Strategies for Implementing the Health System and Its Impact on Employee Efficiency in the Ministry of Cooperatives, Labor and Social Welfare
Keywords:
organizational efficiency, organizational performance, Health system solutions, employee efficiencyAbstract
The purpose of this study was to identify and analyze strategies for implementing a health system and to examine its impact on employee efficiency in the Ministry of Cooperatives, Labor, and Social Welfare. This applied research adopted an exploratory-developmental design using a mixed-method approach. In the qualitative phase, grounded theory was employed to extract dimensions through semi-structured interviews with 10 academic and executive experts. In the quantitative phase, a descriptive–survey method was used, and data were collected via a researcher-made questionnaire distributed among 220 employees and managers. Validity and reliability were verified using confirmatory factor analysis, convergent and divergent validity, and Cronbach’s alpha. Data were analyzed using SPSS and PLS software through inferential tests such as t-tests, factor analysis, and the Goodness-of-Fit (GOF) index. The grounded model revealed three main layers: contexts, barriers, and strategies. Individual contexts included creativity, job satisfaction, and commitment, while organizational contexts encompassed institutional reputation, flexible work arrangements, and optimal power distribution. Individual barriers involved stress, psychological strain, and turnover intention; organizational barriers included inadequate equipment, weak structure, and lack of mental health protection. Key strategies emphasized continuous training, employee empowerment, fairness, and participatory management. The model showed a strong fit (GOF > 0.54), and all variables scored above the average with significant correlations among constructs (Sig < 0.05). Organizational and human health play a critical role in enhancing employee productivity. Implementing a robust health system through reinforcing individual and institutional capacities, eliminating psychological and structural barriers, and promoting education and fairness can substantially improve employee efficiency and organizational sustainability. Successful implementation depends on managerial support, integrated policies, and cultivating a health-oriented culture at all organizational levels.
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References
Al-Omari, P., & Abu-Shindi, Y. (2020). Organizational health of Jordanian and Omani public schools from teachers' viewpoints: A cross cultural study. Journal of Critical Reviews, 7(19). https://www.researchgate.net/profile/Yousef-Abu-Shindi/publication/344399755_
Alaei, F., Ahghar, G., & Fathi Vernosfaderani, L. (2024). Identification and Explanation of Organizational Health Dimensions and Components among Middle School Teachers in Tehran. iase-idje, 7(2), 36-42. https://doi.org/10.61838/kman.ijes.7.2.5
Alinassab, Z., Shafiee Zadeh, H., & Movahed, S. (2018). The role of social capital, organizational justice, and organizational citizenship behavior in predicting organizational health: Perspectives of nurses. Nursing Management, 7(2), 27-36. https://www.sid.ir/paper/239358/fa
Apipalakul, C., & Kummoon, D. (2017). The effects of organizational climate to conflict management amongst organizational health personnel. Social and Behavioral Sciences, 237, 1216-1222. https://doi.org/10.1016/j.sbspro.2017.02.192
Badi' Zadeh, A., & Rezai Far, G. (2015). A causal model of human resource productivity, job satisfaction, civic behavior, and organizational commitment in the water and wastewater industry (Case study: Water and Wastewater Company of Alborz Province). Management of Development and Transformation, 7(20), 67-73. https://www.sid.ir/fa/VEWSSID/J_pdf/6005913942006.pdf
Davidescu, A., Apostu, S., & Paul, A. (2020). Work flexibility, job satisfaction, and job performance among Romanian employees-implications for sustainable human resource management. Sustainability, 12(15), 60-86. https://www.mdpi.com/2071-1050/12/15/6086
Greve, A., & Benassi, M. (2020). Exploring the contributions of human and social capital to productivity. International Review of Sociology, 20(1), 35-58. https://doi.org/10.3390/su12156086
Guidetti, G., Converso, D., & Viotti, S. (2015). The school organizational health questionnaire: Contribution to the Italian validation. Social and Behavioral Sciences, 174, 3434-3440. https://doi.org/10.1016/j.sbspro.2015.01.1015
Hayran, O., Atac, O., & Ozer, O. (2019). Assessment of organizational health literacy in a group of public, private and university hospitals in Istanbul. Journal of Health Systems and Policies, 1. https://dergipark.org.tr/en/pub/jhesp/issue/39338/437459
Hemmati Noavdousti Gilan, M., & Zadeh, H. R. (2023). Explaining the role of perceived organizational health in the efficiency of employees at Gilan University of Medical Sciences.
Hosseini Darvinklai, S. Z. (2023). Identifying the dimensions of organizational health among employees in coastal cities of the Police Command in Mazandaran Province (Case study: Cities of Sari, Babolsar, Noor, Mahmoodabad, and Noshahr). Mazandaran Police Knowledge Quarterly, 14(52).
Judge, T. A., Piccolo, R. F., Podsakoff, N. P., Shaw, J. C., & Rich, B. L. (2021). The relationship between pay and job satisfaction: A meta-analysis of the literature. Journal of Vocational Behavior, 77(2), 157-167. https://doi.org/10.1016/j.jvb.2010.04.002
Lee, J., Chen, C., & Xie, S. (2014). The influence of school organizational health and occupational burnout on self-perceived health status of primary school teachers. Social and Behavioral Sciences, 116, 985-989. https://doi.org/10.1016/j.sbspro.2014.01.332
Lynde, J. A., & Klingle, W. (2000). Supervising organizational health. Supervision Journal, 27, 3-5.
Matha, K. (2018). Examination of the relationships between motivational traits and counterproductive work behaviors The Department of Psychology, A Thesis Submitted to the Graduate Faculty of the Louisiana State University and Agricultural and Mechanical College in partial fulfillment of the requirements for the degree of Master of Arts]. https://search.proquest.com/openview/7d1381f5c88e5ba93eea7678ce02f00c/1?pq-origsite=gscholar&cbl=18750&diss=y
Mohajeran, B., Ghaleh Aei, A., Ashrafi Salim Kandi, F., & Darvishi, Z. a.-A. (2018). Investigating the relationship between social capital and organizational health with the mediating role of organizational self-esteem. Applied Sociology (Research Journal of Humanities, Isfahan University), 29(4), 39-57. https://www.sid.ir/paper/154983/fa
Tootian Isfahani, S., Mehrara, A., & Saberi Badr, A. (2018). Examining the impact of organizational memory on the agility of human resources considering the role of demographic variables in the Transportation Department of Tehran Municipality. Social Sciences, 12(43), 101-132. https://journals.iau.ir/article_540883.html
Torabian Badi, G., Soltani, I., & Davazdeh Emami, H. (2023). An Organizational Health Model Based on Trust in the Iranian Aviation Industry. Quarterly Journal of Social Studies in Tourism, 11(11), 209-232. https://doi.org/10.61186/journalitor.37481.11.23.209
Wang, S., & Zhang, H. (2025). Enhancing SMEs sustainable innovation and performance through digital transformation: Insights from strategic technology, organizational dynamics, and environmental adaptation. Socio-Economic Planning Sciences, 98, 102124. https://doi.org/10.1016/j.seps.2024.102124
Wang, Y., & Wang, Y. (2024, November 17-19, 2023). The Impact of Transformational Leadership on Organizational Health Based on Structural Equation Modeling. In Proceedings of the 5th International Conference on Economic Management and Model Engineering, ICEMME 2023, https://doi.org/10.4108/eai.17-11-2023.2342734
Zafar, H., Cheah, J. H., Ho, J. A., Suseno, Y., & Tian, F. (2025). How green servant leadership influences organizational green performance? The roles of employee green creativity, voluntary pro-environmental behavior and green psychological climate. Personnel Review, 54(4), 971-995. https://doi.org/10.1108/PR-10-2023-0843
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