طراحی شبکه مضامین مدیریت دانش در صنعت بیمه سلامت ایران
محورهای موضوعی : -مدیریت مالی بهداشت و درمانحامد عابدینی 1 , جلال حقیقت منفرد 2 , غلامرضا هاشمزاده خوراسگانی 3
1 - گروه مدیریت فناوری، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
2 - گروه مدیریت صنعتی ،واحد تهران مرکزی ،دانشگاه آزاد اسلامی تهران ،ایران
3 - گروه مدریت صنعتی ،واحد تهران جنوب ،دانشگاه آزاد اسلامی تهران ،ایران
کلید واژه: مدیریت دانش, چابکی سازمانی, رایانش ابری, صنعت بیمه. بیمه سلامت,
چکیده مقاله :
مقدمه: صنعت بیمه به عنوان یکی از بخشهای اقتصاد تحت تاثیر تحولات شرایط کسب و کار و تجارت قرار دارد و برای موفقیت خود نیازمند ارائه خدمات و پرداختن به کسب و کار بر مبنای الزامات جدید اقتصادی است. تأمین سلامت برای یکایک مردم در هر جامعه ای از حقوق اساسی انسان‌هاست که باید به وسیله دولت‌ها و متولیان امور مورد توجه جدی قرار گیرد. این پژوهش به طراحی شبکه مضامین مدیریت دانش در صنعت بیمه سلامت ایران پرداخته است.
روش پژوهش: این پژوهش از نظر هدف کاربردی، از نظر روش اجرای پژوهش از نوع کیفی می‌باشد و در آن، انتخاب نمونه تحقیق، به صورت هدفمند و در دسترس است. در خصوص شیوه استخراج شاخص‌ها، لازم به ذکر است که این امر با بررسی مبانی نظری موجود و پیاده سازی متن مصاحبه‌ها با استفاده از روش تحلیل تم براون و کلارک در نرم افزار ATLAS TI انجام شد. در این راستا، مصاحبه صورت گرفته تا حد اشباع نظری با 20 نفر از خبرگان صنعت بیمه انجام شد، سپس متن مصاحبه‌ها با استفاده از کدگذاری مورد تجزیه و تحلیل قرار گرفت. پژوهش به بررسی مدیریت دانش با رویکرد چابکی سازمانی مبتنی بر رایانش ابری در صنعت بیمه سلامت ایران پرداخته است.
یافته‌ها: براساس تحلیل مضمون 6 مضمون اصلی شناسایی شده است. این 6 مضمون عبارتند از بلوغ، تصمیم گیری مبتنی بر دانش، انعطاف ساختاری، دانش‌محوری، جامعه‌گرایی و بو‌می‌سازی رایانش ابری. یکی از نتایج اصلی این رویکرد، افزایش سرعت واکنش در مواجهه با تغییرات سریع در بازار بیمه است.
نتیجه‌گیری: استفاده از رایانش ابری در مدیریت دانش بیمه سلامت ایران، نیاز به بلوغ فناوری دارد. مدیریت دانش در صنعت بیمه سلامت ایران، به خاطر پویایی و پیچیدگی‌های زیاد، از اهمیت بالایی برخوردار است. استفاده از رویکرد چابکی سازمانی مبتنی بر رایانش ابری می‌تواند این صنعت را بهبود بخشیده و تأمین کند که سازمان‌های بیمه، از تکنولوژی برتر و دسترسی به داده‌های کلان بهره‌وری بیشتری کسب کنند. یکی از نتایج اصلی این رویکرد، افزایش سرعت واکنش در مواجهه با تغییرات سریع در بازار بیمه است. ابر به عنوان یک زیرساخت اصلی، امکان ارائه سرویس‌های بیمه بهبود یافته و تسریع در فرآیندهای تصمیم‌گیری و پاسخ به نیازهای مشتریان را فراهم می‌کند. این رویکرد می‌تواند کمک کند تا سازمان‌های بیمه از تجربه کاربری بهتری برخوردار شوند و در نتیجه، رضایت مشتریان و افزایش تعاملات با آنان را تضمین کنند.
Introduction: The insurance industry as one of the sectors of the economy is affected by changes in business and trade conditions, and for its success, it needs to provide services and deal with business based on new economic requirements. Providing health for every people in any society is one of the fundamental human rights that should be given serious attention by governments and those in charge of affairs. This research has focused on the design of the network of knowledge management topics in Iran's health insurance industry.
Methods: This research is an applied study in terms of its purpose. Qualitative research method, meta-composite technique and Delphi panel were used to collect data, Shannon's entropy technique was used to evaluate criteria, and CASP was used as a tool for quality control of articles and synthesis of qualitative findings. In this research, 20 senior managers, experts and experts of key health system organizations in five major cities (Tehran, Isfahan, Shiraz, Mashhad and Ahvaz) were selected and examined.
Results: Based on the theme analysis, 6 main themes have been identified. These 6 themes are maturity, knowledge-based decision-making, structural flexibility, knowledge-centeredness, community’s, and localization of cloud computing. One of the main results of this approach is to increase the speed of reaction in the face of rapid changes in the insurance market.
Conclusion: The use of cloud computing in Iran's health insurance knowledge management requires technological maturity. Knowledge management in Iran's health insurance industry is of great importance due to its dynamics and complexities. Using an organizational agility approach based on cloud computing can improve this industry and ensure that insurance organizations gain more productivity from superior technology and access to big data. One of the main results of this approach is to increase the speed of reaction in the face of rapid changes in the insurance market. As a core infrastructure, the cloud provides the possibility of providing improved insurance services and accelerating decision-making processes and responding to customer needs. This approach can help insurance organizations enjoy a better user experience and, as a result, guarantee customer satisfaction and increase interactions with them.
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