医生基于以患者为中心理念对医院文化的评价
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摘要
目的:调查医生基于"以患者为中心"理念对医院文化的评价情况。方法:采用自编医院文化量表调查5家公立医院的临床医生,获得232份有效问卷。量表使用李克特4点计分。结果:因子分析显示,该量表包含精神/制度文化、行为/物质文化和负向评价3个维度。医生对总量表和3维度的评分分别是3.16、3.46、2.98和2.80。回归分析显示,医生工作时间影响行为/物质文化的评分(P<0.05)。行为/物质文化、负向评价2个维度评分均存在医院差异(P<0.05)。精神/制度文化评分不受人口统计学变量、工作时长的影响,也不存在医院差异(P>0.05)。结论:以患者为中心的医院文化量表具有较好的信效度。医院文化总体状况较好,行为/物质文化和负向评价维度有待改进。
Objective: To investigate the evaluation of patient-centred hospital culture from the perspective of physicians. Methods: Self-developed hospital culture scale was used to survey 232 physicians in 5 public hospitals. Likert four-point scale was used. Results: The exploratory factor analysis showed that the scale consisted of three dimensions: spiritual/institutional culture, behavioral/material culture and negative evaluation. The whole scale and three dimensions got 3.16, 3.46, 2.98 and 2.80 scores separately. Regression analysis showed that behavioral/material culture scores were influenced by physicians' working hours(P<0.05). There existed difference of behavioral/material culture and negative evaluation scores among 5 hospitals(P<0.05). Spiritual/institutional culture scores were not influenced by demographic variables, physicians' working hours, and hospitals(P<0.05). Conclusion: The patient-centred hospital culture scale had good reliability and validity. The whole hospital culture was good, while behavioral/material culture and negative evaluation dimensions need to be improved.
Objective: To investigate the evaluation of patient-centred hospital culture from the perspective of physicians. Methods: Self-developed hospital culture scale was used to survey 232 physicians in 5 public hospitals. Likert four-point scale was used. Results: The exploratory factor analysis showed that the scale consisted of three dimensions: spiritual/institutional culture, behavioral/material culture and negative evaluation. The whole scale and three dimensions got 3.16, 3.46, 2.98 and 2.80 scores separately. Regression analysis showed that behavioral/material culture scores were influenced by physicians' working hours(P<0.05). There existed difference of behavioral/material culture and negative evaluation scores among 5 hospitals(P<0.05). Spiritual/institutional culture scores were not influenced by demographic variables, physicians' working hours, and hospitals(P<0.05). Conclusion: The patient-centred hospital culture scale had good reliability and validity. The whole hospital culture was good, while behavioral/material culture and negative evaluation dimensions need to be improved.
引文
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[16]莫鑫鑫,冯启明,罗红叶,等.广西县级公立医院医务人员工作满意度及其影响因素分析[J].中国现代医生,2015,53(10):133-136.
[17]张颖,周晶,杜丽霞,等.医院文化建设与职工满意度关系探讨[J].医院管理论坛,2014,31(2):20-21.
[18]徐龙雨,陈杰,姚央.北京市某三甲医院文化建设的实践探索[J].医学与社会,2015,28(1):39-41.
[2]AN J Y,YOM Y H,RUGGIERO J S. Organizational culture, quality of work life, and organizational effectiveness in Korean university hospitals [J].Journal of transcultural nursing,2011,22(1):22-30.
[3]常娟, 程齐波.医院文化评价指标体系的研究[J].西北医学教育,2009,17(3):596-599.
[4]纪婷婷,李艳红,张建枢,等.应用Delphi方法构建首都医院文化建设考核指标体系[J].中国社会医学杂志,2014,31(1):14-16.
[5]周乃忠,肖传实,齐文中.医院文化建设考评体系研究[J].中国医疗管理科学,2014,4(4):19-25.
[6]吴丽华,孙加权,邵杰,等.三级综合医院行为文化量化指标构建及运用[J].中国医院,2017,21(9):54-56.
[7]徐婕,哈维超,徐长江.医院文化现状调查研究[J].江苏卫生事业管理,2012,23(2):86-88.
[8]刘智勇,金新政.医院文化测量研究[J].卫生软科学,2004,18(5):261-264.
[9]张颖,屠月珍.医院文化评价[J].解放军医院管理杂志,2011,18(9):821-822.
[10]贺景锋,凌秋英,王丽芝,等.丹尼森组织文化理论及对医院文化测量举例[J].中国医院管理,2011,31(5):56-58.
[11]张运利,安健,尹爱田,等.医院文化的作用机制研究[J].医学与哲学,2013,34(6A):48-51.
[12]李成彦.组织文化研究综述[J].学术交流,2006(6):183-185.
[13]陈文峰,张建新.积极/消极情感量表中文版的结构和效度[J].中国心理卫生杂志,2004,18(11):763-765.
[14]顾红磊,温忠麟.项目表述效应对自陈量表信效度的影响——以核心自我评价量表为例[J].心理科学,2014,37(5):1245-1252.
[15]刘智勇,金新政.医院组织文化测量研究——内部管理认知调查[J].卫生软科学,2004,18(5):265-267.
[16]莫鑫鑫,冯启明,罗红叶,等.广西县级公立医院医务人员工作满意度及其影响因素分析[J].中国现代医生,2015,53(10):133-136.
[17]张颖,周晶,杜丽霞,等.医院文化建设与职工满意度关系探讨[J].医院管理论坛,2014,31(2):20-21.
[18]徐龙雨,陈杰,姚央.北京市某三甲医院文化建设的实践探索[J].医学与社会,2015,28(1):39-41.