基于TOE理论和模糊集定性比较的公立医院后勤效能提升路径分析

Path Analysis of Public Hospitals Logistics Efficiency Improvement Based on TOE Theory and Fuzzy Set Qualitative Comparative Analysis

目的探索我国公立医院后勤管理效能提升的不同路径,创新后勤管理机制,助力医院高质量发展。方法基于TOE理论确定条件变量,采用模糊集定性比较分析(fsQCA)方法对2021年-2022年41个医院后勤管理典型案例进行组态分析。结果路径一:标准化制度建设体系+流程化运行机制+立体化物业公司监管模式;路径二:流程化运行机制+信息化平台建设+多元化人才队伍背景;路径三:流程化运行机制+信息化平台建设+立体化物业公司监管模式+标准化制度建设体系(边缘条件)。结论我国公立医院后勤管理效能提升实现路径可分为制度化建设驱动型、信息技术驱动型和综合驱动型3种模式。医院可多元性选择,以持续提升后勤服务效能。

Objective To explore different ways to improve the logistics management efficiency of public hospitals in China,innovate the logistics management mechanism,and achieve high-quality development of hospitals.Methods The condition variables were determined based on TOE theory,and the fuzzy set qualitative comparative analysis(fsQCA)method was used to analyze the configuration of 41 typical hospital logistic management cases from 2021 to 2022.Results Path 1:standardized system construction system+process operation mechanism+three-dimensional property company supervision mode;Path 2:process operation mechanism+information platform construction+diversified talent team background;Path 3:process operation mechanism+information platform construction+three-dimensional property company supervision mode+standardized system construction system(marginal conditions).Conclusion The ways to improve the logistics management efficiency of public hospitals in China can be divided into three modes:institutionalized construction driven,information technology driven and comprehensive driven.Hospital could diversity choose,and continue to improve the efficiency of logistics services.