摘要
目的 汇总和梳理目前公立医院“一院多区”管理存在的问题,探索我国公立医院“一院多区”管理策略的优化路径。方法 通过文献复习与政策梳理、关键知情人访谈及焦点小组访谈收集资料,基于扎根理论进行访谈资料分析。结果 经过三级编码,归纳出21个初始范畴、14个主范畴和5个核心范畴,核心范畴包括一体化管理、医疗同质化管理、成本与财务管理、医院文化管理、学科布局管理。围绕核心范畴,构建出我国公立医院“一院多区”管理策略优化路径模型。结论 建议强化多院区一体化管理,提升医院科学管理水平;统一医疗质量管理,推进多院区间的医疗同质化;加强成本核算规范性,不断降低多院区运行成本;营造统一的文化氛围,促进不同院区文化整合;科学规划学科布局,实现不同院区错位竞争等。
Objective To summarize and organize the current issues in the management of"one hospital with multiple campuses"in public hospitals,and to explore the optimal pathways for management strategies in this context in China.Methods Data were collected through literature review,policy analysis,stakeholder interviews,and focus group interviews.Interview data were analyzed based on grounded theory.Results Through three levels of coding,21 initial categories,14 main categories,and 5 core categories were identified.The core categories include integrated management,homogeneous medical quality management,cost and financial management,hospital culture management,and disciplinary layout management.Centered around these five core categories,a model for optimizing the management strategies of"one hospital with multiple campuses"in public hospitals in China was constructed.Conclusion It is recommended to strengthen integrated management across multiple campuses to enhance the scientific management level of hospitals;unify medical quality management to promote homogeneous medical services across campuses;strengthen the standardization of cost accounting to continuously reduce operational costs across multiple campuses;create a unified cultural landscape to facilitate cultural integration across different hospital campuses;and scientifically plan disciplinary lay-outs to achieve differentiated competition among different hospital campuses.
作者
顾一纯
秦丹
田博韬
唐翔
王瑾
沈雯珺
何达
GU Yichun;QIN Dan;TIAN Botao(Shanghai Health Development Research Center(Shanghai Medical Service and Technology Information Institute),Shanghai,201199,China;不详)
出处
《中国卫生质量管理》
2025年第6期99-104,共6页
Chinese Health Quality Management
基金
上海市卫生健康委员会卫生健康政策研究课题(编号:2024HP18)。
关键词
公立医院
“一院多区”
管理策略
扎根理论
Public Hospitals
"One Hospital with Multiple Campuses"
Management Strategies
Grounded Theory
