Structural and Cultural Differences in the Implementation of Succession Planning Systems: A Comparative Case Study of Public and Private Hospitals in Kerman City
Keywords:
Succession planning, public and private hospitals, structural differences, cultural differences, structural equation modeling, fuzzy DEMATELAbstract
The objective of this study was to examine the structural and cultural differences influencing succession planning implementation and to conduct a comparative analysis of succession planning systems in public and private hospitals in Kerman city. This study employed a sequential exploratory mixed-methods design within a pragmatist research paradigm. In the qualitative phase, data were collected through 20 semi-structured interviews with academic experts, hospital managers, and human resource professionals, and analyzed using qualitative content analysis. In the quantitative phase, a researcher-developed questionnaire based on qualitative findings was administered to 237 managers and key personnel from public and private hospitals in Kerman city. Data were analyzed using exploratory factor analysis, confirmatory factor analysis, structural equation modeling, and analysis of variance with SPSS, LISREL, and SmartPLS software. Factor analysis results identified five significant components of succession planning implementation: organizational structure, organizational culture, managerial support, performance evaluation system, and talent development, all with significant factor loadings and acceptable model fit indices. Structural equation modeling results indicated that organizational structure had the strongest positive and significant effect on succession planning implementation (β=0.42, t>1.96), followed by organizational culture (β=0.39), managerial support (β=0.36), performance evaluation system (β=0.31), and talent development (β=0.29). Analysis of variance results revealed statistically significant differences between public and private hospitals across all succession planning components (p<0.05), with private hospitals demonstrating more favorable succession planning conditions. The findings indicate that successful succession planning implementation requires flexible organizational structures, supportive organizational cultures, effective performance evaluation systems, and strong managerial commitment, and structural and cultural differences between public and private hospitals play a critical role in determining succession planning effectiveness.
Downloads
References
Akbari, F., Timuranjad, K., & Khairandish, M. (2024). Presenting the organizational learning model based on succession in government organizations (case study: education in Qazvin province). International Conference on Management in the 21st Century, Tehran.
Al Hajri, A. K. (2024). Succession planning and leadership development in nursing: A bibliometric analysis (2000-2023). Nursing Research and Practice, 2024(1), 6191008. https://doi.org/10.1155/2024/6191008
Arash, M. (2024). Designing a Human Capital Development Model Based on a Succession Planning Approach for Nurses. Iranian Journal of Medical Education, 24(6), 51-62. https://ijme.mui.ac.ir/browse.php?a_id=5740&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1
Johan, A., Sriwardani, S., & Oktavian, R. F. (2024). Exploring Succession in Small Business Growth in Bandung: Mediating Role of Strategic Change. Jurnal Siasat Bisnis, 209-224. https://doi.org/10.20885/jsb.vol28.iss2.art5
Kamali, A., Hosseini, S. M., Alimohammadzadeh, K., & Khamseh, A. H. S. (2024). Talent identification and succession planning strategies for the appointment of nursing unit managers: A systematic review. Journal of education and health promotion, 13(1), 485-498. https://doi.org/10.4103/jehp.jehp_2087_23
Kanu, A. (2025). Health Sector Succession Planning and Management Practices in Sierra Leone: A Situation Analysis to Inform Health System Strengthening. International Journal of Leadership and Governance, 5(4), 40-62. https://doi.org/10.47604/ijlg.3501
Kanu, A. (2025). Leadership Transition in the Sierra Leone Public Health Sector: Is It Succession or Supercession? Journal of Human Resource and Leadership, 10(3), 26-42. https://doi.org/10.47604/jhrl.3544
Keikha, M. A., & Keikha, H. (2024). Investigating the Model and Challenges of Succession Planning in Government Offices. The Third International Conference on Political Science, Management, Economics, and Accounting, Hamedan.
Mahat, R. (2025). Advancing women in government roles: Succession planning models. Government Leadership Journal, 29(1), 45-59.
Maleki, M., Mehrban Pour, M. R., & Haidarpour, F. (2025). Presenting a Succession Model in Audit Firms in Iran. Quarterly Journal of Financial Economics, 72(19), 94-69. https://www.magiran.com/paper/2936012/
Mark, L., Simiyu, A. N., & Omondi, M. (2025). Relationship Between Individualized Consideration and Succession Management of Employees in the Public Sector in Kenya. African Journal of Empirical Research, 6(1), 463-473. https://doi.org/10.51867/ajernet.6.1.39
Muadınohamba, J. L., & Maseke, B. F. (2024). A Framework for Ensuring Effective Executive Succession in Namibian Commercial Public Enterprises. Trends in Business and Economics, 38(1), 56-67. https://doi.org/10.5152/TBE.2024.23190
Musale, M. (2025). The Importance of Succession Planning in Talent Retention: Developing Future Leaders Within the Organization. International Journal on Research and Development-A Management Review, 14(1), 181-184. https://doi.org/10.65521/ijrdmr.v14i1.311
Prix, S. D. A. S. (2024). Strategies Leaders of Small Businesses Use to Develop and Implement Succession Plans Walden University]. https://scholarworks.waldenu.edu/dissertations/15402/
Sadeghi, F., Daneshfard, K., Kheirandish, M., & Pilevari, N. (2023). A Succession Planning Model Centered on Organizational Sustainability. Journal of Quantitative Studies in Management, 14(3), 78-100. https://sanad.iau.ir/Journal/qrm/Article/935053
Sadeghi, F., Danshafard, K., Kheirandish, M., & Pilevari, N. (2024). Identification and ranking of succession management categories based on the second step statement of the Islamic Revolution: A case study of the national statistical system. Islam and Management Biannual, 11(20), 22-38. https://doi.org/10.1234/ismm.1403.11.20.22
Sadighi Avansar, S. (2023). Examining the relationship between work ethic, learning, and succession planning with job stress and organizational commitment among employees. Proceedings of the 5th National Conference and 2nd International Conference on New Management Patterns in Unstable Conditions,
Shahabi, M. (2024). Presenting a Succession Management Model in Public Organizations Using Thematic Analysis. Journal of New Research Approaches in Management and Accounting, 8(30), 79-97. https://majournal.ir/index.php/ma/article/view/2784
Shahabi, M. (2024). Presenting a Succession Planning Model in Governmental Organizations Using Thematic Analysis. Scientific Journal of Novel Research Approaches in Management and Accounting, 8(30), 79-97. https://majournal.ir/index.php/ma/article/view/2784
Simkhada, A. (2023). Impact of succession planning practices on the profitability of Nepalese commercial banks. International Journal of Emerging Trends in Social Sciences, 14(1), 1-11. https://doi.org/10.55217/103.v14i1.595
Taleghani, M., Alizadeh, E., Peikarnegar, A. H., & Mehdizade, M. (2023). Designing a Comprehensive Model of Succession in the Country’s Management System with a Meta-Synthesis Approach. Journal of Human Capital Empowerment, 6(1). www.magiran.com/p2628132
Villalpando, D., Campbell, R. J., & Pérez-Nordtvedt, L. (2025). The Time to Succeed: CEO Appointment Phase Entrainment and Post-Succession Firm Operational Performance. SAGE Journals. https://doi.org/10.1177/01492063241311853
Wang, L., & Zhang, H. (2023). Overcoming barriers in succession planning: A qualitative study in Asian organizations. Asia Pacific Journal of Management, 40(1), 97-118.
Yudianto, K., Sekawarna, N., Susilaningsih, F. S., Ramoo, V., & Somantri, I. (2023). Succession planning leadership model for nurse managers in hospitals: A narrative review. Healthcare, 11(4), 454. https://doi.org/10.3390/healthcare11040454
Zafar, A., Hussain, M., & Mir, S. R. (2025). Exploring The Impact Of Succession Planning On Digital Marketing Innovation: The Mediating Role of Marketing Adaptability. Management Studies, 5(1), 76-86. https://pmanagementstudies.com/poms/index.php/poms/article/view/51