شناسایی شاخص‌های تاب آوری نظام سلامت با رویکرد مدیریت دانش

نوع مقاله : مقاله پژوهشی

نویسندگان
1 ، دانشجوی دکتری، علم اطلاعات و دانش شناسی ، گروه علوم ارتباطات و دانش شناسی ، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
2 دانشیار، گروه علوم ارتباطات و دانش شناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
3 استاد، گروه علوم ارتباطات و دانش شناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران
4 دانشیار،دانشکده علوم انسانی،واحد یادگار امام خمینی(ره) شهرری، دانشگاه آزاد اسلامی، تهران، ایران
چکیده
مقدمه: تاب‌آوری نظام سلامت در مواجهه با بحران‌ها و تداوم خدمات ضروری است. رویکرد مدیریت دانش نقش کلیدی در ارتقای تاب‌آوری ایفا می‌کند. هدف پژوهش شناسایی شاخص‌های تاب‎آوری نظام سلامت با رویکرد مدیریت دانش است.
روش بررسی: مطالعه با روش کیفی فراترکیب و با جستجوی نظام‌مند در پایگاه های اطلاعاتی داخلی و خارجی انجام شد. از 168 پژوهش یافت شده در سالهای ۱۳۹۰ تا ۱۴۰۴ شمسی و ۲۰۱۰تا ۲۰۲۵ میلادی ، 60پژوهش انتخاب و با تجزیه و تحلیل محتوای آنها، شاخص‎های نهایی شناسایی و استخراج شدند. جهت اعتبارسنجی نتایج از ضریب کاپا Kappa استفاده شد.
یافته‌ها: با تحلیل مطالعات، ۴۰۲ کد اولیه پس از مقایسه مفهومی و ادغام موارد مشابه، در ۶۶ مقوله فرعی و ۱۳ مقوله اصلی شامل: حکمرانی و رهبری دانشی، مدیریت و خلق دانش، یادگیری سازمانی و حافظه نهادی، منابع انسانی دانشی و تاب‌آور، زیرساخت‌های اطلاعات و فناوری، مدیریت دانش در بحران، تامین مالی و تاب‌آوری اقتصادی دانشی، زنجیره تامین و مدیریت منابع، تعاملات بین‌بخشی و شبکه‌ای، نوآوری و تحول‌پذیری دانشی، پایش، ارزیابی و سنجش تاب‌آوری، فرهنگ سازمانی دانشی و تاب‌آور و تاب‌آوری دانشی خدمات سلامت طبقه‌بندی شدند.
نتیجه‌گیری: تاب‌آوری نظام سلامت نتیجه هماهنگی عوامل مختلف است. پایداری و کیفیت خدمات تنها زمانی تضمین می‌شود که دانش در تمام سطوح نظام سلامت نهادینه شده و به عنوان دارایی استراتژیک در تصمیم‌گیری‌ها به‌کار گرفته شود.
کلیدواژه‌ها
موضوعات

عنوان مقاله English

Identification of Health System Resilience Indicators from a Knowledge Management Perspective

نویسندگان English

Zohreh Rezaei 1
Fahimeh Babalhavaeji 2
Najla Hariri 3
Dariush Matlabi 4
1 Student,Information Science and Knowledge , Department of Communications and Knowledge Science, Science and Research Branch, Islamic Azad University, Tehran, Iran.
2 Associate Professor, Department of Communications and Knowledge Science, ,Science and Research Branch, Islamic Azad University, Tehran, Iran
3 Professor, Department of Communications and Knowledge Science, Science and Research Branch, Islamic Azad University, Tehran, Iran
4 Associate Professor, Faculty of Humanities, Yadegar-e- Imam Khomeini Shahr-e Ray Branch, Islamic Azad University, Tehran, Iran
چکیده English

Introduction: Health system resilience is fundamental to sustaining essential services during crises. Within this context, knowledge management emerges as a critical enabler of adaptive capacity and operational continuity. This study seeks to identify a set of indicators for health system resilience, specifically as viewed through the lens of knowledge management.
Methods: This study employed a qualitative meta-synthesis approach, alongside a systematic search of both domestic and international databases. Of the 168 records initially identified—spanning the Persian calendar years 1390 to 1404 and the Gregorian years 2010 to 2025—60 were ultimately selected for in-depth analysis. Through iterative content analysis of the included studies, the final set of indicators was derived. To compute the reliability of the extraction process, the Kappa coefficient was applied as a measure of inter-coder agreement.
Results: Through systematic content analysis of the selected studies, an initial pool of 402 open codes was derived. Following conceptual comparison and the consolidation of analogous items, these codes were synthesized into 66 subcategories, which were subsequently aggregated into 13 overarching main categories. These core dimensions encompass: knowledge governance and leadership; knowledge creation and management; organizational learning and institutional memory; resilient human capital in knowledge systems; information and communication technology infrastructure; crisis-oriented knowledge management; economic resourcing and financial sustainability of knowledge; supply chain and resource stewardship; cross-sectoral and network-based collaborations; knowledge-driven innovation and transformation; monitoring, evaluation, and resilience measurement; resilient organizational culture grounded in knowledge; and knowledge resilience of health service delivery.
Conclusion: Health system resilience is ultimately the product of a complex, coordinated interplay among multiple interdependent factors. Yet, the sustainability and quality of health services can only be safeguarded when knowledge is systematically embedded across all tiers of the health system—and actively leveraged as a strategic asset in policy-making and managerial decision-making processes

کلیدواژه‌ها English

Resilience
Health System
Knowledge Management
Indicator
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