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شناسایی و مدل‌سازی چالش‌های هم‌رقابتی در زنجیره تأمین بهداشت و درمان: رویکرد مدل‌سازی ساختاری-تفسیری فراگیر فازی

نوع مقاله : مقاله پژوهشی

نویسندگان
1 استادیار گروه مدیریت کسب و کار، دانشکده علوم مالی، مدیریت و کارآفرینی، دانشگاه کاشان، کاشان، ایران
2 استادیار گروه مدیریت کسب و کار، دانشکده علوم مالی، مدیریت و کارآفرینی، دانشگاه کاشان، کاشان، ایران.
چکیده
هدف: زنجیره تأمین بهداشت و درمان ایران با کمبود منابع و تخصص روبرو است.یکی از مهم‌ترین رویکردهای استراتژیک برای غلبه بر این وضعیت استفاده از همکاری بین رقبا (هم‌رقابتی) است.پیاده‌سازی این رویکرد،با چالش‌های متعددی همراه بوده که تاکنون مورد بررسی قرار نگرفته است. پژوهش حاضر با هدف شناسایی این چالش‌ها و مدل‌سازی آن‌ سعی در پوشش این خلأ تحقیقاتی دارد.
روش: رویکرد این پژوهش آمیخته (کیفی-کمی) است.در گام اول (کیفی)،از روش و مصاحبه‌های نیمه ساختاریافته با خبرگان زنجیره تأمین سلامت به منظور شناسایی این چالش‌ها استفاده شد. شیوه نمونه‌گیری قضاوتی و گلوله برفی و حجم آن 14 نفر است. در گام دوم (کمی) از پرسشنامه محقق ساخته از چالش‌های گام اول، مبتنی بر روش مدل‌سازی ساختاری تفسیری فراگیر فازی استفاده شد. جامعه آماری و شیوه نمونه‌گیری مشابه مرحله قبل، حجم نمونه 15 نفر بود.
یافته‌ها: در مرحله اول پژوهش،48 چالش شناسایی گردید. این چالش‌ها در قالب 12 دسته اصلی «شرایط سیاسی و اقتصادی»، «الگوی ارائه خدمات در رقیب»، «چالش‌های فرادستی»، «نگرش مدیران»، «فرصت‌طلبی رقیب»، «چالش‌های حقوقی»، «چالش‌های برنامه‌ریزی و اجرا»، «چالش‌های دانشی»، «چالش‌های عدم توازن»، «چالش‌های نظارتی»، «چالش‌های کمبود منابع» و «چالش‌های اطلاعاتی» گروه‌بندی شدند.نتایج مرحله دوم پژوهش یا مدل‌سازی چالش‌ها نشان داد به ترتیب «چالش‌های فرادستی» و «نگرش مدیران»بنیادی‌ترین چالش‌ها هستند و در سطح بعدی «چالش‌های برنامه‌ریزی و اجرا» و «چالش‌های دانشی» قرار دارند.
نتیجه‌گیری:به‌منظور غلبه بر چالش‌ها لازم است در انتخاب شریک به‌منظور هم‌رقابتی دقت نظر به عمل آید.همچنین شایسته‌سالاری در انتصابات، وجود مشاوران حقوقی و اقتصادی در وزارت بهداشت و به‌کارگیری نظارت شخص ثالث توصیه می‌شود.
کلیدواژه‌ها

عنوان مقاله English

Identifying and Modeling Coopetition Challenges in The Healthcare Supply Chain: A Fuzzy Total Structural-Interpretive Modeling Approach

نویسندگان English

Zahra Sadeqi-Arani 1
Esmaeil Mazroui Nasrabadi 2
1 Assistant Professor, Department of business management, Faculty of Financial Science, Management and Entrepreneurship, University of Kashan, Kashan, Iran.
2 Assistant Professor, Department of business management, Faculty of Financial Science, Management and Entrepreneurship, University of Kashan, Kashan, Iran.
چکیده English

Background: The healthcare supply chain in Iran faces significant challenges due to resource shortages and a lack of expertise. One of the most critical strategic approaches to overcoming these issues is collaboration among competitors (coopetition). However, implementing this approach has been accompanied by numerous challenges that have not yet been systematically examined.This study aims to address this research gap by identifying and modeling these challenges.
Methodology: The research employs a mixed-methods approach (qualitative-quantitative). In the first phase (qualitative), semi-structured interviews with experts in the healthcare supply chain were conducted to identify the challenges.The sampling methods were purposive and snowball, involving 14 participants. In the second phase (quantitative), a researcher-developed questionnaire based on the challenges identified in the first phase was utilized, employing the Fuzzy Total Interpretive Structural Modeling (Fuzzy-TISM) method. The statistical population and sampling method were consistent with the first phase, involving15 participants.
Results: In the qualitative phase, 48 challenges were identified and grouped into 12 main categories:“political and economic conditions,”“service delivery patterns in competitors,”“macro-level challenges,”“managerial attitudes,” “opportunistic behavior of competitors,”“legal challenges,” “planning and implementation challenges,”“knowledge-related challenges,” “imbalances,” “regulatory challenges,” “resource shortages,” and “informational challenges.”.The results of the quantitative phase, which focused on modeling these challenges, revealed that “macro-level challenges” and “managerial attitudes” were the most fundamental challenges, followed by“planning and implementation challenges” and “knowledge-related challenges.”

Conclusion:To overcome these challenges, careful partner selection for coopetition is essential.Additionally, implementing meritocracy in appointments, employing legal and economic advisors within the Ministry of Health, and utilizing third-party oversight mechanisms are strongly recommended.

کلیدواژه‌ها English

Coopetition Challenges
Fuzzy Total Structural-Interpretive Modeling
Healthcare Supply Chain
Thematic Analysis
Aka, E. S. 2023. "Strategies to Sustain Food and Beverage Businesses in West Africa Through Alliances and Partnerships" (Doctoral dissertation, Walden University).‏
Albert-Cromarias, A., & Dos Santos, C. 2020. "Coopetition in healthcare: Heresy or reality? An exploration of felt outcomes at an intra-organizational level". Social science & medicine252, 112938.‏ https://doi.org/10.1016/j.socscimed.2020.112938
Albert-Cromarias, A., & Dos Santos, C. 2020. "Coopetition in healthcare: Heresy or reality? An exploration of felt outcomes at an intra-organizational level". Social science & medicine252, 112938.‏ https://doi.org/10.1016/j.socscimed.2020.112938
Alizadeh, Neda. 2019. "Shortage of at least 12,000 intensive care beds in hospitals in the country". Medical Engineering and Laboratory Equipment 262. 26-30. [In Persian]
Al-kallas, l. i. n. a. 2023. "Strategic management of the organization as a general framework for crisis management and emergency plan “B”". a dissertation presented to the department of business administration program at selinus university in fulfillment of the requirements for the degree of doctor of philosophy (ph.d.) in business administration
Asgari, Shima. 2017. "Payment of insurance and shortage of human resources; two major hospital challenges; Sanat Darman correspondent reports from Ayatollah Taleghani Hospital". Sanat Darman. 57. [In Persian]
Azizi, Shilan; Jafari, Sakineh; and Ebrahimian, Abbasali. 2019. "Shortage of male nurses in hospitals in Iran and the world: A narrative review article". Nursing, Midwifery and Paramedical. 6-23. [In Persian]
Bengtsson، M., & Kock, S. 2000. “Coopetition in Business Networks—to Cooperate and Compete Simultaneously". Industrial Marketing Management, (29),411–426. https://doi.org/10.1016/S0019-8501(99)00067-X
Bhatt, V., & Chakraborty, S. 2023. "MediBlock: a pervasive way to create healthcare value in secured manner for personalized care". In Recent Advances in Blockchain Technology: Real-World Applications (pp. 233-243). Cham: Springer International Publishing.‏ https://doi.org/10.1007/978-3-031-22835-3_11
Blázquez-Jiménez, C., & Sanchis, J. R. 2023. "Inter-business coopetition. Theoretical description and application to technological sectors". RETOS. Revista de Ciencias de la Administración y Economía13(26), 325-340.‏ https://doi.org/10.1016/S0019-. 8501(99)00067-X.
Bouncken, R., Kumar, A., Connell, J., Bhattacharyya, A., & He, K. 2024. "Coopetition for corporate responsibility and sustainability: does it influence firm performance?". International Journal of Entrepreneurial Behavior & Research30(1), 128-154.‏ https://doi.org/10.1108/IJEBR-05-2023-0556
Chin, K. S., Chan, B. L., & Lam, P. K. 2008. "Identifying and prioritizing critical success factors for coopetition strategy". Industrial Management & Data Systems108(4), 437-454.‏ https://doi.org/10.1108/02635570810868326
Crick, J. M., Friske, W., & Morgan, T. A. 2024. "The relationship between coopetition strategies and company performance under different levels of competitive intensity, market dynamism, and technological turbulence". Industrial Marketing Management118, 56-77.‏ https://doi.org/10.1016/j.indmarman.2024.02.005
Cygler, J., Sroka, W., Solesvik, M., & Dębkowska, K. 2018. "Benefits and drawbacks of coopetition: The roles of scope and durability in coopetitive relationships. Sustainability", 10(8), 2688.‏ https://doi.org/10.3390/su10082688
Cygler, J., Sroka, W., Solesvik, M., & Dębkowska, K. 2018. "Benefits and drawbacks of coopetition: The roles of scope and durability in coopetitive relationships". Sustainability10(8), 2688.‏ https://doi.org/10.3390/su10082688
Faisal, M. N., Sabir, L. B., AlNaimi, M. S., Sharif, K. J., & Uddin, S. F. 2024. "Critical Role of Coopetition Among Supply Chains for Blockchain Adoption: Review of Reviews and Mixed-Method Analysis". Global Journal of Flexible Systems Management, 1-20.‏ https://doi.org/10.1007/s40171-023-00369-6
Juszczyk, P. 2023. "Stimulators and Barriers to Coopetition in Non-Commercial Entities-Case Study of Cultural Institutions". International Journal of Business Science & Applied Management, 18(3).‏
Karami, Mastaneh. 2019. "Pharmaceutical industry, plagued by liquidity shortage; activists of the country's pharmaceutical and drug industry talk about the problems of this industry". Titrsobh. 22. [In Persian]
Khodabakshi, Akbar; and Asameh, Zahra. 2023. "Investigating the distribution of resources in the Iranian health sector using the Gini coefficient (2011-2020)". Social Welfare 88. 57-104 [In Persian]
Lado, A. A., Boyd, N. G., & Hanlon, S. C. 1997. "Competition, cooperation, and the search for economic rents: a syncretic model". Academy of management review22(1), 110-141.‏ https://doi.org/10.2307/259226
Li, J. 2015. "The benefits and drawbacks of coopetition on the performance of SMEs", (Bachelor's thesis, University of Twente).‏
Mazroui Nasrabadi, E. , & Sadeqi-Arani, Z. 2024. "Interactive-process model of coopetition strategy advantages in the healthcare sector". Strategy, 33(1), -. doi: 10.22034/rahbord.2024.465515.1680 [In Persian].
Mazroui Nasrabadi, E., Sadeqi-Arani, Z., & Sadeqi-Arani, A. 2024. "Identification And Ranking of Disadvantages of Coopetition Strategy in the Healthcare Supply Chain: The Mix of the Thematic Analysis and Ordinal Priority Approach". Innovation Management and Operational Strategies. doi: 10.22105/imos.2024.463397.1362 [In Persian].
Mierzejewska, W., Górska, R., Aluchna, M., Krejner-Nowecka, A., & Dziurski, P. 2023. "Understanding drivers of intrafirm coopetition: perspective of corporate groups". Central European Management Journal, 31(2), 169-188.‏ https://doi.org/10.1108/CEMJ-12-2021-0148
Monticelli, J. M., Verschoore, J. R., & Garrido, I. L. 2023. "The emergence of coopetition in highly regulated industries: A study on the Brazilian private healthcare market". Industrial Marketing Management108, 35-46.‏ https://doi.org/10.1016/j.indmarman.2022.11.007
Nascimento, L. D. S., da Costa Júnior, J. C., Salazar, V. S., & Chim-Miki, A. F. 2023. "Coopetition in social entrepreneurship: A strategy for social value devolution". International Journal of Emerging Markets18(9), 2176-2197.‏ https://doi.org/10.1108/IJOEM-09-2020-1062
Niu, Y., Zhao, D., Deng, X., Lu, R., & Zhao, X. 2021. "Determinants for coopetition strategies of international joint ventures in high-speed railway projects". Journal of Civil Engineering and Management27(5), 331-345.‏ http://dx.doi.org/10.3846/jcem.2021.15021
Opricovic, S., & Tzeng, G.-H. 2003. "Defuzzification within a Multicriteria Decision Model". International Journal of Uncertainty, Fuzziness and Knowledge-Based Systems, 11(05), 635-652. https://doi.org/10.1142/S0218488503002387
Roy, F. L., Fernandez, A. S., & Chiambaretto, P. 2017. "Managing coopetition in knowledge-based industries". In Global opportunities for entrepreneurial growth: Coopetition and knowledge dynamics within and across firms (pp. 187-198). Emerald Publishing Limited.‏ https://doi.org/10.1108/978-1-78714-501-620171013
Sadeqi-Arani Z, Mazroui Nasrabadi E. 2024. "Coopetition: A Strategy for Knowledge Sharing and Innovation Development in Healthcare". Journal of Health Administration; 26 (4) :1-7. https://doi.org/10.22034/26.4.1[In Persian].
Seepana, C. 2021."Interfirm coopetition: antecedents, tensions, and performance outcomes". The University of Manchester (United Kingdom).‏
Soltani, M., Kordnaeij, A., Irani, H. R., & Hasanbeygi, N. 2021. "Presenting a Model of Factors Affecting the Coopetition Formation and Consequences: A Mixed Research". Journal of Business Management Perspective20(45), 39-64. doi: 10.52547/jbmp.20.45.39 [In Persian].
Talari, M., & Keshavarzi, F. 2023. "Presenting the Model of Effective Factors on the Development of Coopetition Strategy among Innovative and Start-Up Companies". Innovation Management in Defensive Organizations6(1), 131-150. doi: 10.22034/qjimdo.2023.380735.1558 [In Persian].
Tamás, F. 2023. "Digital supply chain challanges: Smart tools supported coopetition and contract supported cooperation". Multidiszciplináris Tudományok13(3), 300-311.‏ https://doi.org/10.35925/j.multi.2023.3.30
Thelisson, A. S. 2023. "Coopetition in a merger process: Regulators and management of coopetitive tensions". International Review of Administrative Sciences89(2), 381-397.‏ https://doi.org/10.1177/00208523211034667
Van den Broek, J., Boselie, P., & Paauwe, J. 2018. "Cooperative innovation through a talent management pool: A qualitative study on coopetition in healthcare". European Management Journal36(1), 135-144.‏ https://doi.org/10.1016/j.emj.2017.03.012
Vanyushyn, V., Bengtsson, M., Näsholm, M. H., & Boter, H. 2018. "International coopetition for innovation: Are the benefits worth the challenges?". Review of Managerial Science12, 535-557.‏ https://doi.org/10.1007/s11846-017-0272-x
Verulava, T. 2023. "Strategic management and planning for health care organizations in Georgia". Asia Pacific Journal of Health Management18(3), 41-48.‏ http://dx.doi.org/10.24083/apjhm.v18i3.2697
Westra, D., Angeli, F., Carree, M., & Ruwaard, D. 2017. "Coopetition in health care: A multi-level analysis of its individual and organizational determinants". Social Science & Medicine186, 43-51.‏ https://doi.org/10.1016/j.socscimed.2017.05.051
Wu, W. W., & Lee, Y. T. 2007. "Developing global managers’ competencies using the fuzzy DEMATEL method". Expert systems with applications, 32(2), 499-507.‏ https://doi.org/10.1016/j.eswa.2005.12.005
Xue, J., Liu, J., Geng, Z., Yuan, H., & Chao, L. 2023. "Why and when do paradoxical management capabilities matter to paradoxical pressure? An empirical investigation of the role of coopetition". Technovation120, 102682.‏ https://doi.org/10.1016/j.technovation.2022.102682
Yami, S., Castaldo, S., Dagnino, B., & Le Roy, F. (Eds.). 2010. Coopetition: winning strategies for the 21st century. Edward Elgar Publishing.‏ http://dx.doi.org/10.4337/9781849807241
Yousaf, M. J., & Waheed, A. 2024. "Does Coopetition Foster Value Creation? An Empirical Analysis of Dyadic And Multiple Coopetitors". Remittances Review9(1), 368-401.‏ https://doi.org/10.33182/rr.vx9il.31

  • تاریخ دریافت 16 آذر 1403
  • تاریخ بازنگری 06 اسفند 1403
  • تاریخ پذیرش 06 اسفند 1403