【作者】 谢宜学；

【导师】 刘子先；

【作者基本信息】 天津大学 ， 管理科学与工程， 2011， 博士

【摘要】 民营医院作为国家医疗体系的重要组成部分,具有专业化、灵活性的特点。随着远程诊疗技术的发展,民营医院构建自己的虚拟团队,对于实现全民就医,推动多元化医疗格局更快更好的发展,改善人群利用卫生服务的公平与效率,实现和谐社会,维护和促进人群健康具有重要的现实意义。本研究的主要目的是对研究民营医院是否具备构建虚拟团队的可行性,讨论民营医院虚拟团队的组织和质量管理问题,从而为民营医院管理者提供决策依据,解决目前民营医院人才缺乏的问题,降低人才成本,为当地病患提供更高质量的医疗服务,真正实现和谐的医疗环境。本文首先采取实证调查、数据分析的方法,讨论了民营医院虚拟团队与虚拟医院和远程诊疗的区别,并通过对调查所得数据进行统计分析,证明了民营医院构建虚拟团队是可行的;同时讨论了民营医院构建医疗虚拟团队的影响因素,及团队成员个体特征对医疗质量的影响;提出了虚拟团队成员选择的基本指标体系。其次,运用模糊识别理论对大量的有参与虚拟团队意向的医疗人员进行了海选,运用神经网络技术和多目标决策法从备选的医疗人员中选择出较为满意的成员。结合民营医院决策者的个人意愿对选出的成员,运用不确定语言性决策法进行评价,最终评选出满意的成员。最后,针对民营医院的运行特点,从成员激励、绩效评价的角度,提出了民营医院医疗虚拟团队的管理机制,重点讨论民营医院医疗虚拟团队的激励机制、绩效评价体系,构建了基于动态合约的民营医院医疗虚拟团队质量协调机制,进一步探讨民营医院医疗虚拟团队管理的相关对策。本文研究证明了民营医院构建虚拟团队是可行的。在选择过程中,个体的合作素质和技能十分重要,地域分布影响最小。民营医院管理者根据团队成员不同的个性特点,有针对性的进行识别和选择。在管理过程中,有目的的有选择的采取不同的激励机制和绩效评价机制,重点关注合作过程的质量协调问题,保证医疗过程质量,促进民营医院可持续发展。更多还原

【Abstract】 As the important component of the national medical system, private hospital has the feature of specialization and flexibility. With the development of remote diagnostic and treating technology, building its own virtual team for private hospital has important practical significance. It can carry out national hospitalization and push sound and fast development of diversified health care pattern. It can also work for improve the fair and efficiency of public utilizing health services and achieve social harmony and to preserve and promote public health.The major objective of the study is to make research on whether private hospital has the feasibility to build virtual team and discuss the management issues of medical virtual team for private hospital. Accordingly, it works for providing manager of private hospital with decision-making, solving the existing talent shortage of private hospital, reducing the talent cost, offering higher quality health service for the local patients and really achieving a harmonious medical environment.The study firstly adopts the methods of positive investigation and data analysis and discusses the differences between virtual team for private hospital with virtual hospital and remote diagnosis and treatment. It has been proved feasible to build virtual team for private hospital through statistical analysis on the survey data. The study has also discussed the impact factors of building medical virtual team for private hospital and the influences of team member features on medical quality. It has proposed the basic index system for virtual team members.Secondly, auditions has been carried through among large number of intention medical staff to participant in virtual team with the fuzzy recognition. Satisfied members have been selected from optional medical personnel, applying neural network technique and multi-objective decision policy. The final members will be chosen out from the selected personnel, evaluating with uncertain language decision policy and combining with the personal willingness of private hospital decision maker.Finally, according to the operation characteristics of private hospital, the management mechanism of the medical virtual team has been put forward from the point of team member motivation and performance evaluation. The discussion centers on the motivation system and performance evaluation system of medical virtual team for private hospital. The quality coordination mechanism of medical virtual team has been structured based on the dynamic contract. And the further exploration has been made on the relevant management measures of medical virtual team for private hospital.This paper proves that it is feasible to build virtual team for private hospital. During the selection process, the cooperative quality and ability of team member are very important. And the geographic distribution has minimal impact. According to the personality of team members, the manager of private hospital can make identification and selection pertinently. To promote the sustainable development of private hospital, motivation system and performance evaluation system should be adopted purposefully and selectively during the management process, the medical process quality should be ensured and the quality coordination issues of collaborative process should be focused on.更多还原