طراحی الگوی حکمرانی سبز با رویکرد توسعه پایدار در نظام سلامت مبتنی بر تکنیک دلفی فازی (مورد مطالعه: بیمارستان‌های شهر کرمان)
محورهای موضوعی : مدیریت
زهرا روزبه
1
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شیوا مداحیان
2
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امین نیک پور
3
1 - دانشجوی دکتری گروه مدیریت دولتی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران.
2 - استادیار گروه مدیریت دولتی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران.
3 - دانشیار گروه مدیریت دولتی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران.
کلید واژه: حکمرانی سبز, نظام سلامت, توسعه پایدار, روش دلفی فازی.,
چکیده مقاله :
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.
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.
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