摘要
目的:探索浙江省“新健康港湾”公立医院高质量发展模式,为促进公立医院高质量发展提供参考。方法:采用扎根理论研究方法,于2022年11月至2023年3月,对来自浙江省三级公立医院、社区医院、政府卫生健康行政部门共18名管理人员进行半结构化访谈,运用Nvivo 12.0对访谈资料进行分析。结果:通过三级编码梳理出发展动因、发展障碍、发展目标、发展路径4个主范畴及18个副范畴,并根据“条件-现象-行动/互动策略-结果”典范编码模型,自下而上建构起浙江省“新健康港湾”公立医院高质量发展模式分析框架。结论:浙江省“新健康港湾”公立医院高质量发展模式的发展动因包括国家方针与政策要求、公众多层次多样化需求、不平衡与不充分的发展现状,同时存在内涵发展不足、创新动能不充分、运行机制相对僵化等发展障碍。可以通过运营模式调整、资源高效整合、优质要素合力驱动等发展策略实现高质量发展。
Objective:This study explores the high-quality development model of"New Health Harbor"(NHH)public hospitals in Zhejiang province,aiming to provide theoretical references for enhancing the high-quality development of public hospitals.Methods:Employing grounded theory,semi-structured interviews were conducted with 18 management personnel from tertiary public hospitals,community hospitals,and government health departments in Zhejiang province between November 2022 and March 2023.Data from these interviews were analyzed using NVivo 12.0 software.Results:Using three-level coding,four main categories and eighteen subcategories were identified.Based on the"condition-phenomenon-action/interaction strategy-outcome"paradigm model,a bottom-up analytical framework for the high-quality development model of"New Health Harbor"public hospitals in Zhejiang province was constructed.Conclusion:The development drivers of the NHH public hospitals'high-quality development model include national policy requirements,diverse and multi-level public demands,and the current state of unbalanced and insufficient development.Challenges include insufficient internal development,lack of innovation,and rigid operational mechanisms.Highquality development can be achieved through strategies such as operational model adjustment,efficient resource integration,and synergistic promotion of quality elements.
作者
张威
张玉杰
崔严尹
雷善言
马纲
杨芳
ZHANG Wei(Office of the President,Second Afiliated Hospital,Zhejiang Chinese Medical University,Hangzhou,Zhejiang,310053,China)
出处
《医学与社会》
北大核心
2024年第4期110-115,共6页
Medicine and Society
基金
国家中医药管理局科技司-浙江省中医药管理局共建科技计划项目,编号为GZY-ZJ-KJ-23062
浙江省基础公益研究计划项目,编号为LTGY23H270005
杭州市哲学社会科学规划课题成果,编号为Z22JC095。
关键词
医院管理
公立医院
高质量发展
新健康港湾
浙江
Hospital Management
Public Hospital
High-quality Development
New Health Harbor
Zhejiang
