The document discusses the major stakeholders in the healthcare delivery system. It identifies three types of stakeholders: external stakeholders like suppliers and competitors, interface stakeholders like medical staff and boards of trustees, and internal stakeholders like management and staff. It also outlines steps for managing stakeholders, which include identifying relevant stakeholders, diagnosing their relationships, formulating strategies, collaborating, implementing strategies, and evaluating outcomes. Key strategies include collaborating cautiously with mixed stakeholders, involving trustingly with supportive ones, and defending proactively against non-supportive stakeholders.

1. MAJOR STAKEHOLDERS IN
HEALTHCARE DELIVERY SYSTEM
Mr. Veereshkumar Topalakatti M.Sc (N), Pursuing Ph.D (N)

2. Introduction
 The health care system intends to provide
services and resources for better health.
 This system includes hospitals, clinics, health
centres, nursing homes and special health
programs in schools, industries and community.
 Health system operates in the context of
socioeconomic and political framework of the
country.
 Stakeholders encompass a wide sector of
society; they include consumer or patients.
KLE’s Institute of Nursing Sciences, Hubli

3. Meaning
 A stakeholder is a person, group, organization
or system who affects and can be affected by an
organizational action.
 A stakeholder is a party that has an interest in a
company and can either affect or be affected by
the business. (Investopedia)
 In a corporation, a stakeholder is a member of
"groups without whose support the organization
would cease to exist“ (Stanford Research
Institute)
KLE’s Institute of Nursing Sciences, Hubli

4. Classification
 Depending on their source of origin and site of
operations, stakeholders may be classified into
the following classifications –
1. External Stakeholders
2. Interface Stakeholders
3. Internal Stakeholders
KLE’s Institute of Nursing Sciences, Hubli

5. External Stakeholders
 A health care organization must respond to
large number of external stakeholders. They
fall into three categories in their relationships
with the organization.
a. Those that provide inputs to organization.
b. Those that compete with it.
c. Those that have particular special interest
in how the organization functions.
KLE’s Institute of Nursing Sciences, Hubli

6. Interface Stakeholders
 Some stakeholders function on the interface
between the organization and its environment.
 The major categories of interface stakeholders
include
 Medical staff
 Hospital
 Board of Trusties.
 The organization must provide sufficient
inducements so that these groups of stakeholders
continue to make appropriate contribution.
KLE’s Institute of Nursing Sciences, Hubli

7. Internal Stakeholders
 These stakeholders exist almost entirely within
the organization and typically include
 Management
 Professional
 Nonprofessional staff.
 Management attempts to provide internal
stakeholders and sufficient inducements to
gain continual contribution from them.
KLE’s Institute of Nursing Sciences, Hubli

8. Steps in Management of Stakeholders
 The sequential steps to be followed for
management of stakeholders are as follows:
1. Identify all relevant stakeholders.
2. Diagnose each stakeholder in terms of
potential.
3. Formulate generic strategies.
4. Collaborate.
5. Implement these generic strategies.
6. Evaluate the managerial implications.
KLE’s Institute of Nursing Sciences, Hubli

9.  The two vital steps for diagnosis of key
stakeholder relationship are as follows:
1. Stakeholder potential for threat.
2. Stakeholder’s potential for cooperation.
Stakeholder Relationships
KLE’s Institute of Nursing Sciences, Hubli

10.  Type I: The mixed blessing stakeholder
relationship
 Type II: The supportive stakeholder relationship
 Type III: The non supportive stakeholder
relationship
 Type IV: The marginal stakeholder relationship
Types of Stakeholder Relationships
KLE’s Institute of Nursing Sciences, Hubli

11. Generic Strategies for Stakeholder
Relationship Management
 Strategy 1: Collaborate cautiously in the mixed blessing relationship
 Strategy 2: Involve trustingly in the supportive relationship
 Strategy 3: Defend proactively in the non-supportive relationship
 Strategy 4: Monitor efficiently in the marginal relationship
 Strategy 5: Strategy implementation and outcome
KLE’s Institute of Nursing Sciences, Hubli

12. Conclusion
 Stakeholders in health care system
encompass a wide variety; they can be
governmental, non-governmental or other
professionals which affect the system directly
or indirectly. There should be proper planning
and implementation of services according to
needs.
KLE’s Institute of Nursing Sciences, Hubli