Journal of

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Background: Medical Equipments have main rule in patients diagnosis and therapy trend and society health. In addition, technology development and increasing prices of these equipments cause vast quantity of exchange is designated to equipments import. Regarding to present level of economical development ability of manufacturing for different kinds of medical equipments is high in our country, there is no need to import in many cases, of course we can have export in this area. The aim of this research is survey of quantity development of medical equipments export emphasizing on 87 article of fourth economical, social and cultural development plan law.

Material and Methods: This research is descriptive applied study. Data have been gathered from checklists, meetings with related experts, library and internet studies and eventually former research documents investigation. Finally data have been analysis through comparative and adaptive tables and comparison of statistics calculated from statistical forms and checklists.

Results: Export rate of medical equipment from 1/08% of import rate, before the fourth economical, social and cultural development plan law, has increased to1/77% of import rate, after that .This rate had a growth rate equal to 63/88%.The ratio of number of certifications on number of medical equipment companies from 1/4, before the law, has increased to 2/12 after that .This ratio had a growth rate equal to 85/96%.The number of medical equipment companies have been presented at international exhibitions has increased too, from 13 to 71.

Conclusion :In quantity development area, the actualized growth rate in medical equipment export in first two years of fourth development plan law, in spite of increasing import, is remarkable. In quality development area as results showed, while increasing in number of companies, the number of certifications that will increase export rate, has increased too. The number of companies have been presented at international exhibitions also has a considerable growth that shows medical equipment quality has improved that plays main role in medical equipment industry presentation to the international market.

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Background and purpose: The complexity and extreme fluctuations in the healthcare environment, along with the occurrence of unforeseen disasters and risks, have increased the likelihood of disruptions in hospital supply chains. Strengthening supply chain resilience is a key strategy to mitigate these challenges and ensure the continued delivery of efficient and effective hospital services during crises. This study aims to conduct a structural analysis of the factors influencing the resilience of the hospital medical equipment supply chain using the Fuzzy MICMAC approach.
Methods: This mixed-method (qualitative-quantitative) study included faculty members knowledgeable in the field, heads of medical equipment departments in universities and hospitals, senior managers from medical equipment manufacturing and importing companies, and healthcare administrators. Data were collected through checklists and semi-structured interviews. Fuzzy matrix completion and MICMAC analysis were used for data processing, performed using Fuzzy MICMAC software.
Results: Among the identified factors, logistics management was found to have the highest impact on the resilience of the hospital medical equipment supply chain. In contrast, factors such as integration and coordination, cooperative relationships, competition, flexibility, human resource management, and risk/crisis management had the lowest direct impact. Environmental conditions, transparency and protection, information-sharing systems, and human resource management were identified as the least affected factors. Economic factors emerged as a highly influential indirect factor, significantly affecting supply chain resilience.
Conclusion: To enhance the resilience of hospital medical equipment supply chains, logistics management and economic factorsmust be prioritized. Additionally, agility and speed, risk/crisis management, competition, and the development of integrated and cooperative relationships play a moderately indirect role and should be considered in strategic planning.