Presenting a Model to Identify the Relationship Between Effective Factors in the Construction and Establishment of Field Hospitals with a Passive Defense Approach

Document Type : Original Article

Authors

1 Imam Ali University (AS)

2 Construction Management

Abstract

One of the most obvious aspects of successful management and planning during the imposed war was the management of aid to the wounded in the form of establishing military field hospitals with passive defense approaches. So that the aforementioned action was developed from creating a tent or a roofed frame for relief at the beginning of the war to the construction of field hospitals in terms of passive defense requirements. In this way, the average duration of sending war wounded during the holy defense period in some fronts of the battle of right against falsehood to medical centers was reduced to less than one hour at the end of the imposed war, and by complying with the requirements of passive defense. Various factors are effective in the construction and establishment of a field hospital, which can lead to the improvement of the hospital's performance and reduce the risks of its construction and establishment while meeting the requirements of passive defense. Identifying these factors in the form of a scientific model during the occurrence of civilian crises in the construction and establishment of a civilian field hospital with a passive defense approach is also of great importance. The current research was conducted to identify the relationship between these factors to facilitate the management and provision of services to the wounded during the war and possible crises with the approach of passive defense. For this purpose, a main hypothesis and nine sub-hypotheses were designed and tested. This research is applied in terms of purpose and descriptive correlation in terms of method, in which exploratory structural equations were used. The statistical population includes military-scientific experts, 17 of whom were selected by purposeful sampling and the Delphi method until theoretical saturation was reached. The data collection tool is a structured interview method and a researcher-made questionnaire consisting of six dimensions, 11 factors, and 66 measures. Confirmatory factor analysis and PLS software were used to test the hypotheses. The results of the measurement model criteria (measurement reliability criteria, measurement model reliability, and divergence convergence of the model constructs) as well as the structural model criteria (determination coefficient criteria and model prediction suitability) indicate the optimal fit of the proposed model. Also, based on the t-value results, the main hypothesis and all sub-hypotheses were confirmed. The results indicate the direct effect of the "quality of management and command of the field hospital" dimension on the dimensions of "providing financial resources for providing specialized identification and treatment equipment", "providing general and specialized infrastructure of the field hospital" as well as "providing human resources of the field hospital". Of course, the "field hospital management and command quality" dimension has the greatest impact on the "field hospital treatment quality" and "field hospital readiness and support quality" dimensions. Also, the results showed that in addition to the dimension of "field hospital management and command quality" directly, positively, and significantly affects the dimensions of "providing general and specialized field hospital infrastructure" as well as "providing field hospital human resources"; The dimension of "providing financial resources for the provision of specialized identification and treatment equipment" also plays a full mediating role in these two relationships.

Keywords


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