Designing an operational model for implementing resistance economics in Shiraz University of Medical Sciences hospitals

Abstract: Background   and   Purpose: The  term  resistance  economy  was  first  introduced  by  Leader  of  Islamic Republic   of   Iran,   which   includes      components.  It  seems  that  using  resistance economy  is  associated  with  beneficial  effects  on  the  health  sector. this study is based on leadership guidelines for conducting studies on resistance economics focused  on  economic  problems  and  oppressive  sanctions  that  have  challenged  the management   of   hospitals   to   design   an   operational   model   for   implementing resistance   economics   in the shiraz medical  university   hospitals. Methods :This  study  is  a  combined  research  that  was  conducted  in  several stages. Our  research  population  consisted  of  20  professors,  officials,  familiar  and experienced  managers  and  experts  aware  of  the  economic  issues  of  hospitals affiliated  to  shiraz University  of  Medical  Sciences. Targeted sampling method and snowball technique were used.  In the first stage, the study was performed by analyzing the current situation and conducting interviews. In the second stage, with the  help  of  interview  output,  using  the  Delphi  technique  bared  on  questionnaire, and MAXQDA and SPSS software were used to analyze the data. Results: Based on the content analysis of specialized interviews and review of the  current  situation,  34  indicators in 6 area(management  structure,  human  resources,  cost  management,  financing,  supply chain, scientific and research) were  identified. After performing three rounds of Delphi, 25 components with a score above 0.7 were confirmed. The criteria were then accepted using confirmatory factor analysis. Finally, in the structural equation model, the factor load of all the criteria greater than 0.3 and also their related t-statistic were obtained above 1.96 and the proposed model was confirmed. Conclusion  : In   order   to   implement   resistance   economics   in   hospitals, the component of management  structure,  human  resources,  cost  management,  financing,  supply chain, scientific and research have priority, respectively. The components identified in this study can be a guide for policy makers and managers to overcome the economic problems of hospitals.