فهرست مطالب a. nikpour

Providing, establishing, understanding and maintaining organizational development and superior service quality are among the most important issues of any organization today. Facing the constant pressure of competition, medical and treatment service providers, whose number is increasing, have realized that providing the right quality of services in the health and treatment sector is the most important factor in attracting patients and ensuring future success. Therefore, the purpose of the present study was to determine and investigate the relationship between the development and the quality of services with regard to the mediating role of the learner's organizational structure in the University of Medical Sciences of Kohgiluyeh and Boyer Ahmad provinces.

The present descriptive-survey study was conducted in 2022 by field method. The statistical population consisted of 256 senior and middle managers working in hospital departments of the university. Using Cochran's formula, 153 people were selected using random sampling method. The research data collection tool included three standard questionnaires: The development, service quality and organizational structure learning. Cronbach's alpha method was used to study the reliability of the research, and face and content validity were used for validity. The collected data were analyzed using Pearson's correlation, regression, chi-square, Keyser-Meier-Alkin and Bartlett's sphericity tests and structural equations.

The findings of the present study indicated that organizational development had the greatest direct effect on service quality with factor loading (0.73) and then on learner structure with factor loading (0.69) and development with factor loading (0.52) which affected the quality of services through the structure of the learner. Moreover, organizational development through learning structure had a direct and significant effect on service quality, and there was a significant relationship between organizational development with learning structure and service quality.

In order to realize the quality of services among employees, the university should institutionalize the factors of organizational development in internal organizational areas and external interactions, and also pay attention to the improvement of the organizational structure of the learner.