【作者】 张波；

【导师】 李从东；

【作者基本信息】 天津大学 ， 管理科学与工程， 2006， 博士

【摘要】 医院作为典型的知识型组织,其核心能力的本质就是医院特有的知识资源。当前,如何有效地加强知识管理,提高知识的使用效益,发展自己的核心能力,是每个医院都必须面对的课题。医院核心能力的构建与提升,依赖于医院能否成功地将其核心知识进行有效共享,充分实现医院知识资源的整合、发展和增值,从而推进医院知识和技能的螺旋上升。本文研究的目的就在于运用知识共享理论指导医院知识管理,建立起相对完整的医院知识共享的体系。通过医院知识共享体系的有效运行,能够加强医院内外部知识的有序交流和共享,提高知识管理效率,从而提升医疗技术水平和服务质量,最终实现医院核心能力的发展。本文所做的主要工作和研究成果体现在以下几个方面:首先,回顾了知识共享和核心能力的相关理论研究,介绍了医院知识的内容与特点,指出医院知识管理的重要作用;结合医院知识管理的现状,分析了医院知识共享的重要性和实现过程中的主要障碍;在此基础上,依据医院核心能力的知识来源,对医院知识进行划分,从医院内部知识共享、医患知识共享、医院的知识联盟三个环节进行系统分析,针对不同特性的核心知识提出相应的共享模式,构建了各知识主体之间知识共享的总体概念模型。其次,对上述三个共享环节进行了深入研究。较为完整地表述了医院内部知识转化与共享的各种现实方式,研究了医院内部知识市场的产生、基本构架和运行方式,建立了基于医院核心业务活动的内部知识共享模型,并进一步分析了临床路径实施过程中的知识转化与共享;系统地研究了患者知识的概念及内容,结合患者整个就医过程中知识获取、知识利用、知识调整和知识评价四个阶段,分析并建立起医院与患者之间的知识双向转移模型,并运用模糊层次分析法来获取患者满意度的隐性知识;分析了医院知识联盟的产生动因、特点和作用,建立了医院知识联盟的多层次知识共享模型,并对医院知识联盟的成员管理、收益管理和风险管理进行了相关研究。最后,结合医院管理实际,分析并建立了医院知识共享的文化建设、组织构建和技术支持系统,并在理论上提出基于医院知识共享的激励机制与评价体系。更多还原

【Abstract】 The hospital, as a typical knowledge-based organization, whose essence of the core competence is its unique knowledge resources. At present, how to effectively strengthen knowledge management, put the knowledge to good use, and develop its own core competence is the problem facing each hospital.How to construct and promote hospitals’core competence depends on whether their core knowledge can be shared effectively, and whether they can fully realize their integration, development and increment of their knowledge resources, thus spirally promoting hospitals’knowledge and skills. The purpose of this dissertation lies in applying the theory of knowledge sharing to hospital knowledge management, and then founding a relatively complete knowledge sharing system. By effectively operating a knowledge sharing system, hospitals can strengthen the orderly exchange of hospital knowledge from interior to exterior, improve the efficiency of knowledge management, thus enhancing the level of medical treatment technology and the quality of services, and then help the hospitals’core competence further develop. The main work to be done and its research results will be reflected in the following aspects:Firstly, the dissertation reviews the allied theoretical study of knowledge sharing and core competence, studies the content and characteristics of hospital knowledge, and points out the significance of hospital knowledge management. Combined with the existing conditions of hospital knowledge management, it analyzes the importance of knowledge sharing and the main obstacles faced in the process of achievement. On the basis of them, it carries on demarcation to the hospital knowledge according to the knowledge sources of hospital core competence, and makes a systematical analysis of the three links: hospital internal knowledge sharing, hospital-patient relation knowledge sharing and hospital knowledge alliance. Aiming at different characteristics of hospital core knowledge it provides the allied knowledge sharing methods, and builds up a whole concept model of knowledge sharing among each knowledge corpus.Secondly, the dissertation shows further research on the above three sharing links. It more completely presents various realistic ways of knowledge transferring and sharing, studies the creation, basic framework and operational style of knowledge更多还原