| 引用本文：李强, 王聪, 梁建凤.杭州市三级公立医院多学科团队合作行为与组织因素的关系研究——基于有调节的中介模型[J].中国卫生政策研究,2024,17(2):45-52 |
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| 杭州市三级公立医院多学科团队合作行为与组织因素的关系研究——基于有调节的中介模型 |
| 投稿时间：2023-12-08 修订日期：2024-01-16 PDF全文浏览 HTML全文浏览 |
| 李强, 王聪, 梁建凤 |
| 浙江大学医学院附属儿童医院 国家儿童健康与疾病临床医学研究中心 浙江杭州 310052 |
| 摘要:目的：分析组织因素对杭州市三级公立医院多学科团队合作行为的影响，以及团队氛围和团队领导力在其中的作用机制，为充分调动团队合作的积极性、提升团队合作效能提出建议。方法：2022年1—3月，采用目的抽样对杭州市三级公立医院中的多学科团队成员进行问卷调查，共回收有效问卷452份；应用SPSS 26.0软件中的Process插件对有调节的中介模型进行检验。结果：积极的组织因素对多学科团队合作行为具有正向促进作用(β=0.128，P＜0.001)，团队氛围在组织因素和多学科团队合作行为之间起中介作用(β=0.063，P＜0.001)，团队领导力在组织因素和团队氛围之间起负向调节作用(β=-0.011，P＜0.001)。讨论和建议：多学科团队合作行为受组织因素、团队氛围和团队领导力的多重影响，院方应积极探索符合本院特色的多学科团队合作长效运行机制，完善顶层设计、加强组织投入，在团队内营造融洽的合作氛围，增强团队凝聚力，运用共享式领导进行团队决策，授予团队成员足够的自主权与决策权。 |
| 关键词:组织因素 多学科团队合作行为 团队领导力 团队氛围 有调节的中介模型 |
| 基金项目:浙江省康恩贝医院管理软科学研究项目(2022ZHA-KEB314) |
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| Study on the relationship between multidisciplinary teamwork behavior and organizational factors in tertiary public hospitals in Hangzhou: Based on moderated mediation model |
| LI Qiang, WANG Cong, LIANG Jian-feng |
| Children's Hospital, Zhejiang University School of Medicne, National Clinical Research Center for Child Health, Hangzhou Zhejiang 310052, China |
| Abstract:Objective: Analyze the impact of organizational factors on multidisciplinary teamwork behavior in tertiary public hospitals in Hangzhou, as well as the role mechanism of team atmosphere and team leadership. Provide suggestions for fully mobilizing their teamwork enthusiasm and improving teamwork efficiency. Methods: From January 2022 to March 2022, a questionnaire survey was conducted on multidisciplinary team members in tertiary public hospitals in Hangzhou using purposive sampling, and a total of 452 valid questionnaires were collected; Use the Process plugin in SPSS 26.0 software to test the moderated mediation model. Results: Positive organizational factors have a positive promoting impact on multidisciplinary teamwork behavior(β=0.128，P＜0.001), team atmosphere plays a mediating role between organizational factors and multidisciplinary teamwork behavior(β=0.063，P＜0.001), and team leadership plays a negative moderating role between organizational factors and team atmosphere(β=-0.011，P＜0.001). Conclusions: The behavior of multidisciplinary teamwork is influenced by multiple factors such as organizational factors, team atmosphere, and team leadership. Therefore, the hospital should actively explore a long-term operation mechanism for multidisciplinary teamwork that conforms to the characteristics of the hospital, improve top-level design, strengthen organizational investment, create a harmonious cooperation atmosphere within the team, enhance team cohesion, use shared leadership for team decision-making, and grant team members sufficient autonomy and decision-making power. |
| Key words:Organizational factors Multidisciplinary teamwork behavior Team leadership Team atmosphere Moderated mediation model |
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