Foresight Analysis of the Impacts of Urban Environmental Quality on Enhancing Workforce Vitality and Productivity (Case study: Clinic and paraclinic of Imam Khomeini Hospital, Ahvaz City)

Document Type : Origional Article

Author

Graduated from Master of Public Administration, Human Resources Management, Islamic Azad University, Tehran Science and Research Branch, Iran.

Abstract
Background and Objective: In the contemporary era, the sustainability and quality of urban spaces serve as a vital foundation, playing a decisive role in the restoration of mental capacity and psychological well-being of the workforce. Given the climatic conditions and environmental challenges of the metropolis of Ahvaz, investigating the interaction between the urban environment and the psychological components of medical staff is an inevitable necessity for the optimal management of human capital. By employing a foresight approach, this research seeks to elucidate the relationship between urban environmental quality and the enhancement of vitality and productivity among the staff of the Imam Khomeini Hospital’s clinic and paraclinic, aiming to delineate new horizons in the design of health-supportive environments.
Methodology: The present study is, in terms of nature, futures research and in terms of methodology, it is based on a descriptive-analytical approach. In the first step, relying on documentary studies and the Delphi technique with the participation of a panel of 50 hospital managers, urban policymakers, and experts in the fields of health and environmental psychology, 5 main axes, 10 indicators, and 34 key sub-indicators were extracted to explain the relationship between the quality of the urban environment and the productivity of the medical staff. Then, using the Cross-Impact Analysis method and data processing in MICMAC software, the degree of influence and impact of the variables on each other was measured and structurally analyzed in order to identify strategic drivers and critical points, and to draw a future perspective on the quality of the urban environment around the clinic and paraclinic of Imam Khomeini Hospital in Ahvaz in order to improve the vitality and productivity of the human resource.
Results and Findings: The results of the study showed that improving the vitality and productivity of the medical staff of Imam Khomeini Hospital in Ahvaz is a direct function of the quality of the surrounding urban environment and cannot be achieved with sectoral approaches alone. Key drivers such as pollution management and texture continuity play a strategic role in this ecosystem, which, through a domino effect, promote occupational resilience and mental health. Achieving the 1405 vision requires managing critical variables in the "hospital-city" interaction and using cross-effects analysis. Therefore, improving the physical structure and enhancing the vitality of the surrounding environment is an inevitable necessity for organizational excellence and improving the quality of the employees' professional lives.

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Subjects

Ansari, T., Tavakolinia, J. and Azizpour, F. (2017). Spatial analysis of the urban environmental quality to hazards reduction by the citizen’s perspective (Case study: District 18, Tehran Metropolitan). Environmental Management Hazards, 4(1), 43-61. doi: 10.22059/jhsci.2017.234251.248[Persian]
Botta, F., & Gutiérrez-Roig, M. (2021). Modelling urban vibrancy with mobile phone and OpenStreetMap data. PLoS ONE, 16(5), Article e0252015. https://doi.org/10.1371/journal.pone.0252015
Braun, L. M., & Malizia, E. (2015). Downtown vibrancy influences public health and safety outcomes in urban counties. Journal of Transport & Health, 2(4), 540–548. https://doi.org/10.1016/j.jth.2015.08.003
Cervero, R., & Kockelman, K. (1997). Travel demand and the 3Ds: Density, diversity, and design. Transportation Research Part D: Transport and Environment, 2(3), 199–219. https://doi.org/10.1016/S1361-9209(97)00009-6
Chen, Y., Yu, B., Shu, B., Yang, L., & Wang, R. (2023). Exploring the spatiotemporal patterns and correlates of urban vitality: Temporal and spatial heterogeneity. Sustainable Cities and Society, 91, Article 104440. https://doi.org/10.1016/j.scs.2023.104440
Damanbagh, S., sajadian, N. and Nemati, M. (2021). Analyzing the Role of Local-Spatial Differences in the Sense of Happiness among the Citizens of Ahvaz. Geography and Urban Space Development8(1), 205-224. doi: 10.22067/jgusd.2021.67749.1000[Persian]
Delclòs-Alió, X., & Gutiérrez, A. (2019). The urban vitality conditions of Jane Jacobs in Barcelona: Residential and smartphone-based tracking measurements of the built environment in a Mediterranean metropolis. Cities, 86, 220–228. https://doi.org/10.1016/j.cities.2018.10.007
Delclòs-Alió, X., & Miralles-Guasch, C. (2018). Looking at Barcelona through Jane Jacobs’s eyes: Mapping the basic conditions for urban vitality in a Mediterranean conurbation. Land Use Policy, 75, 505–517. https://doi.org/10.1016/j.landusepol.2018.04.020
Fan, Z., Duan, J., Luo, M., Zhan, H., Liu, M., & Peng, W. (2021). How did built environment affect urban vitality in urban waterfronts? A case study in Nanjing Reach of Yangtze River. ISPRS International Journal of Geo-Information, 10(9), Article 611. https://doi.org/10.3390/ijgi10090611
Gehl, J. (2000). New city spaces. Danish Architectural Press.
Ghiabi, M. M. and Mansouri, M. (2021). The Role of Urban Sidewalks in Improving the Quality of the Urban Environment from the Perspective of Citizens (Case study: Taleghani Sidewalk in Ilam). a scientific journal of ilam culture21(68.69), 188-205. doi: 10.22034/farhang.2021.133916[Persian]
Gómez-Varo, I., Delclòs-Alió, X., & Miralles-Guasch, C. (2022). Jane Jacobs reloaded: A contemporary operationalization of urban vitality in a district in Barcelona. Cities, 123, Article 103565. https://doi.org/10.1016/j.cities.2021.103565
Huang, X., Jiang, P., Li, M., & Zhao, X. (2022). Applicable framework for evaluating urban vitality with multiple-source data: An empirical research of the Pearl River Delta urban agglomeration by using Bpnn. Land, 11(11), Article 1901. https://doi.org/10.3390/land11111901
Huang, Z., He, C., & Zhu, S. (2017). Do China’s economic development zones improve land use efficiency? The effects of selection, factor accumulation and agglomeration. Landscape and Urban Planning, 162, 145–156. https://doi.org/10.1016/j.landurbplan.2017.02.008
Jackowska, O., & Ferradás, M. N. (2023). Who owns public spaces? The trailblazer exhibition on women’s everyday life in the City of Vienna (1991). Planning Perspectives, 38(2), 253–279. https://doi.org/10.1080/02665433.2022.2132714
Jacobs, J. (1961). The death and life of great American cities. Random House.
Jin, A., Ge, Y., & Zhang, S. (2024). Spatial characteristics of multidimensional urban vitality and its impact mechanisms by the built environment. Land, 13(7), Article 991. https://doi.org/10.3390/land13070991
Jin, X., Long, Y., Sun, W., Lu, Y., Yang, X., & Tang, J. (2017). Evaluating cities’ vitality and identifying ghost cities in China with emerging geographical data. Cities, 63, 98–109. https://doi.org/10.1016/j.cities.2017.01.002
Karimi Hatami, J., Ramesht, M. H. and Nojavan Besnighan, M. R. (2026). The role of creative tourism in enhancing urban sustainability indicators (Case study: Ahvaz city). Journal of Sustainable Urban & Regional Development Studies (JSURDS)7(1), 224-249. https://www.srds.ir/article_230405.html. [Persian]
Kim, Y.-L. (2018). Seoul’s Wi-Fi hotspots: Wi-Fi access points as an indicator of urban vitality. Computers, Environment and Urban Systems, 72, 13–24. https://doi.org/10.1016/j.compenvurbsys.2018.06.002
Li, Q., Cui, C., Liu, F., Wu, Q., Run, Y., & Han, Z. (2021). Multidimensional urban vitality on streets: Spatial patterns and influence factor identification using multisource urban data. ISPRS International Journal of Geo-Information, 11(1), Article 2. https://doi.org/10.3390/ijgi11010002
Li, X., & Liu, H. (2021). The influence of subjective and objective characteristics of urban human settlements on residents’ life satisfaction in China. Land, 10(12), Article 1400. https://doi.org/10.3390/land10121400
Li, X., Li, Y., Jia, T., Zhou, L., & Hijazi, I. H. (2022). The six dimensions of built environment on urban vitality: Fusion evidence from multi-source data. Cities, 121, Article 103482. https://doi.org/10.1016/j.cities.2021.103482
Li, Y., & Liu, X. (2018). How did urban polycentricity and dispersion affect economic productivity? A case study of 306 Chinese cities. Landscape and Urban Planning, 173, 51–59. https://doi.org/10.1016/j.landurbplan.2018.01.007
Liu, D., & Shi, Y. (2022). The influence mechanism of urban spatial structure on urban vitality based on geographic big data: A case study in downtown Shanghai. Buildings, 12(5), Article 569. https://doi.org/10.3390/buildings12050569
Liu, G., Lei, J., Qin, H., Niu, J., Chen, J., Lu, J., & Han, G. (2023). Impact of environmental comfort on urban vitality in small and medium-sized cities: A case study of Wuxi County in Chongqing, China. Frontiers in Public Health, 11, Article 1131630. https://doi.org/10.3389/fpubh.2023.1131630
Liu, H., & Li, X. (2022). Understanding the driving factors for urban human settlement vitality at street level: A case study of Dalian, China. Land, 11(5), Article 646. https://doi.org/10.3390/land11050646
Liu, J., Li, Y., Xu, Y., Zhuang, C. C., Hu, Y., & Yu, Y. (2024). Impacts of built environment on urban vitality in cultural districts: A case study of Haikou and Suzhou. Land, 13(6), Article 840. https://doi.org/10.3390/land13060840
Liu, Y., Zhang, X., Kong, X., Wang, R., & Chen, L. (2018). Identifying the relationship between urban land expansion and human activities in the Yangtze River Economic Belt, China. Applied Geography, 94, 163–177. https://doi.org/10.1016/j.apgeog.2018.03.016
Lu, S., Shi, C., & Yang, X. (2019). Impacts of built environment on urban vitality: Regression analyses of Beijing and Chengdu, China. International Journal of Environmental Research and Public Health, 16(23), Article 4592. https://doi.org/10.3390/ijerph16234592
Malizia, E., & Motoyama, Y. (2016). The economic development—Vibrant center connection: Tracking high-growth firms in the DC region. The Professional Geographer, 68(3), 349–355. https://doi.org/10.1080/00330124.2015.1099238
Masouminezhad, F., Farrokhseresht, B., Alvani, S. M. and Taghi Pourian Gilani, M. J. (2022). Designing a Model for the Happiness Drivers of Organizations’ Employees Using Meta-analysis. Organizational Culture Management20(1), 101-117. doi: 10.22059/jomc.2021.309052.1008119. [Persian]
Norberg-Schulz, C. (1979). Genius loci: Towards a phenomenology of architecture. Rizzoli New York.
Qin, L., Zong, W., Peng, K., & Zhang, R. (2024). Assessing spatial heterogeneity in urban park vitality for a sustainable built environment: A case study of Changsha. Land, 13(4), Article 480. https://doi.org/10.3390/land13040480
Sajadian, N. and Damanbagh, S. (2021). Geographical analysis of the effect place (objective environment) on the sense of Happiness of Ahvaz citizens based on the happy city approach. Geographical Urban Planning Research (GUPR)9(3), 761-799. doi: 10.22059/jurbangeo.2021.318477.1454[Persian]
Sharifzadeh, H. A., Mirmohammad Tabar, S. A. and Adlipour, S. (2018). A Study of Factors Affecting Social Happiness in Iran: A Meta-analysis of Conducted Research. Strategy for Culture10(40), 159-180. http://jsfc.ir/article_59093.html?lang=en[Persian]
Shi, J., Miao, W., Si, H., & Liu, T. (2021). Urban vitality evaluation and spatial correlation research: A case study from Shanghai, China. Land, 10(11), Article 1195. https://doi.org/10.3390/land10111195
Stead, D. (2004). Promoting an urban renaissance in England and the Netherlands. Cities, 21(2), 119–136. https://doi.org/10.1016/j.cities.2003.12.001
Tosten, R., Avci, Y.E., & Sahin, E. (2018). “The relations between the organizational happiness and the organizational socialization perceptions of teachers: The sample of physical education and sport”, European Journal of Educational Research, Vol. 7, No. 1, pp. 151-157. https://doi.org/10.12973/eu-jer.7.1.151
Wu, J., Ta, N., Song, Y., Lin, J., & Chai, Y. (2018). Urban form breeds neighborhood vibrancy: A case study using a GPS-based activity survey in suburban Beijing. Cities, 74, 100–108. https://doi.org/10.1016/j.cities.2017.11.008
Yang, F. F., Lin, G., Lei, Y., Wang, Y., & Yi, Z. (2024). Understanding urban vitality from the economic and human activities perspective: A case study of Chongqing, China. Chinese Geographical Science, 34, 52–66. https://doi.org/10.1007/s11769-024-1406-8
Yang, J., & Cao, J. (2017). Motion, stasis, manifestation, and latent: Four application models of big data in urban design. Journal of Urban Planning, 4, 39–46.
Yang, Y., Chang, J., Hou, Y., Jiang, F., & Hu, M. (2026). Research on measuring the vitality of “urban mines” in coal-resource-based cities under demand-driven conditions—Taking the central urban area of Huaibei City as an example. Sustainability, 18(5), Article 2499. https://doi.org/10.3390/su18052499
Ye, Y., Li, D., & Liu, X. (2018). How block density and typology affect urban vitality: An exploratory analysis in Shenzhen, China. Urban Geography, 39(4), 631–652. https://doi.org/10.1080/02723638.2017.1383600
Ye, Y., Yeh, A., Zhuang, Y., van Nes, A., & Liu, J. (2017). “Form Syntax” as a contribution to geodesign: A morphological tool for urbanity-making in urban design. Urban Design International, 22, 73–90. https://doi.org/10.1057/s41289-016-0030-z
Ye, Y., Zeng, W., Shen, Q., Zhang, X., & Lu, Y. (2019). The visual quality of streets: A human-centred continuous measurement based on machine learning algorithms and street view images. Environment and Planning B: Urban Analytics and City Science, 46(8), 1439–1457. https://doi.org/10.1177/2399808319864227
Zhang, A., Li, W., Wu, J., Lin, J., Chu, J., & Xia, C. (2021). How can the urban landscape affect urban vitality at the street block level? A case study of 15 metropolises in China. Environment and Planning B: Urban Analytics and City Science, 48(5), 1245–1262. https://doi.org/10.1177/2399808320925708
Ziari K, Sarraf M, Poorahmad A, Farhoudi R. Explanation of Child-Friendly City Principles with the attitude of the Urban Environment Improvement using Delphi Method in District 2 of Tehran. GeoRes 2021; 36 (2): 173-189.URL: http://georesearch.ir/article-1-1037-fa.html [Persian]
Zumelzu, A., & Barrientos-Trinanes, M. (2019). Analysis of the effects of urban form on neighborhood vitality: Five cases in Valdivia, Southern Chile. Journal of Housing and the Built Environment, 34, 897–925. https://doi.org/10.1007/s10901-019-09679-6

Articles in Press, Accepted Manuscript
Available Online from 31 May 2026

  • Receive Date 20 April 2026
  • Revise Date 30 April 2026
  • Accept Date 29 May 2026
  • First Publish Date 31 May 2026
  • Publish Date 31 May 2026