System Engineering and Productivity

System Engineering and Productivity

Analysis and Design of a Human Resource Productivity Improvement Model in the Public Sector (A Study in the Ministry of Health, Treatment, and Medical Education)

Document Type : Research Paper

Authors
1 Ph.D. Student,, Department of Public Administration, Semnan Branch, Islamic Azad University, Semnan, Iran
2 Corresponding author: Associate Professor, Department of Industrial Management, Semnan Branch, Islamic Azad University, Semnan, Iran
3 Assistant Professor, Department of Public Administration, Semnan Branch, Islamic Azad University, Semnan,, Iran
Abstract
Human resource productivity is crucial for enhancing organizational performance and is a key factor for organizational development and survival. This study aims to identify the factors influencing human resource productivity in the Ministry of Health, Treatment, and Medical Education and propose a model for improvement. The research is applied in purpose and follows a sequential exploratory mixed-methods approach. Initially, qualitative data were collected through in-depth, purposeful interviews with 18 health sector managers, using snowball sampling until theoretical saturation. The data were analyzed using thematic analysis, with three stages: open, axial, and selective coding. The analysis, conducted with Atlas.ti software, resulted in 118 initial codes, 75 sub-categories, and 6 main categories. In the quantitative phase, a researcher-developed 30-item questionnaire was designed based on the interview results and established human resource productivity models. The questionnaire covered demographic information, factors influencing productivity, challenges, opportunities, and performance evaluation. Content validity was assessed by experts, and construct validity was confirmed through exploratory factor analysis (EFA). Reliability was confirmed with Cronbach’s alpha (0.87), indicating satisfactory reliability. The study’s statistical population included managers from the Ministry of Health and its affiliated universities. Using Cochran’s formula, the sample size was 296 participants, and data were collected via simple random sampling. Quantitative data were analyzed using descriptive statistics and structural equation modeling. The results showed that factors such as performance evaluation, job satisfaction, competencies, and work environment affect human resource productivity. Challenges like resource shortages and opportunities such as training and development were identified as significant factors.

Highlights

  • Causal conditions
  • The main phenomenon
  • Governing platform
  • Intervening conditions
  • Strategi

Keywords
Subjects

Copyright © Rouhollah Khaledi, Seyed Abdollah Heydariyeh, Hadi Hematian

 

License

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Abah, V. O. (2022). Poor health care access in Nigeria: A function of fundamental misconceptions and misconstruction of the health system. In Healthcare access: New threats, new approaches (pp. 1–17). IntechOpen. https://doi.org/10.5772/intechopen.108530
Adamopoulos, I. P., & Syrou, N. F. (2022). Associations and correlations of job stress, job satisfaction and burn out in public health sector. European Journal of Environment and Public Health, 6(2), em0113. https://doi.org/10.21601/ejeph/12166
Aguinis, H., & Burgi-Tian, J. (2021). Measuring performance during crises and beyond: The Performance Promoter Score. Business Horizons, 64(1), 149–160. https://doi.org/10.1016/j.bushor.2020.09.001
Agustina, R., Yusuf, M., Sutiyan, O. S. J., Ardianto, R., & Norvadewi, N. (2024). Employee performance mediated quality of work life relationship satisfaction on the job and organizational commitment. Jurnal Darma Agung, 30(2), 589–605. http://dx.doi.org/10.46930/ojsuda.v30i2.2278
Ahmad, U., Khan, F. U., & Kanwal, H. (2024). Efficiency and productivity of public hospitals in Pakistan. Annals of Human and Social Sciences, 5(2), 541–554. https://doi.org/10.35484/ahss.2024(5-II)50
Al Subhi, M. (2022). Technical efficiency, productivity, and determinants of technical inefficiency of local hospitals in Oman: Using data envelopment analysis. Innovation Journal of Social Sciences and Economic Review, 4(1), 10–17. https://doi.org/10.36923/ijsser.v4i1.143
Almanasreh, E., Moles, R., & Chen, T. F. (2019). Evaluation of methods used for estimating content validity. Research in Social and Administrative Pharmacy, 15(2), 214–221. https://doi.org/10.1016/j.sapharm.2018.03.066
AlOmari, F. (2022). The mediating role of hospital image: The impact of care cost and service quality on patient satisfaction. Journal of Innovation in Business and Economics, 6(1), 1–16. https://doi.org/10.22219/jibe.v6i01.18475
Amraei, M., Valizadi, H., Haghighizadeh, M. H., & Faraji-Khiavi, F. (2022). The relationship between managers’ communication skills and organizational performance of nurses in educational hospitals. Depiction of Health, 13(1), 83–96. https://doi.org/10.34172/doh.2022.07
Anwar, G., & Abdullah, N. N. (2021). The impact of human resource management practice on organizational performance. International Journal of Engineering, Business and Management, 5(1), 35–47. https://doi.org/10.22161/ijebm.5.1.4
Armstrong, M., & Taylor, S. (2023). Armstrong’s handbook of human resource management practice: A guide to the theory and practice of people management (16th ed.). Kogan Page Publishers.
Baharin, R., Syah Aji, R. H., Yussof, I., & Mohd Saukani, N. (2020). Impact of human resource investment on labor productivity in Indonesia. Interdisciplinary Journal of Management Studies, 13(1), 139–164. https://doi.org/10.22059/ijms.2019.280284.673616
Bakker, A. B., & Demerouti, E. (2017). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273–285. https://doi.org/10.1037/ocp0000056
Barcan, M. (2019). Study on human resources management systems in health organizations at global level. Revista Tinerilor Economişti, (33), 32–41.
Bryan, G., & Morten, M. (2019). The aggregate productivity effects of internal migration: Evidence from Indonesia. Journal of Political Economy127(5), 2229-2268. https://doi.org/10.1086/701810
Boxall, P., & Purcell, J. (2022). Human resource management and job quality. In J. Heyes & A. Hodder (Eds.), The Oxford handbook of job quality (pp. 542–561). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780198749790.013.24
Burhan Ismael, N., Jabbar Othman, B., Gardi, B., Abdalla Hamza, P., Sorguli, S., Mahmood Aziz, H., Ahmed, S. A., Sabir, B. Y., Ali, B. J., & Anwar, G. (2021). The role of training and development on organizational effectiveness. International Journal of Engineering, Business and Management, 5(3), 15–24. https://doi.org/10.22161/ijebm.5.3.3
Calabrese, J. M., & Rawal, K. (2023). Demographics and oral health care utilization for older adults. Clinics in Geriatric Medicine, 39(2), 191–205. https://doi.org/10.1016/j.cger.2023.01.003
Corbin, J., & Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory (4th ed.). Sage Publications.
Dargahi, H., Biglar, M., & Mahdi, M. (2022). Association of talent management on employees’ empowerment and human resource productivity in Tehran University of Medical Sciences. Payesh (Health Monitor), 21(3), 255–272. https://doi.org/10.52547/payesh.21.3.255
Delbari, S., Rajaeipour, S., & Abedini, Y. (2020). Identification of key factors in the productivity of university staff members: An analysis of the situation in the University of Qom. Journal of Research in Human Resources Management, 12(1), 137–164. https://dor.isc.ac/dor/20.1001.1.82548002.1399.12.1.5.2
Fusi, F., Zhang, F., & Welch, E. W. (2023). Intra-organizational communication in public agencies: The effects of contracting out core services. American Review of Public Administration, 53(5–6), 224–242. https://doi.org/10.1177/02750740231162346
Haghighatjoo, Z., & Naazem, F. (2007). Relationship between managers’ creativity and organizational health with employees’ efficiency in medical sciences universities of Iran. Health Information Management, 4(1), 143–150.
Hamed, S. A., Hussain, M. R. M., Jani, H. H. M., Sabri, S. S. S., & Rusli, N. (2023). The impacts of physical workplace environment (PWE) on employees’ productivity. International Journal of Business and Technology Management, 5(4), 369–376. https://doi.org/10.55057/ijbtm.2023.5.4.33
Jafari, A., & Memarzadeh Teheran, G. R. (2017). Determining the factors affecting the improvement of employee productivity in the health sector (Case study: Selected Tehran University of Medical Sciences). In First National Conference on Modern Management Studies in Iran, Karaj. (In Persian)
Junaid, S. B., Imam, A. A., Balogun, A. O., De Silva, L. C., Surakat, Y. A., Kumar, G., Abdulkarim, M., Shuaibu, A. N., Garba, A., Sahalu, Y., Mohammed, A., Mohammed, T. Y., Abdulkadir, R. A., & Mahamad, S. (2022). Recent advancements in emerging technologies for healthcare management systems: A survey. Healthcare, 10(10), 1940. https://doi.org/10.3390/healthcare10101940
Karimi, E., Davoudi, R., & Karamipour Shamsabadi, M. R. (2020). A model for improving human resource productivity to improve the public health goals of the Welfare Organization. Journal of Mashhad University of Medical Sciences, 62(Special Issue), 85–98. https://doi.org/10.22038/mjms.2020.16181 (In Persian)
Keshvari, M., Shirdel, A., Taheri Mirqaed, M., & Yousefi, A. (2018). Challenges of optimal human resource management in hospitals: A qualitative study. Qualitative Research in Health Sciences, 7(4), 349–360. (In Persian)
Kitsios, F., & Kamariotou, M. (2021). Job satisfaction behind motivation: An empirical study in public health workers. Heliyon, 7(4), e06857. https://doi.org/10.1016/j.heliyon.2021.e06857
Kulkov, I., Kulkova, J., Rohrbeck, R., Menvielle, L., Kaartemo, V., & Makkonen, H. (2024). Artificial intelligence-driven sustainable development: Examining organizational, technical, and processing approaches to achieving global goals. Sustainable Development, 32(3), 2253–2267. https://doi.org/10.1002/sd.2773
Kwarteng, S., Frimpong, S. O., Asare, R., & Wiredu, T. J. N. (2024). Effect of employee recognition, employee engagement on their productivity: The role of transformational leadership style at Ghana Health Service. Current Psychology, 43(6), 5502–5513. https://doi.org/10.1007/s12144-023-04708-9
Lee, D., & Yoon, S. N. (2021). Application of artificial intelligence-based technologies in the healthcare industry: Opportunities and challenges. International Journal of Environmental Research and Public Health, 18(1), 271. https://doi.org/10.3390/ijerph18010271
Leo, C. G., Sabina, S., Tumolo, M. R., Bodini, A., Ponzini, G., Sabato, E., & Mincarone, P. (2021). Burnout among healthcare workers in the COVID-19 era: A review of the existing literature. Frontiers in Public Health, 9, 750529. https://doi.org/10.3389/fpubh.2021.750529
Meshki Bajlan, M., Sattari, S., Soleimani, T., & Daryani, S. (2020). Factor identification and analysis of human resource productivity indicators in service organizations with emphasis on management and leadership factor (Case study: Ardebil Education Department staff). Journal of Human Capital Empowerment, 3(3), 159–173. (In Persian)
Morales-Huamán, H. I., Medina-Valderrama, C. J., Valencia-Arias, A., Vasquez-Coronado, M. H., Valencia, J., & Delgado-Caramutti, J. (2023). Organizational culture and teamwork: A bibliometric perspective on public and private organizations. Sustainability, 15(18), 13966. https://doi.org/10.3390/su151813966
Mulang, H. (2021). The effect of competences, work motivation, learning environment on human resource performance. Golden Ratio of Human Resource Management, 1(2), 84–93. https://doi.org/10.52970/grhrm.v1i2.52
Nasiripour, A. A., Raeisi, P., Tabibi, S. J., Mehrabian, F., & Farmanbar, R. A. (2010). Measurement of human resource productivity components. Journal of Guilan University of Medical Sciences, 19(74), 58–67. (In Persian)
Nyawira, L., Tsofa, B., Musiega, A., Munywoki, J., Njuguna, R. G., Hanson, K., Ochola, B., Molyneux, S., Maina, I., Mogoa, W., & Barasa, E. (2022). Management of human resources for health: Implications for health systems efficiency in Kenya. BMC Health Services Research, 22(1), 1046. https://doi.org/10.1186/s12913-022-08432-1
Pio, R. J. (2021). The mediation effect of quality of worklife and job satisfaction in the relationship between spiritual leadership to employee performance. International Journal of Law and Management, 64(1), 1–17. https://doi.org/10.1108/IJLMA-07-2018-0138
Rasanjali, W. A., Mendis, A. P. K. D., Perera, B. A. K. S., & Disaratna, V. (2024). Implementing enterprise resource planning for lean waste minimisation: Challenges and proposed strategies. Smart and Sustainable Built Environment, 13(2), 330–353. https://doi.org/10.1108/SASBE-04-2022-0068
Riyanto, S., Endri, E., & Herlisha, N. (2021). Effect of work motivation and job satisfaction on employee performance: Mediating role of employee engagement. Problems and Perspectives in Management, 19(3), 162–174. https://doi.org/10.21511/ppm.19(3).2021.14
Rosdi, I. S., Alias, M., & Ismail, N. (2020). What drives employee performance? Revisiting the human performance system model. Jurnal Pengurusan, 59, 129–138. https://doi.org/10.17576/pengurusan-2020-59-12
Samadzad, S., & Hashemi, M. (2021). Human resource productivity and work-life balance in learning organizations. International Journal of Innovation in Management, Economics and Social Sciences, 1(3), 32–45. https://doi.org/10.52547/ijimes.1.3.32
Sendawula, K., Nakyejwe Kimuli, S., Bananuka, J., & Najjemba Muganga, G. (2018). Training, employee engagement and employee performance: Evidence from Uganda’s health sector. Cogent Business & Management, 5(1), 1470891. https://doi.org/10.1080/23311975.2018.1470891
Setyawati, K., Ausat, A. M. A., Kristanti, D., Setiadi, B., & Astuti, E. D. (2023). The role of commitment, work ethos and competence on employee performance in Sharia commercial bank. JEMSI (Jurnal Ekonomi, Manajemen, dan Akuntansi), 9(2), 523–529. https://doi.org/10.35870/jemsi.v9i2.1080
Shaikh, F., Afshan, G., Anwar, R. S., Abbas, Z., & Chana, K. A. (2023). Analyzing the impact of artificial intelligence on employee productivity: The mediating effect of knowledge sharing and well-being. Asia Pacific Journal of Human Resources, 61(4), 794–820. https://doi.org/10.1111/1744-7941.12385
Somu, H., Halid, H., Nasurdin, A. M., Lim, Y. Y., & Tan, C. L. (2020). Human resource management practices (training and development, performance appraisal, and reward system) as latent predictors of job performance: A technology-based model development. In First ASEAN Business, Environment, and Technology Symposium (ABEATS 2019) (pp. 42–47). Atlantis Press. https://doi.org/10.2991/aebmr.k.200514.010
Soomro, B. A., Mangi, S., & Shah, N. (2021). Strategic factors and significance of organizational innovation and organizational learning in organizational performance. European Journal of Innovation Management, 24(2), 481–506. https://doi.org/10.1108/EJIM-05-2019-0114
Suhab, S. (2023). The importance of health quality as driving force of productivity to shape competitiveness. In Proceeding of International Conference on Innovations in Social Sciences Education and Engineering (Vol. 3, pp. 064–064).
Suntari, E., Haryantini, H., & Utomo, S. B. (2025). A comprehensive approach to analyzing work motivation to improve employee productivity at PT Bank DKI Jakarta. International Journal of Multidisciplinary Science, 4(1), 59–65. https://doi.org/10.56127/ijml.v4i1.1926
Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care: A strategic framework. Academic Medicine, 95(5), 682–685. https://doi.org/10.1097/ACM.0000000000003122
Torabipour, A., & Bahmani, T. (2018). Efficiency and productivity analysis of schools in Ahvaz University of Medical Sciences during 2011–2015. Journal of Medical Education Development, 11(31), 30–42. http://dx.doi.org/10.29252/edcj.11.31.30
Wang, W. T., & Wu, S. Y. (2021). Knowledge management based on information technology in response to COVID-19 crisis. Knowledge Management Research & Practice, 19(4), 468–474. https://doi.org/10.1080/14778238.2020.1860665
World Health Organization. (2022). Working for Health 2022–2030 Action Plan: Education and employment. World Health Organization.
World Health Organization. (2025). A global health strategy for 2025–2028: Advancing equity and resilience in a turbulent world: Fourteenth General Programme of Work. World Health Organization.
Yimam, M. H. (2022). Impact of training on employee performance: A case study of Bahir Dar University, Ethiopia. Cogent Education, 9(1), 2107301. https://doi.org/10.1080/2331186X.2022.2107301
Volume 5, Issue 2 - Serial Number 15
Serial No. 15, Summer Quarterly
Summer 2025
Pages 119-147

  • Receive Date 28 November 2024
  • Revise Date 08 February 2025
  • Accept Date 05 March 2025
  • First Publish Date 05 March 2025
  • Publish Date 23 August 2025