【作者】 熊昌娥；

【导师】 方鹏骞；

【作者基本信息】 华中科技大学 ， 社会医学与卫生事业管理， 2011， 博士

【摘要】 一、研究目的与意义本研究拟采用定性和定量研究相结合的方法,从医院内涵建设的角度来研究医院软实力对于医院战略发展的重要性,构建医院软实力评价模型,并提出建设中国特色医院软实力发展的策略建议,为医院的发展和建设提供新的视角。二、研究方法采用文献情报分析、德尔菲法、专家咨询法筛选模型的指标体系及权重；采用边界分析法查找医院软实力的要素；采用因子分析评价模型指标体系的效度；采用现场调查、模糊综合评价的方法对医院软实力进行综合评价；采用SWOT矩阵分析医院软实力的发展策略。三、研究内容(一)界定医院软实力的内涵；(二)医院软实力概念模型构建；(三)构建医院软实力评价模型；(四)验证医院软实力评价模型；(五)提出具有中国特色的医院软实力的策略建议。四、研究结果(一)医院软实力评价概念模型构建了医院软实力五维度四类型的评价框架,五维度是文化力、管理能力、创新力、协调应变力和公共关系活力,四类型是开放型、活力型、务实型和理想型。(二)医院软实力模糊综合评价模型1.构建了5个一级指标、14个二级指标、65个三级指标的医院软实力评价指标体系。一级指标包括：文化力、管理能力、创新力、协调应变能力和公共关系活力。其中文化力下面包含文化资源配置、组织价值观、组织行为规范、组织凝聚力、组织医德医风5个二级指标；管理能力包含领导能力、管理制度和患者管理3个二级指标；创新力包含科研创新、管理创新2个二级指标；协调应变能力包含危机处理能力1个二级指标；公共关系活力包含传播力、学术(专业)影响力、政策影响力3个二级指标。2.通过专家咨询,确立了每级指标体系的权重,一级指标体系的权重分别为：0.142、0.335、0.225、0.125、0.173。二级指标的权重分别为：0.0243、0.0271、0.0291、0.0318、0.0297、0.1380、0.1236、0.0734、0.1237、0.1013、0.1250、0.0503、0.0732、0.0495。(三)医院软实力与顾客满意度的关系研究1.医院软实力与患者满意度之间存在幂曲线关系,幂曲线方程为：Y=b0*Xb1=45.956*X0.4582.医院软实力与员工忠诚度之间存在幂曲线关系,幂曲线方程为：Y=b0*Xb1=32.390*X1.042五、研究结论(一)软实力和硬实力应协调一致发展。(二)医院软实力的评价模型结构合理,评价结果与实际情况相符。(三)不同的评价方法评价结果一致,说明构建的模型具有较好的稳定性。(四)为促进医院软实力发展,需要采取下列策略：(1)重塑医院核心价值观；(2)找准医院软实力建设突破点；(3)加强县级医院软实力建设；(4)强化医院管理层对于软实力建设必要性的认识：(5)将软实力作为医院评价的指标。六、研究创新(一)创新地提出了医院软实力评价的初步框架系统阐释了医院软实力的内涵、要素、一般特征、作用机制,并提出了医院软实力五维度四类型的评价框架。(二)构建了医院软实力评价的指标体系以医院软实力评价概念模型为指南,构建了5个一级指标,14个二级指标和65个三级指标,并将指标体系运用于医院评价的实践,将医院软实力评价进行可操作化,加大本研究的深度。(三)对医院评价实践提供了新的视角将医院软实力纳入医院评价的范围,既是政府层面价值取向的体现,也是改变目前医院经济增长方式的有效途径,本研究的评价模型为软实力的评价实践提供了可能性。更多还原

【Abstract】 Research PurposesThis research is to Use qualitative and quantitative methods to develop the importance of hospital soft power for strategic development in hospital. Construct the evaluation model of hospital soft power. To propose strategy advice with Chinese characteristics constructing hospital soft power and provide a new perspective for the development and the construction of hospital.Research MethodsIn this research, literature review and analysis, field investigation, expert consultation and Delphi method were used to develop the indicators system, and Fuzzy mathematics was used to construct evaluation model of hospital soft power. The regression method was used to the correlation between hospital soft power and hospital performance in software SPSS. Weighted percentage was use to compare hospital soft power. SWOT analysis was used to find development strategy of hospital soft power.Research Contents1. To define the connotation of hospital soft power.2. To construct a conceptual model of hospital soft power.3. To establish hospital soft power evaluation model.4. To confirm hospital soft power evaluation model.5. To propose strategy advice with Chinese characteristics constructing hospital soft power.Research Results1. The five key elements evaluation of the hospital soft power evaluation is be Constructed, including culture force, management ability, innovation capacity, capability of solving emergency (coordination capability) and public relations vigor. According to various dimensions role in hospital soft power, soft power is divided into open, energy type, pragmatic type and ideal type.2. (1)An evaluation indicator system for hospital soft power is to be developed including 5 primary indexes,14 secondary indexes,65 level 3 indexes. Class 1 evaluation indicators including culture force, management ability, innovation capacity, capability of solving emergency (coordination capability) and public relations vigor. Cultural force includes 5 class 2 indicators, management ability includes 3 class 2 indicators, innovation capacity includes 2 class 2 indicators, capability of solving emergency includes 1 class 2 indicator, public relations vigor includes 3 class 2 indicators.(2)By means of experts consultation, the weighting of each class of indicators is determined. The weighting of class 1 indicators is 0.142,0.335,0.225,0.125 and 0.173 respectively. The weighting of class 2 indicators is 0.0243,0.0271,0.0291, 0.0318,0.0297,0.1380,0.1236,0.0734,0.1237,0.1013,0.1250,0.0503,0.0732 and 0.0495 respectively.3. (1) The relationship between the hospital soft power and patient satisfaction could be estimated with power regression curve, and regression equation is: Y=b0*Xb1=45.956*X0.458(2) The relationship between the hospital soft power and staff belonging could be estimated with power regression curve, and regression equation is: Y=b0*Xb1=32.390*X1.042Conclusions(1) The soft power and hard power should be coordinated development.(2) Structure of evaluation model of hospital soft power is reasonable, Evaluation result accords with practice.(3) Different evaluation method shows same evaluation result, the model is relatively stability. (4) The relationship between the hospital soft power and patient satisfaction could be estimated with power regression curve. The relationship between the hospital soft power and staff satisfaction could be estimated with quadratic regression curve. So the development of the soft power has a degree. Focusing on the soft strength development too much will give employees bring pressure.Innovations1. Creatively proposing the hospital soft power evaluation framework.2. Constructing the index system of hospital soft power evaluation.3. Providing a new perspective for evaluation practice of hospital更多还原