fa واکاوی عوامل اثرپذیر و اثرگذار بر نوآوری پایدار در بیمارستان های دولتی مدیریت خدمات بهداشتی‌ و درمانی Health Services Management پژوهشي Research <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">مقدمه: </span></span></b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">نوآوری پایدار به‌عنوان یکی از عوامل تأثیرگذار در عملکرد بخش بهداشت و سلامت شناخته می</span></span> <span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">شود، زیرا طبیعت پویا و پیچیده</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ی صنعت مراقبت</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""> سلامت، مستلزم شیوه</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ها و راه</span></span> <span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">حل&shy;های ابتکاری برای دستیابی به پایداری می</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">باشد. هدف پژوهش حاضر، تعیین عوامل اثرگذار و اثرپذیر در نوآوری پایدار در بیمارستان</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">های دولتی شهر تهران بوده است.</span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">روش &shy;ها: </span></span></b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">پژوهش حاضر از نظر هدف کاربردی و بر حسب روش پژوهش ترکیبی (کیفی و کمی) در دو مرحله انجام شد. در مرحله</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ی اول برای شناسایی عوامل مؤثر بر نوآوری پایدار در بیمارستان‌های دولتی، 11 نفر از خبرگان بیمارستان</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">های دولتی شهر تهران با روش نمونه</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">گیری گلوله برفی انتخاب شدند و مصاحبه</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ی عمیق با آن</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ها صورت گرفت. در مرحله</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ی دوم از طریق پرسش</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">نامه و به‌کارگیری روش دیمتل فازی با استفاده از نرم‌افزار اکسل، رابطه درونی این عوامل و عوامل اثرگذار و اثرپذیر مشخص شد.</span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">یافته &shy;ها:</span></span></b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""> 72 کد از مصاحبه</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ها استخراج و در قالب 17 عامل دسته</span></span><span lang="EN-GB" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">بندی شد. از 17 عامل، هشت عامل اثرگذار و نُه عامل اثرپذیر بود. پژوهش حاضر نشان داد که آشنایی مدیر با دانش روز به‌عنوان تأثیرگذارترین عامل و رعایت پایداری در همه</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ی جوانب بیمارستان به‌عنوان تأثیرپذیرترین عامل بود.</span></span></span></span><br> <b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">نتیجه‌گیری</span></span></b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">: پیشنهاد می</span></span> <span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">شود مسئولین بیمارستان</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ها با توجه به مزیت</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">های نوآوری پایدار، با آموزش</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">های کاربردی و به روز و توسعه منابع انسانی و استفاده از سیستم</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">هایی که باعث ایجاد شفافیت در بیمارستان</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ها می</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">شود بتوانند بستری مناسب برای توسعه نوآوری پایدار در بیمارستان</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">ها فراهم کنند.</span></span><span dir="LTR"></span> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:10.0pt"><span arial="" style="font-family:">Introduction</span></span></b><span lang="EN-GB" style="font-size:10.0pt">:</span> <span lang="EN-GB" style="font-size:10.0pt">Sustainable innovation is recognized as one of the influencing factors in the performance of the health sector because the dynamic and complex nature of the health care industry requires innovative methods and solutions to achieve sustainability. The aim of this study is to determine factors influenced by and influencing sustainable innovation in public hospitals in Tehran.</span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:10.0pt"><span arial="" style="font-family:">Methods</span></span></b><span lang="EN-GB" style="font-size:10.0pt">: </span><span style="font-size:10.0pt">The present applied research was conducted in two stages according to mixed methods research (qualitative and quantitative). In the first stage, in order to extract the factors influencing sustainable innovation in public hospitals, 11 people were selected from among the experts of public hospitals in Tehran by the snowball sampling method, and in-depth interviews were conducted with them. In the second stage, through a questionnaire and the fuzzy dimatel method using Excel software, the internal relationship between these factors and the influenced and influencing factors was determined.</span><span lang="EN-GB" style="font-size:10.0pt"></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:10.0pt"><span arial="" style="font-family:">Results</span></span></b><span lang="EN-GB" style="font-size:10.0pt">: </span><span style="font-size:10.0pt">72 codes were extracted from the interviews and categorized into 17 factors. Out of 17 factors, 8 factors were influencing ones and 9 factors were influenced ones. According to the results of the research, the manager&#39;s familiarity with current knowledge was the most influencing factor and the observance of stability was the most influenced factor in all aspects of the hospital.</span></span></span><br> <b><span lang="EN-GB" style="font-size:10.0pt"><span arial="" style="font-family:">Conclusion</span></span></b><span lang="EN-GB" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">:</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Considering the benefits of sustainable innovation, it is recommended that hospital officials should provide a suitable platform for the development of sustainable innovation in hospitals with practical and up-to-date training and human resource development and the use of systems that create transparency in hospitals.</span></span><br> <span dir="RTL"></span> نوآوری پایدار, بیمارستان های دولتی, عوامل اثرگذار و اثرپذیر, دیمتل فازی Sustainable Innovation, Public Hospitals, Influenced and Influencing Factors, Fuzzy Dimatel 12 23 http://jha.iums.ac.ir/browse.php?a_code=A-10-4320-1&slc_lang=fa&sid=1 Seyed Mohammad Reza Azimi سیدمحمدرضا عظیمی mohammad.azimi@stu.vru.ac.ir 11200319475328460027824 11200319475328460027824 No M.Sc Student, Faculty of Administrative Sciences and Economics, Vali-e- Asr University of Rafsanjan, Rafsanjan, Iran. دانشجوی کارشناسی ارشد، دانشکده علوم اداری و اقتصاد، دانشگاه ولی عصر (عج) رفسنجان، رفسنجان Salim Karimi Taklo سلیم کریمی تکلو s.karimi@vru.ac.ir 11200319475328460027825 11200319475328460027825 Yes Assistant Professor, Faculty of Administrative Sciences and Economics, Vali-e- Asr University of Rafsanjan, Rafsanjan, Iran. استادیار، دانشکده علوم اداری و اقتصاد، دانشگاه ولی عصر (عج) رفسنجان، رفسنجان