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ORIGINAL ARTICLE
Year : 2018  |  Volume : 38  |  Issue : 3  |  Page : 91-101

Prioritizing factors affecting the hospital employees' productivity from the hospital managers' viewpoint using integrated decision-making trial and evaluation laboratory and analytic network process


1 Faculty of Economic and Administrative Sciences, Department of Management, Ferdowsi University of Mashhad, Mashhad, Iran
2 Department of Health Services Management; Student Research Committee, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
3 Student Research Committee; Health Human Resources Research Center, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence Address:
Dr. Ramin Ravangard
Department of Health Services Management, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. Health Human Resource Research Center, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmedsci.jmedsci_140_17

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Objectives: This study aimed to identify and prioritize factors affecting the hospital employees' productivity from the viewpoint of hospital managers working in the teaching hospitals affiliated to Iran, Shiraz University of Medical Sciences, in 2017. Materials and Methods: This was an applied, cross-sectional, and descriptive-analytical study conducted in 2017 in all teaching hospitals affiliated to Iran, Shiraz University of Medical Sciences. After identifying factors affecting hospital employees' productivity using the results of previous studies, all hospital managers (56 managers) were selected as the study population using census method to prioritize the factors. The decision-making trial and evaluation laboratory (DEMATEL) and analytic network process (ANP) techniques were used for analyzing the collected data through Excel 2010 and Super Decision 2.8. Results: Fifteen factors affecting employees' productivity were determined using the results of previous studies which were classified into four clusters. The results of DEMATEL technique showed that “employees' attitude toward the organization” was the most affecting factor (r = 11.928) and also the most affected factor (c = 12.120), as well as the most important factor affecting the employees' productivity (r + c = 24.048). In addition, the results of ANP showed that the cluster of “leadership and management styles” (relative weight [RW] = 0.274) and its factors, especially “involving employees in the decision-making processes” (L1) (RW = 0.102) and “delegation of authority to the employees” (L2) (RW = 0.100) were the most important factors affecting the employees' productivity. Conclusion: According to the results, adopting an appropriate leadership style and providing participatory management, involving the employees in the hospital decision-making processes, etc., had significant effects on the increases in the employees' motivation and productivity.


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