Maleki Mohammadreza, Mousavi Seyed Masood, Khosravizadeh Omid, Heidari Mohammad, Raadabadi Mehdi, Jahanpour Mina
Health Services Management Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. Email:
Asian Pac J Cancer Prev. 2018 Nov 29;19(11):3123-3129. doi: 10.31557/APJCP.2018.19.11.3123.
Background: Considering the increasing incidence of different cancers, use of modern technologies such as TTCC can make a dramatic change in treatment of these diseases. So, if the evolution strategy conflicts with the organizational culture, national culture, and organizational structure of experts in this field, resistance will rise. Objective: The purpose of this study was to determine the effective factors on the use of TTCC in hospitals affiliated to Tehran University of Medical Sciences using the AHP model. Materials and Methods: This current descriptive study was carried out in 2018 on specialist physicians from five hospitals of Tehran University of Medical Sciences. The data gathering tool was a questionnaire consisting of two sections; demographic items and 27 effective factors influencing the implementation of TTCC technology, which was evaluated for validity and reliability. Data analysis was performed using analytical hierarchy process with expert choice and for empirical illustration are used to discuss the use of covariance-based SEM versus smart PLS software. Results: Based on AHP comparisons in the studied factors, the highest priority was the Cultural factor. In other words, commitment of senior executives to support the provision of a new technology with a weight of 0.327. The lowest priority, however, was related to support diverse approaches, innovation, creativeness, and acceptance of new ideas with a weight of 0.038. In regard with technical and organizational factors, out-of-hospital access to the intranet network and support provided by the doctors, with the weight of 0.221 and 0.205 in order, acquired the highest rates. Conclusion: Considering the high prevalence of cancer in Iran and the necessity of using new technologies in its treatment and by addressing the specialists’ views and opinions in this field, organizational and national culture in the application of TTCC technology should be promoted. This target can be hit through acceptance, change in attitude, and successful use of TTCC technology by medical professionals.
鉴于不同癌症的发病率不断上升，采用诸如肿瘤治疗协作中心（TTCC）等现代技术可使这些疾病的治疗发生巨大变化。因此，如果进化策略与该领域专家的组织文化、国家文化及组织结构相冲突，就会产生阻力。目的：本研究旨在运用层次分析法（AHP）模型确定影响德黑兰医科大学附属医院使用TTCC的有效因素。材料与方法：这项现况描述性研究于2018年对德黑兰医科大学五家医院的专科医生开展。数据收集工具为一份问卷，由两部分组成；人口统计学项目以及影响TTCC技术实施的27个有效因素，该问卷进行了效度和信度评估。使用专家选择的层次分析法进行数据分析，并运用协方差结构方程模型（SEM）与智能偏最小二乘法（PLS）软件来进行实证说明以讨论其使用情况。结果：基于对所研究因素的层次分析法比较，最高优先级是文化因素。也就是说，高级管理人员支持提供新技术的承诺权重为0.327。然而，最低优先级与支持多种方法、创新、创造力以及接受新思想有关，权重为0.038。在技术和组织因素方面，医院外对内部网络的访问以及医生提供的支持，权重分别为0.221和0.205，获得了最高比率。结论：鉴于伊朗癌症的高发病率以及在其治疗中使用新技术的必要性，通过关注该领域专家的观点和意见，应促进TTCC技术应用中的组织文化和国家文化。这一目标可以通过医疗专业人员对TTCC技术的接受、态度转变和成功使用来实现。
