Ali Naderi , Naser Mirsepassi , Seyed Jamal Tabibi ,
Volume 9, Issue 4 (2-2025)
Abstract
Background: Today, the health system is facing numerous challenges and issues that can be overcome by utilizing the principles of organizational civilization. Organizational civilization includes cultures that provide the necessary background for regular and purposeful training of human resources to improve service delivery and obtain win-win benefits. Despite its great importance, there is still no complete understanding of the different dimensions of the concept of organizational civilization in the health system. Therefore, the aim of the present study is to design the model of organizational civilization in the health system.
Methods: This research is fundamental in terms of its purpose and is classified as an exploratory mixed research. In order to design the research model, the grounded theory method was used, and this research was conducted in two stages including qualitative stage using the grounded theory method and quantitative stage using the structural equation modeling method. In the qualitative stage, in-depth interviews were conducted with experts in the health system who were selected by purposeful sampling method. The interviews with the experts continued until theoretical saturation was reached, and after 14 interviews, the interviews were stopped. The model designed using the structural equation modeling method was validated with Smart PLS 4 software. Moreover, in the quantitative stage, the statistical population included 136 managers and experts of Amirkabir Hospital in Arak, who were surveyed using a questionnaire. In addition, the sample size calculated by Cochran method was 101 people using simple random sampling method.
Results: A paradigm model was designed with 6 categories of variables including causal factors, central phenomenon, strategies, intervening factors, contextual factors, and consequences. Also, 5 main categories and 15 subcategories as well as 4 strategy categories were identified for the organizational civilization variable, based on which the research model was created. The main categories identified for the central phenomenon (organizational civilization) included virtueism, valueism, rationalism, idealism, and utilitarianism. Findings of the structural equation modeling fit also showed that the structure and variables of the model are approved. In addition, the values of the coefficient of determination for the central phenomenon variable were calculated as 0.681, strategies as 0.710, and consequences as 0.729, which are appropriate values and indicate that the variables of the model have been identified correctly.
Conclusion: The phenomenon of organizational civilization can be a practical and efficient concept in the health system that will lead to more orientation of this sector towards human, value, and ethical issues and creation of valuable results including improving efficiency and effectiveness in the health sector and ensuring the interests and satisfaction of stakeholders and society.
