南通市某医院文化测评与影响因素分析(硕士)(论文31000字)
Analysis of the factors affecting the culture of a hospital in Nantong
中文摘要
自1989年在福州召开的医学与文化学术讨论会上正式提出医院文化的概念以来，我国医院管理者和学术研究者逐步将现代医院文化理念引入医院管理中，开展了相关理论研究与实践探索。医院文化在医院管理中发挥的重要作用正在被医院管理者所重视，并在越发激烈的医疗竞争大背景下，发挥着越来越重要的作用。可以说医院文化是一个医院的核心竞争力的关键所在。本论文简单阐述了医院文化的定义及建设现状并以某传染病专科医院为例，分析其在转型过程中通过加强医院文化建设引领医院发展最终成功转型并走出了困境，引出医院文化建设的重要性和必要性和可行性。
本论文以该医院为例着重介绍了医院文化类型诊断和影响因素分析，论文采用OCAI量表法进行文化类型诊断，同时用员工满意度调查量表来辅助分析。以弥补OCAI量表在微观上的不足，通过OCAI量表的数据分析，诊断现有的医院文化类型和期望的医院文化类型，同时结合员工满意度度调查表分析现阶段的不足和优势，并按照期望进一步改进现有文化。最终得出，该院现阶段医院文化类型为市场型文化为主导的文化，期望文化是以团队型文化为主，结合员工满意度调查表分析其影响因素，调查结果显示，目前的医院文化整体得分尚可，但是离员工的期望值还有一定差距，员工的满意度在一些方面得分不高，说明医院文化在向员工期望的团队型文化改进过程中存在不少值得改进的方面，结合关键知情人访谈，发现目前的市场型文化为主导的文化背景下，缺乏上下级沟通，规章制度执行不力，个人发展不受重视，基础设施不健全、学习和个人发展机会较少等几个方面。根据本次研究结果，针对员工和领导所期望的团队型文化本文提出以下四点建议：1）(一)构建医院文化组织体系，完善管理制度，正确引导绩效指标在医院文化中的影响。(二)重塑沟通渠道，加强民主管理，构建和谐人际关系(三)继续加大软硬件投入，创新医院文化传播途径，提升医院文化宣传效果(四)创建学习型医院，加强中青年员工的培训和教育，关注个人发展，提高医护员工整体素质。
该院是国内最早一批运用医院文化理念引领医院发展的专科医院，现在为了更好的发展，突破发展瓶颈，运用科学定量分析对医院文化进行诊断并分析影响因素，优化医院文化建设，为其他同类型医院提供了一个可借鉴的途径，同时OCAI量表与员工满意度量表结合使用，是帮助医院管理者从文化诊断到文化管理的尝试，也为OCAI量表和员工满意度量表在医疗卫生领域实证研究增加了案例。
关键词：医院文化 医院文化诊断 OCAI量表 盖洛普量表 影响因素研究
Abstract
Since the medical and cultural forum held in Fuzhou in 1989, the concept of hospital culture has been officially put forward, the hospital administrators and academic researchers have gradually introduced the concept of modern hospital culture into hospital management, and carried out the relevant theoretical research and practical exploration. Hospital culture plays an important role in hospital management, which is being paid more and more attention by hospital administrators. It can be said that the hospital culture is the key to the core competitiveness of a hospital. This paper briefly describes the definition and construction of hospital culture and the construction of a hospital as an example, analysis of the transformation process in the transformation process by strengthening the hospital culture construction to lead the hospital development and the final successful transformation and out of the predicament, leads to the importance of hospital culture construction and the necessity and feasibility.
This paper takes the hospital as an example to introduce the diagnosis and influence factors of hospital culture type, the paper uses OCAI method to carry out the culture type diagnosis, and uses the employee satisfaction survey scale to support the analysis. To make up for the deficiency of OCAI in the micro, through the data analysis of the OCAI scale, the diagnosis of hospital culture type and the expectation of the hospital culture type, and combined with the staff degree of satisfaction questionnaire to analyze the current stage of the shortcomings and advantages, and to further improve the existing culture in accordance with expectations. Finally, the cultural type at present hospital hospital for the market type culture oriented culture, culture is expected to team culture, combined with the analysis of the influence factors of employee satisfaction survey, the survey results show that, at present the hospital culture the overall score is acceptable, but there is a certain gap between the expectations of employees, employee satisfaction is not high in some respects that hospital culture score, there are many issues to be improved in the team culture to employees expect the improvement process, combined with key informant interviews, found that the current market culture as the dominant cultural background, lack of communication, lack of enforcement of rules and regulations, pay attention to personal development, infrastructure not perfect, learning and personal development opportunities less etc.. According to the results of this research, the following four suggestions are put forward: 1. The improvement of the hospital culture construction system, strengthen the construction of connotation quality, guide the market orientation. 2) to rebuild communication channels, strengthen democratic management, guide health care workers take the initiative to participate in hospital management to further enhance the employee satisfaction, improve employee satisfaction, strengthen psychological counseling, ease the pressure, optimize the hospital service model, build a harmonious relationship between doctors and patients 4.The hospital is the first to use the concept of hospital culture to guide the hospital development, now in order to better development, breakthrough development bottleneck, the use of scientific quantitative analysis to the hospital culture diagnosis and analysis of influence factors, optimize the hospital culture construction, for other similar hospitals to provide a reference way, and OCAI scale and employee satisfaction scale, is to help hospital managers from cultural diagnosis to cultural management, and also for OCAI scale and employee satisfaction scale in medical and health field empirical research.
Keywords:Hospital culture Hospital culture diagnosis OCAI scale Gallup scale Influence factors research
目录
中文摘要 1
Abstract 3
第一章 前言 1
一、 选题背景 1
二、 研究目的与意义 1
三、 研究方法 2
（一） 文献调研法 2
（二） 案例分析法 2
（三） pest swot分析： 2
（四） 问卷调查法 2
（五） 关键知情人访谈法 2
四、 主要研究内容 2
第二章 医院文化测评相关理论 4
一、 医院文化的内涵 4
（一） 医院文化的概念与层次 4
（二） 医院文化的结构与作用 4
二、 医院文化建设进展情况 5
（一） 医院文化建设的目的与意义 5
（二） 医院文化建设过程 6
三、 医院文化评价 7
（一） 医院文化评价的意义 7
（二） 医院文化评价的研究情况 8
第三章 南通市某医院文化建设概况及成果特色梳理 10
一、 南通某医院简介 10
二、 南通某医院文化建设概况 11
（一） 某医院加强文化建设的历史背景和环境 11
（二） PEST分析和SWOT分析 12
（三） 医院文化实践中的方法和途径 14
（四） 医院文化的亮点及成果 19
第四章 南通市某医院文化测评及影响因素分析 21
一、 采用OCAI量表诊断医院文化 21
（一） OCAI量表介绍 21
（二） 员工满意度调查量表介绍 22
（三） 盖洛普Q12与医院文化之间的关系。 23
第五章 讨论与建议 37
一、 医院主导文化诊断 37
二、 医院文化影响因素及建议 37
三、 医院文化对员工满意度的影响 39
第六章 本次调查研究的创新与不足 40 |
