医疗挤兑危机视域下政府危机管理机制分析

Analysis of crisis management from the perspective of a hospital capacity crisis

[目的]构建医疗挤兑危机视域下政府危机管理机制的理论框架,并通过样本数据对模型进行实证检验,探讨各节点之间的关系,为提升政府危机管理能力提供参考依据。[方法]本研究采用回顾性调查的方法对2019年末至2020年初居住在武汉且了解政府危机管理状况的人群进行网络问卷调查,应用AMOS 24.0软件构建医疗挤兑危机视域下政府危机管理机制模型。[结果]模型拟合度较好[卡方自由度比值(CMIN/DF)=1.954,渐进残差均方和平方根(RMSEA)=0.044,比较适配指数(CFI)=0.987]。模型中风险防控体系构建水平、政府危机监测预警能力、政府应急处置能力分别对政府危机管理能力产生直接效应,效应值分别为0.365、0.385和0.265;风险防控体系构建水平和危机监测预警能力对政府危机管理能力也起到间接效应,效应值为0.206和0.109。[结论]政府危机管理机制模型在理论和实证中结果良好,较好地反映出各变量之间的影响关系,对政府危机管理能力的提升提供了理论支撑。

Objective The paper constructs a theoretical framework of crisis management from the perspective of the hospital capacity crisis,and empirically tests the model by using sample data to explore the relationship between nodes,providing the reference for enhancing the crisis management ability of governments.Methods A retrospective survey method was employed to conduct an online questionnaire survey among people who lived in Wuhan from the end of 2019 to the beginning of 2020 and were familiar with the crisis management in government.Amos 24.0 software was used to develop a model of crisis management for government from the perspective of a hospital capacity crisis.Results The model fit was good[ratio of chi-square and degree of freedom(CMIN/DF)=1.954,root mean square error of approximation(RMSEA)=0.044,comparative fit index(CFI)=0.987].In the model,the construction level of risk prevention and control system,crisis monitoring and early warning capacity of the government,and emergency response ability of the government had direct effects on crisis management capacity,with effect values of 0.365,0.385 and 0.265,respectively.The construction level of risk prevention and control system and the ability of crisis monitoring and early warning also had indirect effects on crisis management capacity,with effect values of 0.206 and 0.109.Conclusions The model of government crisis management has good results in theory and demonstration,and reflects the influence and relationship between variables well,which provides theoretical support for the improvement of crisis management ability.