Abstract
Background: Healthcare policy implementation is of great importance due to its effect on society and is only possible via the
intellectual and practical participation of various levels of employees. Participatory management leads to elevating productivity
and respecting human values. The present study investigated the effect of participatory management components on healthcare
policy implementation.
Methods: This cross-sectional study was conducted on 384 managers and employees at Kerman and Sistan and Baluchestan
universities of medical sciences experienced in policy implementation. The samples were selected using a simple random sampling
method. A researcher-made questionnaire (derived from the results of qualitative interviews with experts) was used to collect data.
Data were analyzed using structural equation modeling (SEM) using Amos 22 software.
Results: The results indicated that the model had a reasonable fit and contained 12 main categories, including implementation
facilitator (with a factor loading [FL] of 0.97), implementation inhibitor (FL = 0.96), laying the groundwork for implementation
(FL = 0.65), designing implementation method (FL = 0.88), systematic implementation (FL = 0.80), evaluation and correction
(FL = 0.67), environmental facilities and conditions (FL = 0.69), environmental culture (FL = 0.94), compilation method (FL = 0.99),
implementation method (FL = 0.74), positive consequences (FL = 0.73), and negative consequences (FL = 0.58) in five axes (causal
conditions, background conditions, mediating conditions, strategies, and consequences), and 42 subcategories presented in the
proposed model with latent relationships.
Conclusion: The mentioned variables well explain the participatory management style related to the extent of healthcare
policy implementation, and the use of participatory management has considerable positive consequences in healthcare policy
implementation for policy-makers, managers, and beneficiaries of the health sector.