This document discusses major stakeholders in the healthcare system. It defines stakeholders as persons or groups affected by or able to affect organizational actions. There are various types of stakeholders including external (vendors, government), internal (employees, managers), and interface stakeholders. In healthcare, key stakeholders are governmental bodies at central/state/district levels, the public as patients/consumers, healthcare providers like community centers and hospitals, and non-governmental organizations. The document outlines strategies for managing relationships with different stakeholders like collaboration, defense, or monitoring depending on their potential for threat or cooperation.

1. GUJARAT INSTITUTE OF
EDUCATION AND
RESEARCH,AHMEDABAD.
MAJOR STAKE HOLDERS IN HEALTH CARE SYSTEM
PREPARED BY;
MS. Stephy Christian
F.Y. M.Sc. NURSING STUDENT
ROLL NO:20
GINERA

2. DEFINITION
Stakeholder is a person, group, organization or
system, who affect and can be affected by an
organizational action.
OR
Stakeholder is a person or group who have
vested interest in the clinical decision and the
evidence that supports that decision.
•

3. TYPES OF
STAKEHOLDER
EXTERNAL STAKE
HOLDER
INTERNAL
STAKEHOLDER
INTERFACE
STAKEHOLDER

4. EXTERNAL STAKEHOLDER: THEY
RESPOND TO LARGE NUMBER OF
EXTERNAL STAKEHOLDERS. THEY ARE
OF THREE TYPES.

5. vendors
consultants
Government
regulators
associations
Trade
unions
STAKES
HOLDERS

6. THERE ARE THREE TYPES OF EXTERNAL
STAKE HOLDER
THOSE THAT PROVIDE INPUTS TO
ORGANIZATION:
• The relationship between the organizational and these external
stake holders are a symbolic one , as an organization depends
on them for its survival.
•There is a mutual understanding between organization
and stakeholder.

7. THOSE THAT COMPETE WITH
ORGANIZATION
 The competitor may be direct competitor for
patients or competing personnel.
Competitor does not need one another to survive

8. THOSE THAT HAVE PARTICULAR SPECIAL
INTEREST
a)These are the government regulatory agencies
b)private accrediting associations
c)professional associations
d)labor unions
e)The media
f)Political action group .

9. INTERFACE STAKEHOLDER:
some stake holders function on the interface
between the organization and its environment.

10. INTERNAL STAKEHOLDER
Internal stakeholders are almost entirely within the
organization and typically include management,
professional and non-professional staff.

11. EMPLOYEES
MANAGERS
OWNERS
INTERNAL STAKE HOLDER

12. ACCORDING TO AVAILABILITY IN AN
ORGANIZATION THERE ARE TWO TYPES OF
STAKEHOLDERS
•PRIMARY STAKEHOLDERS: the primary stakeholders
are engaged to economic transactions with the business.
•SECONDARY STAKEHOLDERS: the secondary
stakeholders are the one who although do not engage in
direct economic exchange business.

13. ACCORDING TO INVOLVEMENT IN AN
ORGANIZATION THERE ARE TWO TYPES OF
STAKEHOLDERS:
People who will be affected by an enterprise and can
influence but who are not directly involved with doing
the work.

14. TYPES OF STAKEHOLDERS IN HEALTH
CARE SYSTEM:
GOVERNMENTAL
PUBLIC
PROVIDERS
HOPSITALADMINISTRATORS AND GOVERNING BOARD
NON-GOVERNMENTAL

15. GOVERNMENTAL
AT CENTRAL LEVEL:
• ENSURING HIGH LEVEL OF EXECUTIVE MANAGEMENT
PERFORMANCE.
• ENSURING QUALITY OF PATIENT -CARE.
• ENSURING FINANCIAL HEALTH OF THE
ORGANIZATION.

16. • ASSUMING RESPONSIBILITY FOR ITSELF.
• FORMULATING POLICY TO GUIDE DECISION
MAKING AND ACTION.
• MAKING DECISION EITHER BY RETAINING
AUTHORITY WITH RESPECT TO ITS AUTHORITY TO
OTHERS.
• PERFORMING OVERSIGHT BY MONITORING
DECISION AND ACTION TO MAKE SURE THEY ARE IN
COMPLIANCE WITH POLICIES.

17. AT STATE LEVEL:
THE FUNCTIONS ARE:
• INTEGRATING HEALTHCARE SERVICES.
• DURING INTEGRATION THE STATE LEVEL
ADMINISTRATION MAY HAVE OVERCOME MANY
BARRIERS IN INTEGRATION OF HEALTH SERVICES
• AVAILABILITY OF MEDICAL FACILITIES.
• PLAN HEALTH PROGRAMS AND DRAWING POLICES IN
PROVIDING HEALTH CARE.
• PROVISION OF MEDICINES.

18. AT DISTRICT LEVEL:
•The district level stakeholders in healthcare delivery
system are deputy commissioner, MLAs of the area,
civil surgeon, senior medical officers and district
public health nurse.

19. PUBLIC
The public has a stake in health care from several perspectives.
As consumers of health care services or as patients, the public is
concerned with quality, cost and assess to care.
People expect an employer to offer a wide variety of options for
health coverage that can be customized to their specific needs.
They also look for the employs to fund the majority of cost of
health insurance.

20. PROVIDER
Community health care professional
Hospital health centers

21. COMMUNITY HEALTH CARE
PROFESSIONAL
• NURSES
• HEALTH WORKERS
• DAIS
• DOCTORS OF THE COMMUNITY HEALTH CENTER
• VOLUNTARY HEALTH WORKERS ETC.

22. HOSPITAL HEALTH CENTERS
• PHYSICIANS
• NURSES
• PHARMACIST

23. HOSPITALADMINISTRATORS AND
GOVERNING BOARD
• THE CHIEF EXECUTIVE, CHIEF FINANCIAL OFFICER,
CHIEF NURSING OFFICER, AND GOVERNING BOARD
OF HOSPITALS STRONGLY INFLUENCE HEALTH CARE
DELIVERY IN THEIR INSTITUTIONS.

24. NON-GOVERNMENTAL
The voluntary agencies occupy an important place in
community health care system.
These organizations directly or indirectly act as stakeholder.
These organizations are administered by autonomous
boards which hold meetings, collect funds from private
sources and spend money for providing health services and
health education to individual, family and Community.

25. There are many NGO’S in India which serves
to society. Some of these organizations are
given below:
 Indian Red Cross Society
 Hindu Kusht Nivaran Sangh
 Indian Council for Child Welfare
 Tuberculosis Association of India
 Bharat Sevak Samaj

26.  The Kasturba Memorial Fund
 All India Women Conference
 The All-India Blind Relief Society
 Professional Bodies

27. TYPES OF STAKEHOLDERS
RELATIONSHIP:
MIXED BLESSING
STAKEHOLDER
RELATIONSHIP
NON-SUPPORTIVE
STAKEHOLDER
RELATIONSHIP
MARGINAL
STAKEHOLDER
RELATIONSHIP
SUPPORTIVE
STAKEHOLDER
RELATIONSHIP

28. STEPS IN THE MANAGEMENT OF
STAKEHOLDER:
STEPS
DIAGNOSE
EACH
STAKEHOLDER CLASSIFY
EACH
STAKEHOLEDE
R
RELATIONSHIP
FORMULATE
GENERIC
STRATEGIES
IMPLEMENT
STARTEGIES
FOR EACH
STAKEHOLDER
EVALAUTE THE
EFFECTIVENESS
OF
STRATEGIES
IDENTIFY TYPE
OF STAKE
HOLDER

29. IDENTIFY TYPE OF STAKEHOLDER:
• Identify the major stakeholder and recognizes
the function depicted to them.

30. DIAGNOSE EACH STAKEHOLDER
RELATIONSHIP:
I.STAKEHOLDER POTENTIAL FOR THREAT
II. STAKEHOLDER POTENTIAL FOR CO-
OPERATION

31. CLASSIFY EACH STAKEHOLDER
RELATIONSHIP:
• MIXED BLESSING STAKEHOLDER RELATIONSHIP.
• SUPPORTIVE STAKEHOLDER RELATIONSHIP.
• NON-SUPPORTIVE STAKEHOLDER RELATIONSHIP.
• MARGINAL STAKEHOLDER RELATIONSHIP.

32. FORMULATE THE STRATEGIES TO REDUCE STAKEHOLDER’S
POTENTIAL TO THREAT:
Collaborate cautiously in the mixed blessing
relationship:
The best way to manage the mixed blessing relationship,
high on the dimensions of both potential threat & potential
co-operation may be cautious collaboration.

33. DEFEND PRO-ACTIVELY IN THE NON-SUPPORTIVE
RELATIONSHIP:
• IN STAKEHOLDER TERMS, A DEFENSIVE STRATEGY
INVOLVES PROACTIVELY PREVENTING THE
STAKEHOLDER FROM IMPOSING COST OR OTHER
DISINCENTIVES ON THE ORGANIZATION.

34. MONITOR EFFICIENTLY IN MARGINAL
RELATIONSHIPS:
 MONITORING HELPS TO MANAGE THIS MARGINAL
RELATIONSHIP IN WHICH THE POTENTIAL FOR
BOTH THREAT AND CO-OPERATION IS LOW.

35. IMPLEMENTATION OF STRATEGIES AND
EVALUATION
•The fifth step of management of stakeholder
relationship is implementation of planned and
articulated strategies.

36. •Thank you !