摘要
目的 基于混合研究法探索当前公立医院中层干部抓落实能力现状和影响因素。方法 通过访谈法和问卷调查法了解公立医院中层干部抓落实能力现状,因子分析、贝叶斯有序logistic回归等方法综合分析中层干部抓落实能力的影响因素。结果 共纳入26名访谈对象和215名调查对象;26位接受访谈的研究对象中认为“政治能力”最重要的有11名(42.31%),认为“抓落实能力”最重要的有8名(30.77%);因子分析结果显示,抓落实能力内涵含基本能力、综合能力、拓展能力3个维度;抓落实不力主要表现在逃避落实、延迟落实、消极落实和拙于落实等方面,得分均在4.5分以上;贝叶斯有序logistic回归结果显示,抓落实能力主要的有利影响因素是个人综合素质(OR=1.46,95%CI:1.01~2.08)和医院激励考核(OR=2.36,95%CI:1.30~4.14)。结论 公立医院中层干部在逃避落实、延迟落实、消极落实、拙于落实等抓落实能力方面还存在一定问题;个人综合素质和医院激励考核有可能提高抓落实能力。
Objective To explore the current situation and influence factors for execution ability of the middle-level managers in public hospitals based on mixed research method.Methods The current situation of middle-level cadres′ability to grasp and implement in public hospitals was understood through interviews and questionnaires,and the factors influencing the ability of middle-level cadres to grasp and implement were comprehensively analyzed by factor analysis and Bayesian ordered logistic regression.Results Twenty-six interviewees and 215 respondents were included this study.It was considered that political ability was the most important in 11(42.31%)of 26 interviewees,and execution ability was the most important in 8(30.77%)of 26 interviewees.The factor analysis showed that the three dimensions of the execution ability were basic ability,synthetic ability,development ability.The total scores were over 4.5 in avoiding the implementation,delaying the implementation,passivating the implementation,and being bad at implementation.The Bayesian ordered logistic regression analysis showed that the two advantage influence factors on the execution ability were the individual comprehensive quality(OR=1.46,95%CI:1.01-2.08)and hospital incentive assessment(OR=2.36,95%CI:1.30-4.14).Conclusion There were some problems such as avoiding the implementation,delaying the implementation,passivating the implementation,and being bad at implementation in middle-level managers of public hospitals.The individual comprehensive quality and hospital incentive assessment may improve the execution ability.
作者
张洁
蔡懿俊
唐文婕
张天嵩
Zhang Jie;Cai Yijun;Tang Wenjie;Zhang Tiansong(Jing′an District Hospital of TCM,Shanghai 200072,China)
出处
《中国医院统计》
2023年第5期366-370,共5页
Chinese Journal of Hospital Statistics
基金
上海市卫生健康系统党建研究课题(WJ2021089)。
