公立医院组织文化测评量表研究

Research on a tool for organizational culture assessment of public general hospitals in China

目的借鉴Denison组织文化模型，结合我国公立综合性医院特点，科学测评医院文化。方法运用我国东、中、西3省／直辖市的87所医院的调查数据，研究设计了医院文化测评量表。结果医院文化测评量表包括方向性、一致性、参与性、适应性4大文化特性以及社会责任、竞争意识在内的13个文化维度，经检验，量表具有良好的内部信度和效度。结论医院文化测评量表为医院管理者进行医院文化测评、诊断和改善提供了测评工具。

Objective A scientific evaluation of hospital culture with the Dimension organizational culture model, in view of features of China ＇s general public hospitals. Methods Based on Denison model, according to the characteristics of the public general hospitals in China, the authors developed a tool for organizational culture assessment （TOCA） by using the survey data from 87 hospitals in three provinces from the East, Central, and West areas in China. Results This tool, an evaluation scale, comprises the four cultural characteristics of direction, consistency, participation, and adaptability, as well as 13 cultural dimensions of social responsibility and competitive consciousness. The tool is tested as having good internal reliability and validity. Conclusion The TOCA provides hospital administrators with a tool for hospital culture evaluation, diagnosis and improvement.