Designing a Green Governance Model with a Sustainable Development Approach in the Health System Based on the Fuzzy Delphi Technique (Study of the Kerman Hospitals)
Subject Areas : Management
Zahra Roozbeh
1
,
Shiva Madahian
2
,
Amin Nikpour
3
1 - PhD. student of Public Administration Department, Kerman Branch, Islamic Azad University, Kerman, Iran
2 - Assistant Professor, Department of Public Administration, Kerman Branch, Islamic Azad University, Kerman, Iran.
3 - Associate Professor, Department of Public Administration, Kerman Branch, Islamic Azad University, Kerman, Iran.
Keywords: Green governance, health system, sustainable development, fuzzy Delphi method,
Abstract :
The main goal of this research was to present a model of green governance with a sustainable development approach based on the fuzzy Delphi technique, which is considered mixed research in terms of its practical purpose and based on the method of data collection. The qualitative part included 12 experts who were selected by purposeful sampling. In the qualitative part, fuzzy Delphi technique was used to examine the most important components and indicators. The sample of the quantitative part was the experts and managers of hospitals in Kerman, who were selected as a sample of 384 people using Cochran's formula and by simple random method. The tool for collecting data in the qualitative part was a semi-structured interview, and in the quantitative part, a researcher-made questionnaire based on the qualitative part. Data analysis was done in the qualitative part by inductive content analysis using MaxQDA software and in the quantitative part using AMOS software. The final results of the research showed that the environmental, governance and social dimensions are the most important bases for green governance in the health system. The environmental dimension includes the components of renewable energy, reducing resources, environmentally friendly products, natural losses, greenhouse gas emissions, and pollution and waste. The social dimension includes health and safety components, social and political partnerships, human rights, human resource management, patient satisfaction and community relations. Also, the governance dimension includes the components of shareholder rights, corporate governance, risk and opportunity management, and ethics in business.
Alahverdi, Z., & Landaran Esfahani, S. (2022). Investigating the Role of Social Media Marketing and Experience for Loyalty Intention and Participation Intention, Considering the Mediating Role of Relationship Quality (Case Study: BaniMode Online Cosmetics Store). Journal of Management and Sustainable Development Studies, 2(1), 65-90. https://doi.org/10.30495/msds.2022.1955946.1047 [In Persian]
Angazi Ghodes, A., Shahsavari, H. R., & Mehrali, G. (2023). Modeling the promotion of allowances in defense policies with fuzzy Delphi, a case study (Army of the Islamic Republic of Iran). Air Defense Management, 2(2), 1-29. https://doi.org/20.1001.1.28211588.1402.2.2.1.2 [In Persian]
Araee, V., & Tahanpour, S. (2022). How to popularize and transform governance with an emphasis on sustainable development. Transcendent Governance Quarterly, 2(3), 52-33. [In Persian]
Arai, B., & Ghasemi, A. (2016). Good ruling; A way to sustainable development The first conference on governance and public policy, Tehran. [In Persian]
Chien, F. (2023). The role of corporate governance and environmental and social responsibilities on the achievement of sustainable development goals in Malaysian logistic companies. Economic research-Ekonomska istraživanja, 36(1), 1610-1630. https://doi.org/10.1080/1331677X.2022.2090407
Dizji, M. (2022). Analysis of social welfare in Iran with emphasis on human development from the perspective of economic sociology. Sociological Studies, 13(51), 66-49. https://doi.org/10.30495/jss.2021.1923796.1316 [In Persian]
European Commission. (2021). The European Green Deal. https://ec.europa.eu/info/strategy/priorities-2019-2024/european-green-deal_en
Global Environmental Facility. (2022). About the GEF. https://www.thegef.org/about-gef
Hafeez, H., & Hussain, I. (2019). Sustainable healthcare system: role of governance, quality management and technology. Sustainability, 11(23), 6788.
Jahanipour, R., & Toheidi, A. R. (2021). The place of sustainable development in international law with an emphasis on governments. Quarterly Journal of Public Law Studies, 11(2), 601-661. https://doi.org/10.22059/jplsq.2019.273161.1899 [In Persian]
Jalali Khan Abadi, T., Alvani, S. M., Vaezi, R., & Ghorbanizadeh, V. (2020). Designing a network governance model in Iran’ s health care system. Iranian Journal of Management Sciences, 15(58), 1-30. https://sid.ir/paper/406519/en [In Persian]
Kwatra, S., Kumar, A., & Sharma, P. (2020). A critical review of studies related to construction and computation of Sustainable Development Indices. Ecological Indicators, 112, 106061. https://doi.org/10.1016/j.ecolind.2019.106061
Li, W., Xu, J., & Zheng, M. (2018). Green Governance: New Perspective from Open Innovation. Sustainability. Sustainability, 10(11), 3845. https://doi.org/10.3390/su10113845
Lin, R., Gui, Y., Xie, Z., & Liu, L. (2019). Green governance and international business strategies of emerging economies’ multinational enterprises: A multiple-case study of chinese firms in pollution-intensive industries. Sustainability, 11(4), 1013. https://doi.org/10.3390/su11041013
Liu, F., Lai, K. H., Wu, J., & Duan, W. (2021). Listening to online reviews: a mixed-methods investigation of customer experience in the sharing economy. Decision Support Systems, 149, 113609. https://doi.org/10.1016/j.dss.2021.113609
Liu, H., Yao, P., Wang, X., Huang, J., & Yu, L. (2021). Research on the peer behavior of local government green governance based on SECI expansion model. Land, 10(5), 472. https://doi.org/10.3390/land10050472
Nguyen, T. D., & Ngo, T. Q. (2022). The role of technological advancement, supply chain, environmental, social, and governance responsibilities on the sustainable development goals of SMEs in Vietnam. Economic research-Ekonomska istraživanja, 35(1), 4557-4579. https://doi.org/10.1080/1331677X.2021.2015611
Parsai, S., Haydarnia, M. A., Shamshiri Milani, H., Kolahi, A. A., Soghadi, A. R., Mohammadi, A., Qahiye, B., Rahmani, B., Malek Hosseini, A., & Qahiye, M. (2020). Influential factors in sustainable social development of Arak city. New Perspectives in Human Geography, 11(3), 25-34. [In Persian]
Porasghar Sangachin, F., Ghafari-Rehbar, F., & Hosseinabadi, M. (2015). Sustainable development, basics and indicators of sustainability (1 ed.). Tehran: Iran Agricultural Science. [In Persian]
Raisi, M., Jafari, M., Molavi, D., & Jalili Khosrowshahi, S. (2020). Green management of hospital waste with an approach to environmental protection The first national conference on green waste management, Ardabil, Iran. https://civilica.com/doc/1243913 https://civilica.com/doc/1243913 [In Persian]
Rana, S., & Paul, S. (2016). Green governance for sustainable development: issues and challenges. International Journal of Sustainable Development & World Ecology, 23(1), 57-64.
Reinecke, L., Aufenanger, S., Beutel, M. E., Dreier, M., Quiring, O., Stark, B., & Müller, K. W. (2017). Digital stress over the life span: the effects of communication load and internet multitasking on perceived stress and psychological health impairments in a German probability sample. Media Psychol, 20(1), 90–115. https://doi.org/10.1080/15213269.2015.1121832
Sanaee, K., Moshabaki, A., Esmaelpour, H., & Ahmadi Chehre Bargh, S. (2023). Explaining the pattern of customers' purchase intention in online shopping behavior by considering the variable of online brand trust. Quarterly Journal of Advertising and Sales Management, 4(2), 376-394. https://doi.org/JABM.3.2.15564.35808 [In Persian]
Sediqi, H., Nasratinejad, F., Baskha, M., & Maruti Sharifabadi, A. (2019). Evaluating the efficiency of the health system in Iran compared to the member countries of the Economic Cooperation and Development Organization by non-parametric method of data coverage analysis. Management strategies in the health system, 5(2). [In Persian]
Seyed Alavi, M., Qalavandi, H., Abbaspour Fard Tehrani, M., & Mohammad Khani, K. (2020). Presenting a model for applying green management in public universities in Tehran. Quarterly Journal of Research and Planning in Higher Education, 26(3), 77-95. [In Persian]
Taghavi, L., & Ghazanchaei, A. (2018). Green management, a step towards the sustainable development of medical centers. Breath Journal, 4(4), 28-37. [In Persian]
Taleghani, G. (2021). development management (2 ed.). Tehran: Science and literature. [In Persian]
Trivedi, K., Trivedi, P., & Goswami, V. (2018). Sustainable marketing strategies: Creating business value by meeting consumer expectation. International Journal of Management, Economics and Social Sciences (IJMESS), 7(2), 186-205.
Tyrvainen, O., Karjaluoto, H., & Saarijärvi, H. (2020). Personalization and hedonic motivation in creating customer experiences and loyalty in omnichannel retail. Journal of Retailing and Consumer Services, 57, 102-233. https://doi.org/10.1016/j.jretconser.2020.102233
United Nations. (2015). Transforming our world: the 2030 Agenda for Sustainable Development. https://sdgs.un.org/2030agenda
United Nations Development Programme. (2021). Goal 3: Good health and well-being. https://www.undp.org/sustainable-development-goals/
Varahrami, V. (2023). The Effect of Good Governance on Economic Growth with respect to Environment and Energy Consumption in Developing Countries (Adopting Dynamic Panel Model). Quarterly Journal of Computational Economics, 2(3), 25- 42. [In Persian]
Xu, S., & Zhu, H. (2022). Does Green Governance Efficiency and Green Finance Polices Matters in Sustainable Environment: Implications for Public Health. Front. Public Health, 10, 861349. https://doi.org/10.3389/fpubh.2022.861349
Yaghoubi, R., Ghanizadeh, G., Zaboli, R., & Teymourzadeh, E. (2022). Challenges of Achieving Green Hospital Criteria: A Mixed Method Research in Iran. Journal of Military Medicine, 24(7), 1437-1446. https://doi.org/10.30491/JMM.24.7.1437 [In Persian]
Zahedi, S. A. (2010). Globalization and Sustainable Development. Globalization Strategic Studies Journal, 2(3), 1-18. [In Persian]
Zahiri, M., Zayanderoody, M., & Jalaie, S. A. (2022). Investigating the Effect of Good Governance on sustainable development of selected countries (OPEC Plus Oil countries group). Journal of Econimic Studies and Policies, 9(1), 170-193. https://doi.org/10.22096/esp.2022.136770.1416 [In Persian]
