Toma de decisiones estratégicas en organizaciones de salud. Una revisión de la literatura

Introduction. “Strategic decision-making is a vital process within organizations because of the multiple variables involved, the resources concerned and the impact on the medium and long term” (1). Objective. To identify the factors influencing the strategic decision-making process in health sector organizations. Materials and methods. A systematic review of the studies in the integrated search system and in the electronic databases (Pubmed, EMBASE, ScienceDirect, and Google Scholar) was done. The search was performed for empirical articles published in the last 10 years, without language restriction, and with full-text availability. Results. We included 14 articles analyzing variables related to decision-makers, organizational, and external environmental factors. No study included the influence of the specific factors of the decision within its analysis. Conclusions. There are different contextual factors that influence the strategic decision-making process in health organizations. However, there are few studies that allow us to establish a global framework to integrate the different perspectives.