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Designing a model for organizing volunteer personnel in disasters and emergencies in Tehran’s hospitals: an integrated approach of Fuzzy Delphi and interpretative structure modeling (ISM)
Natural Hazards ( IF 3.3 ) Pub Date : 2020-06-23 , DOI: 10.1007/s11069-020-04055-z
Forouzandeh Jannat , Davoud Khorasani-Zavareh , Javad Mir-Aghazadeh-Attari , Kiyoumars Allahbakhshi , Iraj Mohebbi

Organization of volunteer personnel and proper management of these enormous and valuable human resources to make that most of their scientific, experiential, physical, and expertise power is of paramount importance, so in disasters and emergencies, lack of proper planning for organizing volunteers in the health sector is one of the most critical issues in the Iranian health system. The primary objective of this study is designing a model for the organization of volunteer people in disasters and emergencies in Tehran’s hospitals, utilizing an integrated approach of Fuzzy Delphi and interpretative structure modeling. The present study is mixed research. This study was conducted during 2017–2018 using the Fuzzy Delphi method to identify and rank the indices. A total of 26 disaster management specialists and experts in the hospitals participated in two rounds in this designed Delphi study. After extracting the primary components through systematic studies and interviews with the experts, two rounds were conducted in the presence of the experts. A structural-interpretive modeling approach was used to interpret the data. The Fuzzy Delphi results after two rounds yielded 11 indices in the form of two criteria. Then, the internal relationships of the criteria were investigated using structural-interpretive modeling, according to which the criteria were classified into three levels. Based on the results of the research, individual characteristics, social characteristics, appropriate type of employment, information strategies in initial enrollment, participatory recruitment methods, information recording methods, type of natural disasters, hospital–volunteers communication system, pre-incident preparation measures of the volunteers, intra-incident and post-incident preparation measures were determined in two indices of selection and preparation using Fuzzy Delphi technique. The results indicated that most of the measures related to the organization of volunteer personnel are interrelated, and preparation indicators of pre-, during, and post-incidents and the individuals’ characteristics are all among the necessary operational measures which can be done by operational managers at the basic levels of organizations. This means that methods and strategies can provide a higher-level context. Ultimately, as expected, this means that other studied indicators influence participatory recruitment methods and the communication system between the hospital and the volunteers. In this regard, the researchers, managers, and policymakers can use the results of the research in policymaking in the field of health care. Organization of volunteer personnel can be of great help to the hospitals in the field of health care.



中文翻译:

设计用于组织德黑兰医院灾难和紧急情况中的志愿者的模型:模糊德尔菲和解释性结构建模(ISM)的集成方法

义工人员的组织和对这些巨大而宝贵的人力资源的适当管理,以使他们的大部分科学,经验,体力和专业知识力量至关重要,因此,在灾难和紧急情况下,缺乏适当的计划来组织义工健康部门是伊朗卫生系统中最关键的问题之一。这项研究的主要目的是利用模糊德尔菲和解释性结构建模的集成方法,为德黑兰医院中发生灾害和紧急情况的志愿者组织设计模型。本研究是混合研究。这项研究是在2017-2018年期间使用Fuzzy Delphi方法进行的,以识别和排名指数。共有26位灾难管理专家和医院专家参加了此设计的Delphi研究的两轮研究。通过系统的研究和与专家的访谈来提取主要成分后,在专家在场的情况下进行了两轮。使用结构解释建模方法来解释数据。两轮后的模糊德尔菲结果以两个标准的形式得出11个指数。然后,使用结构解释模型研究标准的内部关系,根据该标准将标准分为三个级别。根据研究结果,个人特征,社会特征,合适的就业类型,初始入学时的信息策略,参与式招聘方法,信息记录方法,自然灾害类型,医院-志愿者沟通系统,志愿者的事前准备措施,事中内和事后准备措施均采用模糊德尔菲技术在选择和准备的两个指标中确定。结果表明,与志愿人员组织有关的大多数措施是相互关联的,事发前,事中和事后的准备指标以及个人特征都是操作管理人员可以采取的必要操作措施。在组织的基本层面上。这意味着方法和策略可以提供更高层次的上下文。最终,如预期的那样,这意味着其他研究指标会影响参与式招募方法以及医院与志愿者之间的沟通系统。在这方面,研究人员,管理人员和政策制定者可以将研究结果用于医疗保健领域的政策制定中。志愿人员的组织可以对卫生保健领域的医院有很大帮助。

更新日期:2020-08-31
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