公立医院高质量发展影响因素与策略分析

Analysis on the influencing factors and strategies of high-quality development of public hospitals

目的分析高水平公立医院高质量发展的内部条件和外部环境,建立高质量发展策略模型,为公立医院制定和实施高质量发展策略提供参考。方法以高水平公立医院高质量发展试点医院为案例医院,采用SWOT分析法分析高质量发展影响因素,AHP层次分析法量化比较影响因素的重要性,四象限坐标系分析法建立高质量发展策略模型。结果案例医院高质量发展的总优势(S)强度、总劣势(W)强度、总机遇(O)强度、总威胁(T)强度分别为0.095、0.063、0.065和0.024,即内部条件的优势大于劣势,外部环境的机遇大于威胁;四象限坐标系中,增长型策略模型的三角形面积最大(0.003),战略四边形重心位于增长型策略中的机会型区域。结论以案例医院为代表的高水平公立医院进入外部机遇大于自身优势的重要战略机遇期,应当充分把握外部机遇,采用积极的增长型策略,制定具有自身特色的发展战略,促进内部条件和外部环境交互叠加形成新动能,实现医院高质量发展。

Objective To analyze the internal conditions and external environment of high-quality development of high-level public hospitals and establish a high-quality development strategy model,for reference of public hospitals to formulate and implement high-quality development strategies.Methods The case hospital was a pilot in high-quality development of high-level public hospitals.SWOT method was used to analyze the influencing factors,AHP analytic hierarchy process was used to compare the importance of each influencing factor,and then the four-quadrant coordinate system method was used to establish a high-quality development strategy model.Results The total strength(S),the total weaknesses(W),the total opportunity(O),and the total threat(T)were 0.095,0.063,0.065 and 0.024 respectively,reflecting that the strength of internal conditions was greater than the weaknesses,and the opportunities of external environment were greater than the threats.In the four-quadrants,the growth strategy model had the largest triangle area(0.003),and the strategic quadrilateral center of gravity was located in the opportunity area of the growth strategy.Conclusions High-level public hospitals as represented by the case hospital had entered a period of important strategic opportunities,which the external opportunities were greater than its own strength.These hospitals were recommended to fully leverage the external opportunities,adopt a positive growth oriented(SO)strategy,formulate a development strategy with their own characteristics,promote the interaction of internal conditions and external environment to form new momentum,hence achieving high-quality development.