【作者】 倪杰；

【导师】 汤少梁；

【作者基本信息】 南京中医药大学 ， 社会医学与卫生事业管理， 2012， 硕士

【摘要】 随着知识经济在全球范围内的兴起,知识管理日益成为组织日常管理活动的主题和重点,而医院作为一个典型的知识密集型和人才密集型的知识型组织,有效实施知识管理,提高整个医院的医疗服务质量,已经成为医院管理中的一个重要部分,一直以传统中医药特色为治疗方法的中医院也不例外,中医院应该抓住这一契机,积极地推进中医药知识的传承,将中医药事业发扬光大。在上述背景下,本文主要采用理论推导与实证研究相结合的方法,对中医药知识传承的影响机理进行了较为深入的研究。论文的研究工作主要包括以下几个方面：(1)通过文献综述,系统地梳理了国内外关于知识转移理论、委托代理理论的研究；(2)运用委托代理理论建立了中医药知识传承的委托代理模型,得出中医药知识传承的影响因素和机理,并进一步提出理论假设；(3)以南京的五家中医院的中医师为调查对象,通过访谈和问卷调查,获取有效问卷207份(4)运用SPSS19.0软件对数据的信度和效度进行检验,并运用LISREL8.70软件建立结构方程模型,以检验实证资料对研究假设的支持程度。通过上述研究工作,本文证明了传授意愿和继承意愿在其他因素对中医药知识传承作用中的中介效应,并提出中医院要建立学习型组织,提高医务人员参与传承的意愿,同时还要针对中医院内中医药知识转移主体构建激励机制和绩效考核机制,以促进中医院内部知识市场的有效运转,为中医院开展中医药知识传承活动提供了一定的理论和操作层面的参考。更多还原

【Abstract】 Along with the rising of knowledge-based economy in the word, the knowledge management gradually became the theme and key point of organizations management. Because hospital is a typical knowledge-intensive and talent-intensive knowledge organization, it is especially press for effectively knowledge management to improve the whole hospital medical service quality. Hospital of traditional Chinese medicine (TCM) is no exception, which should seize this opportunity to promote the knowledge of TCM inheritance and make it carry forward.In this background, the research mainly adopts the method of theory and empirical study to dig into the impact mechanism of TCM inheritance. The research work includes several aspects:(1) analysize the researchs of domestic and oversea by study the literature review,(2) establish the principal-agent model of TCM inheritance by the principal-agent theory, and get the influence factors and mechanism, then raise theoretical assumption (3) make the doctors in five hospital of TCM in Nanjing as the study object, and the total number of valid questionnaires is207,(4) use the SPSS19.0to evaluation the reliability and validity of the data and use the LISREL8.7to making structure equation model(SEM).Through the above research, it shows teaching intention and inheritance intention play the roles as intermediary variable in the influence of the knowledge of TCM inheritance. According to the results, the hospital of TCM should establish the learning organization to improve the doctors’will in the inheritance program and establish incentive mechanism and performance evaluation mechanism, which may provide some advice for the development of the hospital of TCM.更多还原