الگوی عوامل مؤثر بر زنجیره تأمین خدمات بیمارستانی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری رشته مدیریت خدمات بهداشتی ودرمانی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران

2 دانشیار گروه مدیریت خدمات بهداشتی درمانی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران

3 دانشیارمرکز تحقیقات مدیریت سلامت، دانشگاه علوم پزشکی بقیه الله، تهران، ایران

4 دانشیار، دانشکده اقتصاد، مدیریت و علوم اداری، دانشگاه سمنان، ایران.

چکیده

مقدمه و هدف: بیمارستان‌ها به‌عنوان یک‌نهاد مهم در نظام نوین درمان با استفاده از منابع مختلف، مسئولیت تأمین، حفظ و ارتقای سلامت افراد جامعه را به عهده‌دارند. برای انجام این خدمت مهم لازم است که نیازهای آن‌ها به‌درستی تأمین شود. این مطالعه باهدف طراحی الگوی عوامل مؤثر بر زنجیره تأمین خدمات بیمارستانی انجام شد.
روش کار: این پژوهش ترکیبی (کیفی–کمی) از نوع کاربردی است که در آن از نظرات پانزده نفر از آگاهان از شش استان کشور در مورد زنجیره تأمین خدمات بیمارستانی استفاده شد. پس از انجام مصاحبه‌ی نیمه ساختارمند، نظرات آنان تا رسیدن به مرحله اشباع جمع‌آوری و سپس تجزیه‌وتحلیل گردید. برای تعیین عوامل مؤثر از رویکرد تحلیل چارچوب استفاده شد. با استفاده از روش دلفی نیز میزان توافق خبرگان ارزیابی گردید.
یافته‌ها: پس از تجزیه‌وتحلیل و کدبندی‌های اولیه، درنهایت هفت موضوع اصلی شامل منابع مالی، منابع انسانی، فناوری‌ها، تقاضای القایی، مدیریت، تأمین و توزیع و ساختمان و تجهیزات مشخص شد. دراین‌بین مدیریت با (میانگین 0/46±4/42و میانگین رتبه‌ای 5/56) به‌عنوان مهم‌ترین عامل تعیین گردید.
نتیجه‌گیری: هرچند که منابع مالی یا انسانی و سایر فاکتورهای درون یا برون سازمانی بر زنجیره تامین خدمات بیمارستانی تاثیر دارد اما سرمایه گذاری برای بهبود مدیریت از بروز بسیاری از چالش ها جلوگیری کرده یا اثر آنها را کاهش می دهد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

model of factors affecting hospital services supply chain

نویسندگان [English]

  • Mousarreza Mohagheghnejad 1
  • Amir Ashkan Nasiripour 2
  • Rouhollah Zaboli 3
  • Hossein Damghanian 4
1 PhD Student, Department of Health Services Management, Semnan Branch, Islamic Azad University, Semnan, Iran
2 Department of Health Services Management, Semnan Branch, Islamic Azad University, Semnan, Iran
3 Department of Health Services Administration, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran
4 Faculty of Economics, Management and Administrative Sciences, Semnan University, Iran.
چکیده [English]

Background: Hospitals, as an important unit in the modern treatment system, using various sources, are responsible for providing, maintaining and promoting health for individuals in the community. In order to perform this important service, it is necessary to meet their needs properly. This study was conducted to design a model of factors affecting hospital services supply chain.
Materials and Methods: This is a combined (qualitative-quantitative) research in which the opinions of fifteen experts about the hospital supply chain from six provinces of the country were used. After conducting a semi-structured interview, their opinions were collected until saturation and then analyzed. The framework analysis approach was used to determine the effective factors. Using Delphi method, the level of agreement of experts was evaluated.
Results: After analysis and coding, finally seven main topics including financial resources, human resources, technologies, induced demand, management, supply and distribution, and construction and equipment were identified. Meanwhile, management (mean 4/42±0/46 and mean rank 5/56) was identified as the most important factor.
Conclusion: Although financial or human resources and other factors inside or outside the organization affect the hospital services supply chain, but investing to improve management prevents or reduces the impact of many challenges.

کلیدواژه‌ها [English]

  • Hospital
  • Hospital Services
  • Model
  • Supply Chain
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