Armaghane Danesh Bimonthly Journal (Mar 2021)
Designing an Operational Model for Implementing Resistance Economics in Hospitals of Shiraz University of Medical Sciences
Abstract
Background & aim: The resistance economy is proposed for the first time by the Supreme Leader of the Islamic Republic of Iran and includes 24 clauses. Considering the general policies of the country and the upstream laws, it seems that the use of the model of resistance economy is associated with beneficial effects in the health sector. This study was conducted according to the leadership guidelines for conducting studies on resistance economics, economic problems and oppressive sanctions that have challenged the economics of hospitals and with the aim of designing an operational model for implementing resistance economics in hospitals of Shiraz University of Medical Sciences. Methods: The present descriptive-analytical study was conducted in 2019 in several stages at Shiraz University of Medical Sciences. The statistical population of the study consisted of 20 professors, officials, managers and experts aware of the economic issues of hospitals. The method was targeted sampling and snowball technique. The first stage was done by analyzing the current situation and interviewing, the second stage was done with the help of interview output, Delphi technique and questionnaire. Data were analyzed using fuzzy hierarchical analysis technique, confirmatory factor analysis and t-test. Results: According to the content analysis of the interviews, 34 components were identified in 6 areas of financing, management structure, cost management, human resources, supply chain and scientific research. After performing three rounds of Delphi, 25 components with a score above 0.7 were approved and then the criteria were accepted using confirmatory factor analysis. Finally, in the structural load equation model, all criteria were greater than 0.3 and also their related t-statistics were higher than 1.96 and the proposed model was approved. Conclusion: To create a model of resilient economy in hospitals, the components of management structure, human resources, cost management, financial resources, supply chain and scientific research have priority. The components identified in this study can be a guide for policy makers and managers to overcome the economic problems of hospitals.
