طراحی الگوی حکمرانی سبز با رویکرد توسعه پایدار در نظام سلامت مبتنی بر تکنیک دلفی فازی (مورد مطالعه: بیمارستان‌های شهر کرمان)
الموضوعات :
زهرا روزبه
1
(
دانشجوی دکتری گروه مدیریت دولتی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران.
)
شیوا مداحیان
2
(
استادیار گروه مدیریت دولتی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران.
)
امین نیک پور
3
(
دانشیار گروه مدیریت دولتی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران.
)
الکلمات المفتاحية: حکمرانی سبز, نظام سلامت, توسعه پایدار, روش دلفی فازی.,
ملخص المقالة :
هدف اصلی این پژوهش، ارائه الگوی حکمرانی سبز با رویکرد توسعه پایدار مبتنی بر تکنیک دلفی فازی بود که از لحاظ هدف کاربردی، و بر اساس شیوه گردآوری داده‌ها، تحقیق آمیخته به شمار می‌رود. بخش کیفی شامل 12 نفر از خبرگان بودند که به روش نمونه‌گیری هدفمند انتخاب شدند. در بخش کیفی به منظور بررسی مهم‌ترین مؤلفه‌ها و شاخص‌ها از فن دلفی فازی استفاده گردید. نمونه بخش کمّی نیز کارشناسان و مدیران بیمارستان‌های شهر کرمان بود که با استفاده از فرمول کوکران و به روش تصادفی ساده384 نفر به عنوان نمونه انتخاب شده‌اند. ابزار گردآوری داده‌ها در بخش کیفی، مصاحبه نیمه ساختار یافته و در بخش کمّی، پرسشنامه محقق ساخته بر مبنای بخش کیفی بود. تجزیه و تحلیل داده‌ها در بخش کیفی به روش تحلیل محتوای استقرايی به کمک نرم‌افزار مکس کیودا و در بخش کمّی با استفاده از نرم‌افزار آموس انجام شد. نتایج نهایی پژوهش نشان داد که ابعاد زیست محیطی، حاکمیتی و اجتماعی، مهم‌ترین بسترهای لازم برای حکمرانی سبز در نظام سلامت می‌باشد. بُعد زیست محیطی شامل مؤلفه‌های انرژی های تجدیدپذیر، کاهش منابع، محصولات سازگار با محیط زیست، تلفات طبیعی، انتشار گازهای گلخانه‌ای و آلودگی و زباله می‌باشد. بُعد اجتماعی شامل مؤلفه‌های بهداشت و ایمنی، مشارکت‌های اجتماعی و سیاسی، حقوق بشر، مدیریت منابع انسانی، رضایت بیماران و روابط جامعه است. همچنین، بُعد حاکمیتی شامل مؤلفه‌های حقوق سهامداران، حاکمیت شرکتی، مدیریت ریسک و فرصت و اخلاق در تجارت می‌باشد.
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