Razi Journal of Medical Sciences

fa تحلیل برون‌سپاری اماکن تندرستی و ورزشی بر سطح سلامت عمومی جامعه (مطالعه کیفی) Analysis of the Outsourcing of Health and Sports Facilities on the General Health Level of the Society (Qualitative Study) روانشناسی بالینی Clinical Psychiatry پژوهشي Research زمینه و هدف: ورزش و نقش آن در سلامتی، امری است که امروزه همگان از آن اطلاع دارند. از سوی دیگر، برونسپاری و خصوصیسازی خدمات و نهادهای دولتی، جزء مباحث داغ اقتصادی و تخصصی به شمار میرود لذا هدف این پژوهش این است که، بررسی کیقی برونسپاری اماکن تندرستی و ورزشی بر سطح سلامت عمومی جامعه میباشد. روش کار: این پژوهش یک مطالعه کیفی است که با روش داده بنیاد (گرندد تئوری) و با استفاده از مصاحبههای عمیق در بین مشارکتکنندگان مطلع و آگاه با موضوع پژوهش، انجام شد. تعداد حجم نمونهها (مشارکتکنندگان)، را رسیدن به اشباع دادهها، تعیین نموده که تعداد قابل کفایت بر مبنای اشباع نظری (17 نفر و 24 سند) به روش هدفمند و در دسترس (قضاوتی) انتخاب و نظرخواهی گردید. برای انجام این پژوهش از دو ابزار مطالعه کتابخانهای نظام‌مند و مصاحبههای اکتشافی استفاده شد. یافته ها: بر اساس کدگذاری سه مرحلهای و تحلیل دادهها چنین نتیجهگیری میشود که، پدیده ورزش دولتی سلامت‌محور، بهعنوان، پدیده مرکزی در این پژوهش انتخاب گردید. پیامدهای پدیده ورزش دولتی سلامت‌محور، افزایش سطح سلامت و تندرستی عمومی و همچنین ارتقاء و بهرهوری بالا در ورزش حرفهای برونسپاری شده میباشد. نتیجه گیری: بر اساس یافتههای این پژوهش، خصوصیسازی در بخش خدمات همگانی ورزش، به ضرر سلامت عمومی جامعه بوده و دولت باید در این بخش از خدمات ورزشی و تفریحی، با تهیه امکانات حداقلی اما گسترده و فراگیر، امکان استفاده از این خدمات را برای تمام افراد جامعه با هر توان و طبقه اقتصادی، فراهم نماید.   <div style="text-align: justify;">Background & Aims: The role of exercise in human health is not hidden from anyone. Nowadays, sports and physical activities are extremely valuable tools. And as one of the ways of spending free time, they are the largest part of the free time of millions of people around the world. In this regard, due to the expansion of the scope of government services in recent years, the increase in public expenses and economic issues, and many other elements make it necessary to consider the improvement of the functioning of government organizations as a vital matter, and one of these organizations is government sports facilities. Therefore, government sports facilities are at a lower level than private facilities due to their low operational efficiency and financial performance, and they are not very popular among the people of the society. For this reason, most of the sports facilities and spaces that are completely owned by the government and are managed by the government are facing a lack of funds. This situation has caused the removal or reduction of services and events organized by these places. Therefore, the current research is trying to investigate the effect of handing over sports facilities to the private sector in the direction of the development of public health and public sports and the success and failure rate, and by clarifying its strengths and weaknesses, a strategic model for improving this phenomenon. Therefore, taking into account the above and providing a proposal and solution for the correct implementation of the additional articles, the results and consequences of the implementation of the transfer of sports facilities in Iran in the development of sports are based on the available information, which can well demonstrate the need for research. Make sure that taking advantage of the opinions and suggestions of the statistical community based on their records and experiences and summarizing them can help the researcher in providing solutions that include the effect of the correct implementation of the supplementary materials.</div> <div style="text-align: justify;">Methods: This research is a qualitative study that was conducted with the foundational data method (ground theory) and by using in-depth interviews among participants who are informed and knowledgeable about the research topic. The number of samples (participants) has been determined to reach data saturation. In the table below, a sufficient number based on theoretical saturation (17 people and 24 documents) was selected and asked for opinions in a purposeful and accessible (judgmental) way. Two tools of systematic library study and exploratory interviews were used to conduct this research. The extraction of components was done by examining the basics and background through the study of documents, books, and articles including domestic and foreign sources.</div> <div style="text-align: justify;">Results: After coding the interviews, selecting the concepts and going from induction to analogy, and arriving at sub-categories and main categories, finally the central paradigm model of "state health-oriented sports" was chosen as the central phenomenon. What the researcher means by the central term health-oriented state sports is the emphasis and preference of the participants on the state and low-cost public sports services for the possibility of the general public, especially women and the elderly, using sports spaces, to improve the general health of the society and prevent various diseases. Cardiac, vascular, spine, etc. Because the existence of low-cost or free sports spaces provides a factor for the possibility of public use. This need is felt more than in villages, especially in cities where people have less mobility due to their urban lifestyle. According to the findings of this research, privatization in the field of public sports services is detrimental to the public health of society and the government should make it possible to use these services in this field of sports and recreational services by providing minimal facilities but extensive and comprehensive. To provide for all members of the society with any ability and economic class. Based on three-stage coding and data analysis, it is concluded that the phenomenon of health-oriented state sports was chosen as the central phenomenon in this research. The consequences of the phenomenon of health-oriented state sports are the increase in the level of public health and well-being, as well as the promotion and high productivity in outsourced professional sports.</div> <div style="text-align: justify;">Conclusion: The connection between the general health of society and the well-being of its people with their level of physical activity and exercise is not hidden from anyone. In addition to playing a prominent role in health, exercise and relaxation also make people happy and reduce depression and mental illnesses. Therefore, looking at public sports should be a trans-economic view and the government should support this sector by allocating funds and special facilities so that all sections of the society can have easy and cheap access to sports facilities and spaces, health, and vitality of body and mind. Provide for themselves Therefore, based on the findings of this research, outsourcing in the field of public sports, due to the high cost of these services, can reduce the use of these facilities by everyone. Therefore, according to the participants in the research, sports for all, as long as all people of any gender and age can easily access it (to the extent of using walking or cycling fields, equipment free sports, free play and entertainment spaces, low-cost or free swimming pools or clubs in some cases), can become a powerful arm in preventing the occurrence of mental and physical diseases, providing health and well-being to people society, make it cheap.</div> برون‌سپاری, خصوصی‌سازی, سلامت عمومی, ورزش Outsourcing, Privatization, Public Health, Sports 414 422 http://rjms.iums.ac.ir/browse.php?a_code=A-10-6865-2&slc_lang=fa&sid=1 Bahador Shirincheshmeh بهادر شیرین چشمه 3900319475328460073366 3900319475328460073366 No PhD Student of Department of Sport Management, Ayatollah Amoli Branch, Islamic Azad University, Amol, Iran دانشجوی دکتری گروه مدیریت ورزشی، واحد آیت‌اله آملی، دانشگاه آزاد اسلامی، آمل، ایران Mohammad Sanaie محمد سنایی Sanaie_ms@yahoo.com 3900319475328460073367 3900319475328460073367 Yes Assistant Professor of Department of Sport Management, Chalous Branch, Islamic Azad University, Chalous, Iran استادیار، گروه مدیریت ورزشی، واحد چالوس، دانشگاه آزاد اسلامی، چالوس، ایران Farshad Emami فرشاد امامی 3900319475328460073368 3900319475328460073368 No Assistant Professor of Department of Sport Management, Ayatollah Amoli Branch, Islamic Azad University, Amol, Iran استادیار، گروه مدیریت ورزشی، واحد آیت الله آملی، دانشگاه آزاد اسلامی، آمل، ایران