上海某二级公立医院功能调整的策略研究

Analysis on function adjustment strategy of a secondary public hospital in Shanghai

目的:通过对医疗资源利用不足的某公立医院进行管理战略分析,为医院改革中的功能调整提供实例。方法:采用现有资料收集、焦点访谈法、中心地区调查和战略分析(PEST与SWOT分析方法相结合)方式。结果:调查的目标医院服务规模较小,缺乏学科带头人;收治的肿瘤患者中Ⅳ期病人占78.9%,内科病房70%以上患者为70岁及以上的老年人,具有老年常见病和晚期肿瘤病人的医疗服务经验和基本能力;宏观环境的分析(PEST)与战略分析方法(SWOT)分析显示该院目前存在明显的劣势和威胁,但从改革和发展角度分析也存在自身的优势和机遇。结论:在医改中可运用发展战略分析调整服务功能,则有利于医院的生存和提高发展能力。

Objective： To provide practical cases for the function adjustment of hospital reform through strategic management analysis of public hospitals with an insufficient exploitation of medical resources. Methods： Data collection, focus groups discussion, central location surveys, and strategic analysis （ PEST and SWOT ） were used. Results： The target hospital under study owned a small scale of service. It was lack of academic leaders. Among the tumor patients admitted, stage IV patients were 78.9%, and 70% of the medical ward patients were seniors with an age of 70 and above. The hospital owned the medical service experience and basic capacity for common geriatric diseases and end-stage cancer patients. PEST and SWOT analyses revealed that the hospital faced not only obvious disadvantages and threats, but also advantages and opportunities in perspective of reform and development. Conclusion： Development strategies could be applied to the readjustment of the hospital＇s service functions in the medical reform, which will promote the hospital＇s survival and growth.