The strategy process is very important for any type of organization, be it private or public.
Furthermore, the strategy process makes organizations competitive and even sustainable if managed
effectively. Within this process, it has always been argued that the implementation of strategies is
considered somewhat difficult when planning these strategies. Most research on strategy implementation
have provided extensive results regarding the factors that can hinder strategy implementation from a
quantitative perspective. In this study, we shed light on the top management perspective by gaining an indepth
understanding of why such factors cannot be overcome and what results in the planned strategy not
being implemented from their daily work experience. We gathered data from a single case study that
included 15 interviews with the top management team in one public sector organization in Kuwait. Our
findings revealed that although some hinderances to the strategy implementation are already known to
decision makers, in practice resolving and overcoming these factors requires considerable effort sue to the
need to align similar mindsets and teamwork spirit. Our exploration represents a vital contribution to a
description of the obstacles to strategy implementation from a qualitative perspective. Furthermore, the
study provides some suggestions and recommendations by which decision makers might better achieve
strategy implementation.
Keywords: strategy, strategy implementation, strategy implementation process, top managers, Kuwait
City hospitals are new trends in especially growing economies. Although the main idea of
collecting all health services and branches within a complex structure seems to be logical, there have been
some negative applications and criticisms on city hospitals. Since health is a global public good, it was
aimed in the research to evaluate city hospitals and their advantages and disadvantages based on hospital
managers and health professionals. In the research, a semi-conducted interview was applied to 20 health
managers. Results of the study showed that city hospitals are good solution for interdisciplinary bounding of
health services within a city or a territory. On the other hand, past experiments and current public
opportunities such as transportation, accommodations show that it is not useful to collect all health service
labor and opportunities in a one center. In addition, managers attempted to the research stated that
centralization of health services may cause difficulties in management functions.
Keywords: City hospitals, health, public health.