Strategic Analysis of the Key Success Factors of Cooperation-Competition in the Healthcare: Scenario Analysis and Fuzzy Cognitive Map Approach

Coopetition strategy(cooperation-competition)is a popular strategic approach in the healthcare.Despite the acceptance of this approach,organizations have faced difficulties in implementing it to benefit from all its advantages.Therefore,the current research was conducted with the aim of identifying the key success factors of the cooperation-competition strategy in the healthcare and analyzing the scenario of these factors.This research is a mixed (qualitative-quantitative)research.In the first stage(qualitative)based on semi-structured interviews and thematic analysis,the key success factors were identified and in the second stage(quantitative),fuzzy cognitive map and scenario analysis was used to rank these factors.As a result of the first stage,74key factors of success were identified and categorized to15categories:"human resource management","skills to detect and resolve inconsistencies","training of managers","management of relations between organizations","degree of dependence and similarity".,"Information management","Smart monitoring and evaluation","Smart service","Appropriate culture creation","Positive manager","Multiple sources","Work environment design","Team work","contracts Management"and,"benchmarking".Based on the output of the fuzzy-cognitive-map,"Training of managers"and"contracts Management "are the driver and"Smart service"is the receiver.Other key success factors are typical.The highest degrees of dependence are "inter-organizational relationship management"and"intelligent monitoring and evaluation"."benchmarking"and"skill to detect and resolve inconsistencies"have the highest degree of effectiveness,and"management of relations between organizations"and"skill to detect and resolve inconsistencies"have the highest degree of centrality.The overlap of the backward scenarios indicates the special position of"smart monitoring and evaluation","contract management"and"proper culture building".Also,the overlap of future scenarios shows the importance of"benchmarking"and"training managers". Based on the findings,the development of information infrastructure,benchmarking,regulation of contracts based on the coverage of challenges and management training are recommended for the development of cooperation-competition strategy in health care sector.