School of Management, Northwestern Polytechnical University, Xi'an 710072, Shannxi, China.
Department of Pathology, School of Basic Medical Science, Xi'an Jiaotong University, Xianning West Road, Xi'an 710049, Shaanxi, China.
Int J Environ Res Public Health. 2019 Feb 12;16(3):508. doi: 10.3390/ijerph16030508.
Investing in a sustainable future has no alternative; the healthcare sector in developing countries has failed to achieve sustainability objectives. Knowledge management (KM) is a concrete application of sustainability in healthcare, as organizations (hospitals) that manage their knowledge assets will gain sustainable competitive advantage. Several organizations in developed countries are moving towards the adoption of knowledge management so that they can manage their knowledge well and improve their performance. Due to the effective implementation of KM in developed countries, developing countries are also considering adopting KM in their healthcare. In this study, an attempt has been made to identify the drivers of KM adoption in public and private hospitals of Pakistan. With the help of an extensive literature review and expert opinion, the drivers were identified and a hierarchical structure was developed. Nineteen drivers were identified and screened out by experts. The experts identified the contextual relationships between the drivers during a brainstorming session. The hierarchical model of the drivers for KM in the healthcare of Pakistan was eventually developed using interpretive structural modeling (ISM). The structure has 10 levels, in which "developed competitive advantage" formed the foundation of the structure and "job creation" and "improvement in the reputation of healthcare" formed the topmost level. The "Matrices d'Impacts Croises Multiplication Appliqué a un Classement" (MICMAC) analysis classified the drivers by categorizing them according to their driving and dependence powers. One driver is identified as autonomous, six drivers as dependent, seven drivers as linkage, and five drivers as independent. The analysis of KM drivers will provide a good understanding of the interdependence and interactions between them and support the effect adoption of KM in developing countries especially in Pakistan.
投资可持续未来是别无选择的；发展中国家的医疗保健部门未能实现可持续性目标。知识管理（KM）是医疗保健可持续性的具体应用，因为管理其知识资产的组织（医院）将获得可持续的竞争优势。一些发达国家的组织正在朝着采用知识管理的方向发展，以便能够很好地管理他们的知识并提高他们的绩效。由于在发达国家有效实施了 KM，发展中国家也在考虑在其医疗保健中采用 KM。在这项研究中，尝试确定巴基斯坦公立医院和私立医院采用 KM 的驱动因素。通过广泛的文献回顾和专家意见，确定了驱动因素，并建立了一个层次结构。专家们确定了 19 个驱动因素，并对其进行了筛选。专家们在头脑风暴会议期间确定了驱动因素之间的上下文关系。最终使用解释结构建模（ISM）开发了巴基斯坦医疗保健中 KM 的驱动因素层次模型。该结构有 10 个层次，其中“已开发的竞争优势”构成了结构的基础，“创造就业机会”和“提高医疗保健声誉”构成了最高层次。“交叉影响矩阵乘法分类”（MICMAC）分析根据驱动力和依存力对驱动因素进行了分类。一个驱动因素被确定为自主，六个驱动因素为依存，七个驱动因素为关联，五个驱动因素为独立。对 KM 驱动因素的分析将很好地理解它们之间的相互依存和相互作用，并支持发展中国家特别是巴基斯坦采用 KM。
