| 引用本文：崔成森, 吕博, 孟开.北京市基层医疗卫生机构组织能力及其成熟度评价研究[J].中国卫生政策研究,2023,16(11):47-52 |
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| 北京市基层医疗卫生机构组织能力及其成熟度评价研究 |
| 投稿时间：2023-08-22 修订日期：2023-09-15 PDF全文浏览 HTML全文浏览 |
| 崔成森1,2, 吕博1, 孟开1,3 |
1. 首都医科大学公共卫生学院 北京 100069;
2. 北京大学中国卫生发展研究中心 北京 100191;
3. 首都医科大学附属北京天坛医院 北京 100070 |
| 摘要:目的：评价北京市基层医疗卫生机构组织能力及其成熟度现状，为提升基层医疗卫生机构组织能力,促进其可持续发展提供参考依据。方法：基于前期建立的组织能力指标体系设计自评问卷，选取北京市D区(城区)和S区(郊区)所有基层医疗卫生机构为研究对象，每家机构选择10名熟悉本机构运营情况的中层管理者作为问卷调查对象，共收回有效调查问卷295份，在验证问卷信度和效度的基础上进行组织能力及成熟度评价。结果：纳入的33家基层医疗卫生机构组织能力分数为4.10±0.40分，D区的组织能力在各维度上均高于S区。总体上看，一级指标中核心能力最高，发展能力最低；二级指标中传染病防控能力最高，资源管理能力最低。大多数机构均处于基本稳定型与稳步发展型阶段。结论：北京市基层医疗卫生机构间组织能力存在差异，发达地区的机构更可能具有较高的组织能力；北京市基层医疗卫生机构已摆脱初级发展阶段，但仍应重点提高资源管理能力与学习能力；各机构也应重视发展能力的培养。 |
| 关键词:基层医疗卫生机构 组织能力 成熟度模型 |
| 基金项目:国家自然科学基金面上项目(72274128) |
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| Study on the evaluation of organizational capability and maturity of primary medical institutions in Beijing |
| CUI Cheng-sen1,2, LYU Bo1, MENG Kai1,3 |
1. School of Public Health, Capital Medical University, Beijing 100069, China;
2. China Center for Health Development Studies, Peking University, Beijing 100191, China;
3. Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China |
| Abstract:Objective: To evaluate the current situation of organizational capacity and maturity of primary medical institutions (PMIs) in Beijing, and to provide a reference for improving organizational capacity and promoting sustainable development of PMIs. Methods: This study designs a self-assessment questionnaire based on the organizational capability index system established in the previous stage, and selects all PMIs in D district (urban) and S district (suburban) of Beijing as the research objects. Ten middle managers who are familiar with the operation of their organizations are selected from each organization as questionnaire respondents. A total of 295 valid questionnaires are collected and the organizational capability score and maturity of each PMIs are evaluated on the basis of verifying the reliability and validity of the questionnaires. Results: The score of organizational capability of the 33 PMIs included in this study is 4.10±0.40, and it indicates that the organizational capability of D district is higher than that of S district in all dimensions. In general, core capability in the first level indicators is the highest and development capability is the lowest. In the second level indicators, the score of prevention and control of infectious diseases capacity is the highest and the score of resource management capability is the lowest. Most of the PMIs are in the phase of basic stability and steady development. Conclusions: There are differences in the organizational capacity among PMIs in Beijing, and PMIs in developed areas are more likely to have higher organizational capacity. The PMIs in Beijing have moved out of the initial stage of development, but they should still focus on improving their resource management capability and learning capability. In addition, the PMIs should also pay attention to the cultivation of development capacity. |
| Key words:Primary medical institution Organizational capability Maturity model |
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