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基于WSR的医院知识团队绩效研究
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摘要
以团队为单元进行组织重构和运营管理是当今医院组织提升服务品质和管理水平的必然选择,如何科学识别、准确评价和有效提升医院知识团队绩效,是医院管理者面临的共同课题。本研究基于WSR(物理-事理-人理)系统方法论,对医院知识团队绩效及其结构、绩效评价方法和绩效提升途径进行了深入研究,研究结果对丰富团队绩效理论体系、拓展WSR方法论应用范围、推进知识团队绩效评价科学化和提升医院整体管理水平具有重要理论价值和实践意义。
     本研究首先对团队及团队绩效、WSR方法论等相关概念、理论和方法进行了综述和分析,为研究提供了理论平台。随后对医院知识团队进行了界定,对知识团队的运行机制进行了详细分析,确定了研究的逻辑起点。在此基础上,主要开展了以下四方面研究:其一,引入利益相关者理论,对医院知识团队的绩效进行了全面分析,建立了医院知识团队绩效生成过程WSR-IPO模型;其二,提出了医院知识团队绩效影响因素WSR模型及医院知识团队三维绩效结构模型。由于医院知识团队的绩效结构是本研究的核心所在,因此在规范分析的基础上对该理论模型进行了实证检验,通过因素重要度分析、探索性因素分析和验证性因素分析,修正并验证了医院知识团队六维绩效结构模型;其三,采用粗糙集属性约简与属性重要度分析方法对知识团队绩效评价指标体系进行了优化和指标赋权,应用医院知识团队绩效评价WSR过程模型展开了实例评价,这是本研究的又一项重要内容;其四,基于WSR构建了医院知识团队绩效提升理论框架,从改善物理环境、加强事理和人理要素管理方面探讨了医院知识团队绩效提升的具体措施。
     本研究的创新主要体现在以下三个方面:(1)在医院管理领域提出了知识团队的概念,为医院组织引入和推行知识团队管理提供了新视野、新方法。(2)厘清了医院知识团队绩效的内涵与外延,提出并验证了医院知识团队的六维绩效结构模型。该模型是对西方学者提出的团队绩效三维结构的跨文化、跨组织重构与检验,是国内有关团队绩效结构研究的新成果。基于六维结构模型建构的医院知识团队绩效评价指标体系能够为医院组织创新绩效管理制度和实践提供有益参考。(3)从方法和工具两个角度应用WSR系统方法论,提出了医院知识团队的绩效影响因素模型、绩效评价过程模型及绩效提升的理论框架,并进行了绩效评价案例研究,这既是对WSR方法论的丰富和拓展,也是提升医院管理科学化水平的一次有益尝试。
One inevitable choice for modern hospital to improve service quality and management level is taking team as the unit of structure reconstruction and operation management. A common topic for all hospital managers is how to realize the scientific identification, accurate evaluation and effective improvement of the hospital knowledge team performance. This study based on WSR system methodology researches in depth hospital knowledge team performance and its structure, performance evaluation method and performance improvement mechanism. The research results have important theoretical and practical value, which will be beneficial to rich team performance theory system, enlarge the range of WSR methodology application and enhance the scientific level of team performance evaluation and hospital management.
     This study summarizes and analyzes some concepts, theories and methods that relate to team, team performance and WSR methodology at first, which provides a theoretical platform for research work. Then, hospital knowledge team is defined and its working mechanism is analyzed in detail, so the logic starting point of the research gets clear. On this basis, there are mainly four research activities as follow:firstly, the hospital knowledge team performance is conducted a comprehensive analysis by introducing stakeholder theory and the hospital knowledge team performance process WSR-IPO model is established. Secondly, the author puts forward a influencing factors WSR model that act on knowledge team performance and a3d performance structure model. Because of hospital knowledge team performance structure being the core of this study, both normative analysis and empirical test are conducted on the team performance structure theory model. Through factors important degree analysis, exploratory analysis and confirmatory analysis, a hospital knowledge team6d performance structure model is revised and verified. Thirdly, using rough set attribute reduction and importance analysis, team performance evaluation index system is optimized and the index weighting is ascertained, then a case of team performance evaluation process is launched. Above content is important for this research. Fourth, the hospital knowledge team performance improvement framework is established by applying WSR methodology, which proposes hospital knowledge team performance promotion system framework and implementation path such as to improve the physical environment and strengthen "Shi-Li" and "Ren-Li" factors management, etc.
     The innovation of this research are mainly embodied in the following three aspects:(1) The concept of knowledge team is creatively brought forward in the field of hospital management that provides a new vision and new methods for hospital organizations to introduce and implement knowledge team management.(2) The connotation and denotation of hospital knowledge team performance are clarified, and the hospital knowledge team6d performance structure model is put forward and verified. It is a fruit of cross-cultural, cross organization reconstruction and inspection in view of the team performance three dimensional structure proposed by western scholars. And it is one of the most advanced research findings on team performance structure. The hospital knowledge team performance evaluation index system established on six dimensional structure model can provide beneficial reference for hospital organizations to innovate their performance management institution and practice.(3) The hospital knowledge team performance influence factor model, the performance evaluation process model and the performance improvement theoretical framework are proposed on base of WSR system methodology, as well as relate case study is conducted. This not only is to enrich and develop the WSR methodology, but is a beneficial attempt to enhance the scientific level of hospital management.
引文
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