| 引用本文：王栋, 李佳玲, 朱桂菊, 钱招昕, 李君, 喻丹.TOE框架下三级公立医院高质量发展多元路径研究——基于模糊集定性比较分析[J].中国卫生政策研究,2023,16(8):74-79 |
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| TOE框架下三级公立医院高质量发展多元路径研究——基于模糊集定性比较分析 |
| 投稿时间：2023-07-12 修订日期：2023-08-05 PDF全文浏览 HTML全文浏览 |
| 王栋1, 李佳玲2, 朱桂菊2, 钱招昕1, 李君3, 喻丹1 |
1. 中南大学湘雅医院(中南大学医院管理研究所) 湖南长沙 410008;
2. 湖南工商大学工商管理学院 湖南长沙 410205;
3. 湖南省卫生健康委医疗管理服务指导中心 湖南长沙 410008 |
| 摘要:目的：实证分析公立医院高质量发展的多元驱动路径，以期为公立医院管理政策提供有益参考。方法：基于TOE理论构建公立医院高质量发展分析框架，选取湖南省64家三级公立医院为样本案例，采用模糊集定性比较方法，探寻技术、组织和环境3个层面和7个前因条件对公立医院高质量发展的影响。结果：单个前因条件不构成推动高质量发展的必要条件，存在5个产生高质量发展的组态，可归纳“技术驱动—管理支撑—政府支持”发展型(H1)、“技术驱动—区域合作”发展型(H2)、“品牌驱动—区域合作—政府支持”发展型(H3)与“品牌驱动—区域合作—管理支撑”发展型(H4和H5)4种发展模式。结论：公立医院实现高质量发展路径具有异质性，多要素之间的联动和条件制约会形成不同路径，呈现出发展模式并发和多样化的特征，建议对公立医院高质量发展实行精准的政策和路径引导，避免“单一路径依赖”问题。 |
| 关键词:三级公立医院 高质量发展 模糊集定性比较 TOE框架 |
| 基金项目:国家自然科学基金青年项目(72104076)； 湖南省教育厅科学研究项目(22B0630) |
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| Research on multiple paths of high-quality development of tertiary public hospitals under TOE framework: Based on the qualitative comparative analysis of fuzzy sets |
| WANG Dong1, LI Jia-ling2, ZHU Gui-ju2, QIAN Zhao-xin1, LI Jun3, YU Dan1 |
1. Xiangya Hospital, CSU(Hospital Administration Institute, CSU), Changsha Hunan 410008, China;
2. School of Business Administration, Hunan University of Technology and Business, Changsha Hunan 410205, China;
3. Hunan Health Committee Health Service Management and Guidance Center, Changsha Hunan 410008, China |
| Abstract:Objective: This study empirically analyzes the multiple driving paths for the high-quality development of public hospitals, in order to provide useful references for the management policies of public hospitals.Methods: Based on TOE theory, the high-quality development analysis framework of public hospitals was constructed. 64 tertiary public hospitals in Hunan province were selected as sample cases, and the qualitative comparison method of fuzzy sets was used to explore the influence of technology, organization and environment and 7 antecedent conditions on the high-quality development of public hospitals.Results: Any single antecedent condition is not sufficient for promoting high-quality development of public hospitals. There are 5 configurations that produce high-quality development which can be categorized into four development modes: “technology driven-management support-government support” mode(H1), “technology driven-regional cooperation” mode (H2), “brand driven-regional cooperation-government support” mode (H3) and “brand driven-regional cooperation-management support” mode(H4 and H5).Conclusions: The paths of public hospitals to achieve high-quality development are heterogeneous, and the linkage and constraints between multiple factors will form different paths, showing the characteristics of concurrent and diversified development modes. It is suggested to implement precise policies and path guidance for high-quality development of public hospitals to avoid the problem of “single path dependence”. |
| Key words:Tertiary public hospitals High quality development Qualitative comparative analysis of fuzzy sets TOE framework |
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