors, were found to affect organizational
entrepreneurship in Iranian governmental health system. Based on our results, the mean value of
organizational entrepreneurship (3.08) was very low. Customer satisfaction however, scored a bit
higher compared to other factors. The low values of other factors such as low income diversity,
lack of privatization and research and development groups have led to low organizational
entrepreneurship in these organizations.
Conclusion: Governmental health system in Iran has not benefited from organizational
entrepreneurship. Therefore, a special applicable model, such as the model proposed in this
research, is required to develop entrepreneurship in these organizations.
Keywords
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