Prioritize the Dimensions of Agile Hospital Supply Chain with Combination of Interpretive Structural Modeling and Analytic Network Process

Alireza Hatam Siahkal Mahalleh, M. Mehregan, S. Yousefzadeh
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Abstract

Background: Hospital supply chain management (SCM) agility requires finding the main and effective dimensions, prioritizing, communicating between them and analyzing these dimensions in relation to each other. Objective: The purpose of this study was to identify different dimensions of the hospital SCM agility, proposing a model of the hospital SCM agility and determining the relationships between dimensions of agility, and prioritizing, analyzing, and interpreting dimensions of the hospital SCM agility. Materials & Methods: This cross-sectional study was performed on the physicians, nurses and staff working at public hospitals affiliated to Guilan University of Medical Sciences. Delphi technique was used to determine the dimensions of agility, interpretive-structural modeling approach was used for analysis. Network analysis was used to prioritize the dimensions of agility Results:‌ In the literature review 16 dimensions of agility were identified. The final model of agile supply chain management has 8 levels; cost reduction placed at the highest level and organizational leadership commitment was at the lowest level. Cost reduction dimensions were the highest priority and organizational culture was the lowest priority in the final network analysis. Conclusion: Agile supply chain management has very important and complex elements. Neglecting to monitor their changes can cause irreparable and profound damage to the medical sector. Interpretive-structural approach and network analysis create a constructive and effective method to model, analyze, and prioritize the dimensions of agile supply chain management.
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结合解释结构模型和分析网络过程的医院敏捷供应链维度排序
背景:医院供应链管理(SCM)的敏捷性需要找到主要和有效的维度,优先排序,它们之间的沟通和分析这些维度之间的关系。目的:识别医院供应链管理敏捷性的不同维度,提出医院供应链管理敏捷性模型,确定敏捷性维度之间的关系,并对医院供应链管理敏捷性的维度进行排序、分析和解释。材料与方法:本横断面研究以桂兰医科大学附属公立医院的医师、护士和工作人员为研究对象。采用德尔菲法确定敏捷性维度,采用解释结构建模法进行分析。结果:在文献综述中,确定了敏捷性的16个维度。敏捷供应链管理的最终模型有8个层次;成本削减被放在最高的层次,组织领导的承诺被放在最低的层次。在最终的网络分析中,成本削减维度是最高优先级,组织文化是最低优先级。结论:敏捷供应链管理具有非常重要和复杂的要素。忽视对其变化的监测可能对医疗部门造成无法弥补的严重损害。解释结构方法和网络分析创建了一种建设性和有效的方法来建模、分析敏捷供应链管理的维度,并对其进行优先排序。
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