Document Type : Original Article(s)


1 Department of Public Management, School of Management, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

2 Assistant Professor, School of Management, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran


BACKGROUND: The issue of academic autonomy along with the reduced authority of the government for handling the service-providing section is considered an urgent demand for most of the organizations including hospitals.METHODS: The method of research was a combination of quantitative and qualitative methods from sequential exploratory studies type. In qualitative part, descriptive-phenomenological method using seven-step Colaizzi method and in quantitative part, survey method was used. Statistical population of research of the first part included key experts of the academic autonomy field who were selected purposefully and based on the criterion. With 8 persons, data were saturated. Data collection tool of this part was semi-structured and deep interview. Validation of data was performed by outsider auditors as well as through returning to the interviewees. In quantitative part, a 60-question questionnaire made by the authors was used for data collection which was distributed among officials including hospital managers and key stakeholders of the academic autonomy process in a heart hospital who were 98 persons. Superficial and content validity of the questionnaire was estimated as much as 0.70 for all items. Modeling analysis in inferential level was done through Akaike scale regression.RESULTS: Academic autonomy is in three dimensions: economic, scientific, and organizational and inter-organizational, intra-organizational, and extra-organizational factors contribute to it from which scientific autonomy is more important compared to other factors. Moreover, intra-organizational factors have more contribution to the academic autonomy of these centers.CONCLUSION: The results of this study will be a good guide for academic autonomy of medical centers. In order to achieve academic autonomy, it is more important to pay attention to factors such as autonomy culture capacity, independent signing treaties and international documents, and science-centered society.


  1. Olsen JP. Democratic government, institutional autonomy and the dynamics of change. West European Politics 2009; 32(3): 439-65.
  2. Karimian Z, Kojouri J, Lotfi F, Amini M. Higher education administration and accountability; the necessity of autonomy and academic freedom from faculties' viewpoint. Iran J Med Educ 2012; 11(8): 855-63. [In Persian].
  3. Ferdosi M, Saberi Nia A, Mahmoudi Meymand F, Nezamdoust F, Shojaei L. The responsiveness of board of trustees hospitals according to the world bank's organizational reform model In Isfahan. Payavard Salamat 2013; 7(3): 228-38. [In Persian].
  4. Jafari M. Autonomy levels and patterns of institutional reform in general hospitals and teaching [Thesis]. Tehran, Iran: Tehran University of Medical Sciences; 2008. [In Persian].
  5. Preker AS, Harding A. Innovations in health service delivery: The corporatization of public hospitals. Washington, DC: World Bank Publications; 2003.
  6. Manavi S, Babashahy S, Sari A. Extra Cost of Granting Autonomy to Public Hospitals. J Isfahan Med Sch 2012; 29(170). [In Persian].
  7. Khim K, Annear PL. Strengthening district health service management and delivery through internal contracting: lessons from pilot projects in Cambodia. Soc Sci Med 2013; 96: 241-9.
  8. London JD. The promises and perils of hospital autonomy: Reform by decree in Viet Nam. Soc Sci Med 2013; 96: 232-40.
  9. Lincoln YS, Guba EG. Naturalistic inquiry. Thousand Oaks, CA: SAGE; 1985.
  10. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, Editors. Existential-phenomenological alternatives for psychology. Oxford, UK: Oxford University Press; 1978. p. 48-71.
  11. Hawkins L. Devolution of health centers and hospital autonomy in Thailand: A Rapid Assessment. Washington, DC: World Bank; 2009.
  12. Jafari Sirizi M, Rashidian A, Abolhasani F, Mohammad K, Parkerton P, Yazdani SH. Qualitative assessment of dimensions and degree of autonomy granting to university hospitals. Hakim Res J 2008; 11(2): 59-71. [In Persian].