县域医共体组织韧性评价量表研制及实证研究

Development and Empirical Study of the Organizational Resilience Evaluation Scale of County-level Medical Community

目的 研制县域医共体组织韧性评价量表并进行实证研究,验证其信、效度,为县域医共体组织韧性的管理实践提供参考。方法 以卫生系统韧性框架、双重韧性分析框架作为量表的内容框架,经文献回顾、参考、访谈,形成初始量表,对21名专家进行2轮函询形成县域医共体组织韧性评价量表。2023年10-11月,在浙江省内6家县域医共体抽取医务人员进行调查,采用SPSS 25.0软件处理数据。结果 量表内部一致性Cronbach’s α系数为0.97,5个维度的Cronbach’s α系数为0.67~0.92 (P<0.001);折半信度为0.95,两部分的Cronbach’s α系数均为0.94。探索性因子分析结果显示:KMO为0.95,构建的组织韧性量表各维度及量表总分与战略柔性量表总分均呈正相关(P<0.01)。结论 设计的县域医共体组织韧性测评量表具有良好的信效度和参考价值,可为评估县域医共体组织韧性提供工具。

Objective To develop and empirically validate the County Medical and Health Community Organizational Resilience Evaluation Scale to verify its reliability and validity, and to provide a reference for the management practice of organizational resilience in medical and health communities. Methods The health system resilience framework and the dual resilience analysis framework were used as the content framework of this scale,and the initial scale was formed by literature review reference and interviews, and two rounds of correspondence to 21 experts were conducted to form the County Medical and Health Community Organizational Resilience Evaluation Scale. In October-November 2023,the medical staff of six medical and health communities in Zhejiang Province were sampled to conduct the survey,and SPSS 25.0 software was applied to process the data. Results The internal consistency Cronbach's alpha coefficient of the scale was 0.97,and the Cronbach's alpha coefficients of the five dimensions ranged from 0.67~0.92(P<0.001);the folded half reliability was 0.95,and the alpha coefficients of the two parts were 0.94. The results of the exploratory factor analysis showed that the KMO was 0.95,and that each dimension of the constructed Organizational Resilience Scale and the total score of the scale were positively correlated with the total score of the Strategic Flexibility Scale(P<0.01). Conclusion The Organizational Resilience Measurement Scale designed has good reliability and reference value, and may provide a tool for assessing organizational resilience in county medical and health communities in the future.