fa طراحی مدل شبیه سازی توسعه چابکی سازمانی در بیمارستان های استان اردبیل سیاست گذاری ، برنامه ریزی و رهبری و مدیریت در بیمارستان سیاست گذاری ، برنامه ریزی و رهبری و مدیریت در بیمارستان مقاله ی اصیل Original Article <span style="font-size:9pt"><span style="line-height:16pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">زمینه و هدف:</span></span></b><span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:"> چابکی</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">یک</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">بیمارستان</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">نشان</span></span>&shy;<span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">دهنده</span></span>&shy;<span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">ی</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">پاسخگویی</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">آن</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">در</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">هنگام</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">مواجهه</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">با</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">تغییرات</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">داخلی</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">و</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">خارجی</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">است و عامل</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">مهمی</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">برای</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">اثربخشی</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">بیمارستان</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">است. بر این اساس، پژوهش حاضر ﺑﺎ ﻫﺪف اراﺋﻪ ﻣﺪﻟﯽ ﻋﺎﻣﻞ مبنا ﮐﻪ ﺑﺘﻮاﻧﺪ ﺑﺎ در نظر گرفتن ﻋﻮاﻣﻞ مؤثر، توسعه چابکی سازمانی در بیمارستان&shy;های استان اردبیل را شبیه‌سازی ﮐﻨﺪ، انجام گرفت.</span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:16pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">مواد و روش&shy;ها: </span></span></b><span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">ایﻦ ﻣﻄﺎﻟﻌﻪ از ﻧﻈﺮ ﻫﺪف یﮏ ﭘﮋوﻫﺶ اﮐﺘﺸﺎﻓﯽ اﺳﺖ ﮐﻪ ﺑﺎ روش ﭘﮋوﻫﺶ آﻣﯿﺨﺘﻪ و ﻣﺒﺘﻨﯽ ﺑﺮ اﺳﺘﺪﻻل ﻗﯿﺎﺳﯽ ـ اﺳﺘﻘﺮایﯽ صورت ﮔﺮﻓﺘﻪ اﺳﺖ. نمونه آﻣﺎری ﭘﮋوﻫﺶ ﺷﺎﻣﻞ 10 ﻧﻔﺮ از ﺧﺒﺮﮔﺎن ﻧﻈﺮی و ﺧﺒﺮﮔﺎن ﺗﺠﺮﺑﯽ بود. ﻧﻤﻮﻧﻪﮔﯿﺮی ﺑﻪ روش ﻏﯿﺮاﺣﺘﻤﺎﻟﯽ و ﺑﻪ&shy;ﺻﻮرت ﻫﺪﻓﻤﻨﺪ ﺑﻮده و اﺑﺰار ﮔﺮدآوری دادهﻫﺎ، ﻣﺼﺎﺣﺒﻪ و ﭘﺮﺳﺸﻨﺎﻣﻪ بود. در ﺑﺨﺶ ﮐﯿﻔﯽ ﺑﺎ اﺳﺘﻔﺎده روش ﺗﺤﻠﯿﻞ تم ﺑﻪ ﺷﻨﺎﺳﺎیﯽ عوامل مؤثر بر چابکی سازمانی ﭘﺮداﺧﺘﻪ ﺷﺪ. ﺳﭙﺲ در بخش کمی عوامل مؤثر شناسایی شده ﺑﺎ اﺳﺘﻔﺎده از روش دلفی فازی اولویت&shy;بندی شد. در نهایت ﻣﺪل توسعه چابکی سازمانی ﺑﺎ اﺳﺘﻔﺎده از رویﮑﺮد ﻣﺪلﺳﺎزی ﻋﺎﻣﻞ مبنا شبیه&shy;سازی شده است.</span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:16pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">بر اساس نتایج پژوهش 50 کد اولیه، 15 تم فرعی و 5 تم اصلی احصا شد. نتایج نشان داد که از بین عوامل مؤثر بر چابکی سازمانی، میزان تأثیرگذاری مدیریت سازمان از سایر عوامل بیش&shy;تر است. همچنین خروجی ﺷﺒﯿﻪﺳﺎزی نشان داد، ﻣﺪل اراﺋﻪﺷﺪه ﻣﯽﺗﻮاﻧﺪ ﺑـﺮآورد ﻣﻨﺎﺳـﺒﯽ از آﺗﯿـﻪ توسعه چابکی سازمانی در بیمارستان&shy;های استان اردبیل را اراﺋﻪ دهد.</span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:16pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">نتیجه&shy;گیری:</span></span></b><span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:"> با</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">توجه</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">به</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">نتایج</span></span> <span lang="FA" style="font-size:11.5pt"><span b="" roya="" style="font-family:">پژوهش، توصیه می&shy;شود مدیران بیمارستان&shy;ها برای توسعه چابکی سازمانی، توجه ویژه&shy;ای روی عوامل مؤثر شناسایی شده داشته باشند.</span></span></span></span></span></span></span> <span style="font-size:9pt"><span style="line-height:120%"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b>Background and objective: </b>As<b> </b>a critical factor for hospital effectiveness, agility uncovers the way such organizations react to internal and external changes. From this perspective, the present study was to design an agent-based model to simulate organizational agility development in the hospitals of Ardabil Province, Iran, in view of the effective factors.</span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:120%"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b>Materials & Methods: </b>Utilizing an exploratory, mixed-methods research design, this study was performed in accordance with inductive-deductive reasoning. For this purpose, the samples included 10 theoretical and experimental experts, selected by purposive sampling of the non-probability type. As well, the data collection tools were interviews and questionnaires. During the qualitative phase, the main factors affecting organizational agility were initially isolated using thematic analysis. Afterward, the given factors were prioritized with the fuzzy Delphi method in the quantitative phase. Ultimately, the model for organizational agility development was simulated through the agent-based approach.</span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:120%"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b>Results: </b>With reference to the study results, 50 primary codes, 15 sub-themes, and 5 main themes were identified, and then &ldquo;influence in management&rdquo; was acknowledged as the most significant one shaping organizational agility. Besides, the simulation outputs demonstrated that the proposed model could provide the right estimate of the future of organizational agility development in the hospitals of Ardabil Province, Iran.</span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:120%"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b>Conclusion: </b>Along with the study results, hospital managers are suggested to reflect on the effective factors identified here to better fulfill organizational agility development.</span></span></span></span> توسعه چابکی, بیمارستان, عامل مبنا Agility Development, Hospital, Agent-Based Modeling 56 70 http://jhosp.tums.ac.ir/browse.php?a_code=A-10-1832-1&slc_lang=fa&sid=1 Hossein Rahimi Klour حسین رحیمی کلور Yes Associate Professor, Faculty of Social Sciences, Department of Business Administration, University of Mohaghegh Ardabili, Ardabil, Iran; (* corresponding Author) دانشیار، دانشکده علوم اجتماعی، گروه مدیریت بازرگانی، دانشگاه محقق اردبیلی، اردبیل، ایران؛ * نویسنده مسؤل: اردبیل، انتهای خیابان دانشگاه، دانشگاه محقق اردبیلی، ایمیل: h_clever@uma.ac.ir Seyed Ali Naghavi سیدعلی نقوی Sa.naghavi@chmail.ir No PhD student, Faculty of Social Sciences, Department of Business Administration, University of Mohaghegh Ardabili, Ardabil, Iran دانشجوی دکتری، دانشکده علوم اجتماعی، گروه مدیریت بازرگانی، دانشگاه محقق اردبیلی، اردبیل، ایران.