| 引用本文：吕博, 崔成森, 孟开.北京市社区卫生服务中心组织能力对组织绩效的影响研究：基于模糊集定性比较分析[J].中国卫生政策研究,2024,17(10):31-38 |
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| 北京市社区卫生服务中心组织能力对组织绩效的影响研究：基于模糊集定性比较分析 |
| 投稿时间：2024-04-19 修订日期：2024-09-25 PDF全文浏览 HTML全文浏览 |
| 吕博1,2, 崔成森1,3, 孟开1,2 |
1. 首都医科大学公共卫生学院 北京 100069;
2. 首都医科大学附属北京天坛医院 北京 100070;
3. 北京大学中国卫生发展研究中心 北京 100191 |
| 摘要:目的：探究社区卫生服务中心组织能力对组织绩效的影响机制，为提升北京市社区卫生服务中心组织绩效提供科学依据。方法：在北京市4个功能区中各随机抽取一个行政区，选择4个行政区内所有社区卫生服务中心(共66家)作为样本案例。采用模糊集定性比较分析(fsQCA)，探究组织能力细分的9个二级能力对社区卫生服务中心高组织绩效和低组织绩效的影响。结果：社区卫生服务中心达到高组织绩效和低组织绩效的组态各有3条，加强医疗服务、公共卫生、决策、规范和学习等能力对提高社区卫生服务中心组织绩效具有普适作用。结论：社区卫生服务中心绩效的高低是多种要素相互联动产生的结果，多条路径可以使其达到高组织绩效。社区卫生服务中心可结合自身优势差异化发展，组织绩效较低的社区卫生服务中心可以优先发展医疗服务能力和学习能力，促进组织绩效快速提升。 |
| 关键词:社区卫生服务中心 组织能力 组织绩效 定性比较分析 |
| 基金项目:国家自然科学基金面上项目(72274128) |
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| A study on the impact of organizational capacity on organizational performance in Beijing's community health service centers: A qualitative comparative analysis based on fuzzy sets |
| LYU Bo1,2, CUI Cheng-sen1,3, MENG Kai1,2 |
1. School of Public Health, Capital Medical University, Beijing 100069, China;
2. Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;
3. China Health Development Research Centre, Peking University, Beijing 100191, China |
| Abstract:Objective: To explore the impact of organizational capacity on organizational performance in community health centers(CHCs), and to provide a scientific basis for improving the organizational performance of CHCs. Methods: Randomly select one administrative district from each of the four functional zones in Beijing, and all the 66 CHCs in the four administrative districts were chosen as sample cases. Fuzzy set qualitative comparative analysis (fsQCA) was used to explore the effect of nine secondary competencies of organizational competence segmentation on high and low organisational performance in CHCs. Results: There are three groupings of high and low performing CHCs, and the strengthening of medical service capacity, public health capacity, decision-making capacity, normative capacity and learning capacity play a universal role in improving the organizational performance of CHCs. Conclusions: The performance of community health service centres is the result of a variety of elements linked to each other, and multiple paths can enable them to achieve high organizational performance, community health service centres can be combined with their own advantages of differentiated development, and lower-performing community health service centres can give priority to the development of medical service capacity and learning capacity to promote the rapid improvement of organizational performance. |
| Key words:Community health service centers Organizational capacity Organizational performance Qualitative comparative analysis |
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