تعیین راهبردهای مقابله با ریسک‌های زنجیره تأمین گردشگری سلامت (مورد مطالعه: بیمارستان آیت‌الله یثربی کاشان)
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانی
الهام محمدی پور
1
,
اسماعیل مزروعی نصرآبادی
2
1 - کارشناسی ارشد، گروه مدیریت، دانشگاه کاشان، کاشان، ایران
2 - استادیار، گروه مدیریت تولید و عملیات، دانشگاه کاشان، کاشان، ایران
کلید واژه: ریسک, راهبرد مقابله.یره تأمین, ریسک زنجریسک, راهبرد مقابله, گردشگری سلامت, ریسک زنجیره تأمین,
چکیده مقاله :
مقدمه: امروزه در محیط‌های پویا، ریسک‌های موجود در زنجیره تأمین افزایش می‌یابد. شرکت‌ها دریافته اند که ریسک زنجیره تأمین می‌تواند تأثیر منفی بر عملکرد و بهره‌وری سازمان داشته باشد؛ در نتیجه شناسایی راهبردهای مقابله با ریسک بسیار ضروری است. این موضوع در زنجیره تأمین گردشگری سلامت نیز صادق است؛ فلذا هدف اصلی پژوهش شناسایی ریسک‌های زنجیره تأمین گردشگری سلامت و تعیین راهبردهای مقابله با آن می‌باشد.روش پژوهش: در فاز اول ریسک‌های زنجیره تأمین گردشگری سلامت ازطریق مصاحبه با خبرگان زنجیره تأمین گردشگری سلامت بیمارستان آیت‌الله یثربی کاشان شناسایی گردید. نمونه‌گیری به‌صورت قضاوتی و گلوله‌برفی انجام شد و مصاحبه با 18 نفر به صورت چند مرحله‌ای صورت گرفت که حدود 30 ساعت طول کشید. در فاز دوم پنلی متشکل از خبرگان تشکیل شد و راهبردهای مقابله با ریسک‌های شناسایی شده طی 6 جلسه تعیین گردید.یافته‌ها: نتایج حاصل از مصاحبه با خبرگان منجر به شناسایی 75 ریسک گردید که پس از 10 بار مرور مستمر کدهای استخراجی، در قالب 5 دسته کلی ریسک‌های تأمین، داخلی، تقاضا، مدیریت زنجیره تأمین و خارجی طبقه‌بندی شد و در نهایت از طریق تشکیل پنل خبرگان، برای هر ریسک راهبردهای مقابله مشخص گردید.نتیجه‌گیری: نتایج پژوهش رویکرد جدیدی در خصوص ریسک‌های زنجیره تأمین گردشگری سلامت ارائه نموده و آن نگاه زنجیره تأمین است. تعداد 36 ریسک جدید در زنجیره تأمین گردشگری سلامت شناسایی شدند که ریسک‌های خارجی و تأمین بیشتر مورد تأکید قرار گرفته‌اند. بنابراین بررسی ریسک‌های زنجیره تأمین گردشگری سلامت و تعیین راهبردهای مقابله برای کشورهایی که علاقه‌مند به توسعه و بهبود این صنعت هستند، بسیار حائز اهمیت است.
Introduction: Today, in dynamic environments, the risks in the supply chain increase. Companies have realized that risk in the supply chain can have a negative impact on the performance and productivity of the organization; therefore, it is essential to identify risk management strategies. This is also true in the health tourism supply chain; therefore, the main purpose of this study is to identify the risks of the health tourism supply chain and to determine the strategies to deal with the identified risks.Methods: In the first phase, the risks of health tourism supply chain were identified through interviews with experts of Ayatollah Yathribi Hospital in Kashan, and in the second phase, a panel of experts was formed and strategies to deal with identified risks were determined.Results: The results of interviews with experts led to the identification of 75 risks in the form of 5 general categories of supply, internal, demand, supply chain management and external risks, which were finally identified through the formation of a panel of experts for each risk coping strategies.Conclusion: This study has presented a new approach to health tourism supply chain risks. Thus, most of the identified risks are related to the category of internal risks. Therefore, paying attention to the causes of risk can prevent their occurrence.
1- Lashkarizadeh M, keshmir Z, Parhizi.G H, Beigpoor R. Evaluation of the Relationship between Tourism Industry and Economic Growth in Iran. Asian Journal of Business and Management Sciences, 2019; 1(9): 88-97.
2- Ghaderi Z, Hatamifar P, Khalilzadeh J. Analysis of tourist satisfaction in tourism supply chain management. Anatolia, 2018; 29(3): 433-444.
3- Barqi A. The role of communication routes in Marivan Free Trade Zone in attracting tourists. Published Master's Thesis, 2017; Islamic Azad University, Tehran. [In Persian]
4- de la Hoz-Correa A, Muñoz-Leiva F, Bakucz M. Past themes and future trends in medical tourism research: A co-word analysis. Tourism Management, 2018; 65: 200–211.
5- Burke R.J. Human resource management in the hospitality and tourism sector. In Handbook of human resource management in the tourism and hospitality industries, 2018; Edward Elgar Publishing.
6- Vetitnev A, Kopyirin A, Kiseleva A. System dynamics modelling and forecasting health tourism demand: The case of Russian resorts. Current Issues in Tourism, 2016; 19(7): 618–623.
7- Turner L. Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel. Turner Globalization and Health, 2011; 7-40.
8- Nikraftar T, Hosseini G, Moghadam A. Identifying the effective factors in the recruitment of iranian medical tourists. Journal of Entrepreneurship Development, 2016; 9: 731-748.
9- Gholami M, Keshtvarz H, Abadi, A.M, Milady Sh, Gholami M. A systematic review of the factors affecting the growth of medical tourism in Iran. International Journal of Travel Medicine and Global Health, 2020; 8(1): 1-12.
10- Mahdavi Y, Mardani Sh, Hashemidehaghi Z, Mardani N. The factors in development of health tourism in Iran. International Journal of Travel Medicine and Global Health, 2013; 1: 113-118.
11- Kaewkitipong L. The thai medical tourism supply chain: its stakeholders, their collaboration and information exchange." Thammasat Review 21, 2018; 2: 60-90.
12- Lee H.k, Fernando Y. The antecedents and outcomes of the medical tourism supply chain. Journal of Tourism Management, 2015; 46: 148-157.
13- Baker D. Understanding the economic impact of tourism in the Asian Pacific Region using the Tourism Satellite Account. Asian Journal of Hospitality and Tourism, 2013; 12: 1–15.
14- Jiang Y, Ritchie B, Verreynne M.L. Building tourism organizational resilience to crises and disasters: A dynamic capabilities view. International Journal of Tourism Research, 2019; 21(6): 882-900.
15- Tayari Sh, Amini M. T, Zardavi A. Determining and examining the factors affecting Iran's health tourism using the importance-performance matrix. Journal of Heritage and Tourism, 2017; 2(5): 73-85. [In Persian]
16- Ahmadimanesh F, Paydar M.M, Asadi-Gangraj E. Designing a mathematical model for dental tourism supply chain. Journal of Tourism Management, 2019; 404-417.
17- Jaberidoost M, Nikfar S, Abdollahiasl A, Dinarvand R. Pharmaceutical supply chain risks: a systematic review. DARU Journal of Pharmaceutical Sciences, 2013; 21(1): 69.
18- Farrokhvar P. Patient Risk and Data Standards in Healthcare Supply Chain, 2013. Thesis Published of Master of Science, University of Arkansas, and Fayetteville.
19- Vishnu C.R, Sridharan R, Kumar P.R, Kumar V.R. Analysis of the operational risk factors in public hospitals in an Indian state. International journal of health care quality assurance, 2019; 33(1): 67-88.
20- Vishwakarma V, Prakash C, and Barua M.K. A fuzzy-based multi criteria decision making approach for supply chain risk assessment in Indian pharmaceutical industry. International Journal of Logistics Systems and Management, 2016; 25(2): 245-265.
21- Hou J, Zeng A.Z, Zhao L. Coordination with a backup supplier through buy-back contract under supply disruption. Transportation Research Part E: Logistics and Transportation Review, 2010; 46: 881- 895.
22- Shaw G, Saayman M, Saayman A. Identifying risks facing the South African tourism industry. South African Journal of Economic and Management Sciences, 2012; 15(2): 190-206.
23- Meneghel I, Martínez I, Salanova M, de Witte H. Promoting academic satisfaction and performance: Building academic resilience through coping strategies. Wiley Periodicals, Inc, Psychol, Schs, 2019.
24- Mandal S, and Saravanan D. Exploring the Influence of Strategic Orientations on Tourism Supply Chain Agility and Resilience: An Empirical Investigation. Tourism Planning & Development, 2019; 16(6): 612-636.
25- Jones P, & Wynn, M. The circular economy, natural capital and resilience in tourism and hospitality. International Journal of Contemporary Hospitality Management, 2019; 31(6): 2544-2563.
26- Jiang Y, Ritchie B, Verreynne M.L. Building tourism organizational resilience to crises and disasters: A dynamic capabilities view. International Journal of Tourism Research, 2019; 21(6): 882-900.
27- Silva J, Araujo C, Marques L. Siloed Perceptions in Pharmaceutical Supply Chain Risk Management: A Brazilian Perspective. Latin American Business Review, 2020; 21(3): 223-254.
28- Sreedharan V.R, Kamala V, Arunprasad P. Supply chain risk assessment in pharmaceutical industries: an empirical approach. International Journal of Business Innovation and Research, 2019; 18(4): 541-571.
29- Wang L. Research on Risk Management for Healthcare Supply Chain in Hospital. Doctoral thesis 2018; Liverpool John Moores University.
_||_1- Lashkarizadeh M, keshmir Z, Parhizi.G H, Beigpoor R. Evaluation of the Relationship between Tourism Industry and Economic Growth in Iran. Asian Journal of Business and Management Sciences, 2019; 1(9): 88-97.
2- Ghaderi Z, Hatamifar P, Khalilzadeh J. Analysis of tourist satisfaction in tourism supply chain management. Anatolia, 2018; 29(3): 433-444.
3- Barqi A. The role of communication routes in Marivan Free Trade Zone in attracting tourists. Published Master's Thesis, 2017; Islamic Azad University, Tehran. [In Persian]
4- de la Hoz-Correa A, Muñoz-Leiva F, Bakucz M. Past themes and future trends in medical tourism research: A co-word analysis. Tourism Management, 2018; 65: 200–211.
5- Burke R.J. Human resource management in the hospitality and tourism sector. In Handbook of human resource management in the tourism and hospitality industries, 2018; Edward Elgar Publishing.
6- Vetitnev A, Kopyirin A, Kiseleva A. System dynamics modelling and forecasting health tourism demand: The case of Russian resorts. Current Issues in Tourism, 2016; 19(7): 618–623.
7- Turner L. Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel. Turner Globalization and Health, 2011; 7-40.
8- Nikraftar T, Hosseini G, Moghadam A. Identifying the effective factors in the recruitment of iranian medical tourists. Journal of Entrepreneurship Development, 2016; 9: 731-748.
9- Gholami M, Keshtvarz H, Abadi, A.M, Milady Sh, Gholami M. A systematic review of the factors affecting the growth of medical tourism in Iran. International Journal of Travel Medicine and Global Health, 2020; 8(1): 1-12.
10- Mahdavi Y, Mardani Sh, Hashemidehaghi Z, Mardani N. The factors in development of health tourism in Iran. International Journal of Travel Medicine and Global Health, 2013; 1: 113-118.
11- Kaewkitipong L. The thai medical tourism supply chain: its stakeholders, their collaboration and information exchange." Thammasat Review 21, 2018; 2: 60-90.
12- Lee H.k, Fernando Y. The antecedents and outcomes of the medical tourism supply chain. Journal of Tourism Management, 2015; 46: 148-157.
13- Baker D. Understanding the economic impact of tourism in the Asian Pacific Region using the Tourism Satellite Account. Asian Journal of Hospitality and Tourism, 2013; 12: 1–15.
14- Jiang Y, Ritchie B, Verreynne M.L. Building tourism organizational resilience to crises and disasters: A dynamic capabilities view. International Journal of Tourism Research, 2019; 21(6): 882-900.
15- Tayari Sh, Amini M. T, Zardavi A. Determining and examining the factors affecting Iran's health tourism using the importance-performance matrix. Journal of Heritage and Tourism, 2017; 2(5): 73-85. [In Persian]
16- Ahmadimanesh F, Paydar M.M, Asadi-Gangraj E. Designing a mathematical model for dental tourism supply chain. Journal of Tourism Management, 2019; 404-417.
17- Jaberidoost M, Nikfar S, Abdollahiasl A, Dinarvand R. Pharmaceutical supply chain risks: a systematic review. DARU Journal of Pharmaceutical Sciences, 2013; 21(1): 69.
18- Farrokhvar P. Patient Risk and Data Standards in Healthcare Supply Chain, 2013. Thesis Published of Master of Science, University of Arkansas, and Fayetteville.
19- Vishnu C.R, Sridharan R, Kumar P.R, Kumar V.R. Analysis of the operational risk factors in public hospitals in an Indian state. International journal of health care quality assurance, 2019; 33(1): 67-88.
20- Vishwakarma V, Prakash C, and Barua M.K. A fuzzy-based multi criteria decision making approach for supply chain risk assessment in Indian pharmaceutical industry. International Journal of Logistics Systems and Management, 2016; 25(2): 245-265.
21- Hou J, Zeng A.Z, Zhao L. Coordination with a backup supplier through buy-back contract under supply disruption. Transportation Research Part E: Logistics and Transportation Review, 2010; 46: 881- 895.
22- Shaw G, Saayman M, Saayman A. Identifying risks facing the South African tourism industry. South African Journal of Economic and Management Sciences, 2012; 15(2): 190-206.
23- Meneghel I, Martínez I, Salanova M, de Witte H. Promoting academic satisfaction and performance: Building academic resilience through coping strategies. Wiley Periodicals, Inc, Psychol, Schs, 2019.
24- Mandal S, and Saravanan D. Exploring the Influence of Strategic Orientations on Tourism Supply Chain Agility and Resilience: An Empirical Investigation. Tourism Planning & Development, 2019; 16(6): 612-636.
25- Jones P, & Wynn, M. The circular economy, natural capital and resilience in tourism and hospitality. International Journal of Contemporary Hospitality Management, 2019; 31(6): 2544-2563.
26- Jiang Y, Ritchie B, Verreynne M.L. Building tourism organizational resilience to crises and disasters: A dynamic capabilities view. International Journal of Tourism Research, 2019; 21(6): 882-900.
27- Silva J, Araujo C, Marques L. Siloed Perceptions in Pharmaceutical Supply Chain Risk Management: A Brazilian Perspective. Latin American Business Review, 2020; 21(3): 223-254.
28- Sreedharan V.R, Kamala V, Arunprasad P. Supply chain risk assessment in pharmaceutical industries: an empirical approach. International Journal of Business Innovation and Research, 2019; 18(4): 541-571.
29- Wang L. Research on Risk Management for Healthcare Supply Chain in Hospital. Doctoral thesis 2018; Liverpool John Moores University.