医院科技创新与隐性知识共享

隐性知识是医院知识的主体，是医院科技创新的原动力。医院应采取切实可行的措施，促进医院隐性知识的转化与共享。     

医学隐性知识整合中的若干问题探讨

目的 医学隐性知识是医院发展中的重要资源，通过对医学隐性知识的整合，达到知识交流和利用的目的。方法 将存在于医院员工头脑中的经验，技巧等隐性知识等进行整合，形成各类知识库，使隐性知识转化为显性知识。结果 有效的隐性知识的整合能促进知识交流和共享。结论 医学隐性知识的整合是目前医院信息工作的重要组成部分。     

谈医院隐性知识管理

医院是知识密集型组织，隐性知识是医院知识的主体，在医院的知识创新中起着至关重要的作用。医院应采取有效的措施，促进隐性知识的共享。     

医院知识管理中隐性知识的挖掘

医院知识管理的主要使命是帮助医院提高医生的工作效率和质量,提升服务患者的能力,增强医院核心竞争力。在医院管理中如何把隐性知识挖掘出来,是一项很重要的任务。分析了隐性知识在医院管理中的重要性,阐述了隐性知识的挖掘方法。     

隐性知识管理在图书馆工作中的价值与应用

从隐性知识的概念、特征及图书馆隐性知识的组成等方面入手,侧重分析了隐性知识管理在图书馆工作中的价值和作用,认为更好地开发和利用、挖掘和转化隐性知识已成为图书馆知识创新与增值服务的新亮点和新方向.     

医院知识管理与知识整合

医院知识管理是知识创新的过程。其要求知识的组织化和组织的知识化，实施知识管理的PTP管理法，进行知识环境创新、知识制度创新、知识组织创新以及知识整合（包括现有知识和新知识的整合、显性知识和隐性知识的整合、个人学习和组织学习的整合、外部学习和内部学习的整合）。     

论医院智力资本的管理

智力资本是医院知识管理的重要内容,是提高医院核心竞争力的关键.医院的智力资本包括结构资本、人力资本、知识产权资本和市场资本,决定着医院的可持续发展优势.现代医院应通过内部结构治理促进知识管理,以隐性知识理论为指导进行人力资源管理、经营医院的声誉并整合智力资本要素,以实现对智力资本的有效管理.     

医院知识管理与科技创新关系的探讨

医院作为知识型组织,具有实施知识管理与科技创新的良好基础与优势。医院知识管理与科技创新之间存在着密切的联系,知识管理是实施科技创新的根本方法,而科技创新则是知识管理的结果和表现形式,两者共同促进医院“科教兴院”战略目标的实现。医院管理者应积极推进知识管理与科技创新之间的良性互动,以提高医院的核心竞争力,更好地为维护人民群众的身体健康服务。     

知识类型的转化与医学科技创新

医学科技创新是医院赖以生存与发展的动力,医学科技创新的过程也是医学知识模式不断转换的过程,本文从知识模式转换的视角,探讨知识管理对医学创新和医学科技创新的意义与作用。     

知识管理与医院创新

分析了知识管理与医院创新的关系 ,重点介绍了知识管理在医院管理中的意义、作用 ,阐明了知识管理的核心是创新 ,只有创新 ,知识管理才有发展 ,才能提升医院核心竞争力。同时介绍了知识创新、服务创新、科技创新、管理创新以及管理思想和管理机制创新的基本内容     

Exploring tacit knowledge based on an expert nurse's practice for stroke patients

This study explored tacit knowledge based on an expert nurse's practice who cares for stroke patients by using the hermeneutic phenomenological approach. The participant (‘Ms. A’) was a nursing researcher and college faculty member involved in the education of advanced practice nurses; her specialty was stroke rehabilitation nursing. She was asked to describe the meaning and value she gained from her memorable nursing experiences. Four interviews—approximately 1 h each—were conducted, and the associated data were interpreted together with the participant based on the method of interpretive circulation. Notably, the analysis was ended when a fusion of horizons was recognized. The participant recalled her nursing experiences based on six model cases. During the analysis, the following five elements were extracted: [belief in the ability of vulnerable people to survive]; [being together]; [respect for human dignity]; [preparedness to respond to and bear suffering together]; and [theoretical knowledge base approaches true understanding of patient experience]. Further, the nursing model—the Roy Adaptation Model—utilized by Ms. A in the process of recognizing humans as whole beings was deeply interpreted and implemented as a guideline for her implicit advanced practice. Moreover, her deep understanding and utilization of theoretical knowledge base also built the foundation for her implicit advanced practice. In conclusion, Ms. A's tacit knowledge and the elements support the process of tacit knowledge acquisition. Her narratives, hermeneutic attitude as an interpreter, and learning attitude throughout interaction with others will strongly help her knowledge development. We intend to continue the study with multiple participants and explore the structure of tacit knowledge possessed by advanced practitioners. Future endeavours will include the development of a tacit knowledge learning strategy.     

Tacit knowledge of caring and embodied selfhood

The tacit knowledge paradigm is gaining recognition as an important source of knowledge that informs clinical decision-making. It is, however, limited by an exclusive focus on knowledge acquired through clinical practice, and a consequent neglect of the primordial and socio-cultural significance of embodied selfhood, precisely what provides the foundational structure of tacit knowledge of caring and facilitates its manifestation. Drawing on findings from a qualitative study of 43 dementia care practitioners in Ontario, Canada that utilised research-based drama and focus group methodology, we argue that embodied selfhood is fundamental to tacit knowledge of caring. Results are analysed drawing upon the theoretical precepts of embodied selfhood that are rooted in Merleau-Ponty's (1962) reconceptualisation of perception and Bourdieu's (1977 , 1990 ) notion of habitus . We conclude with a call for further exploration of the body as a site of the production of tacit knowledge.     

我院实施资金资本与知识资本结合互动的经营之道

本文以实现资本经营的理念阐述了实施资金资本与知识资本结合的理论依据，介绍了医院通过引进资金、引进人才，也即以知识资本盘活存量，以资金整合求效益，使医院在利用人才资源和激发人才动能方面独辟新径，提高了资本积累速度，奠定了医院可持续发展的稳固基础。     

Hospital acquisition or management contract: a theory of strategic choice

Differences in the mission of the hospital and the multihospital system are key elements underlying the development of a management contract. Preliminary analysis suggests that the number of potential new acquisitions is severely limited, that contract management is not a stepping stone to acquisition, and that many recent management contracts appear to be attempts to overcome problems beyond the hospital's and the contractor's direct control.     

Unpacking capacity to utilize research: A tale of the Burkina Faso public health association

One of the most important challenges in addressing global health is for institutions to monitor and use research in policy-making. In low- and middle-income countries (LMICs), civil society organizations such as health professional associations can be key contributors to effective national health systems. However, there is little empirical data on their capacity to use research. This case study was used to gain insight into the factors that affect the knowledge translation performance of health professional associations in LMICs by describing the organizational elements and processes constituting capacity to use research, and examining the potential determinants of this capacity. Case study methodology was chosen for its flexibility to capture the multiple and often tacit processes within organizational routines. The Burkina Faso Public Health Association (ABSP) was studied, using in-depth, semi-structured interviews and key documents review. Five key dimensions that affect the association's capacity to use research to influence health policy emerged: organizational motivation; catalysts; organizational capacity to acquire and organizational capacity to transform research findings; moderating organizational factors. Also examined were the dissemination strategies used by ABSP and its abilities to enhance its capacity through networking, to advocate for more relevant research and to develop its potential role as knowledge broker, as well as limitations due to scarce resources. We conclude that a better understanding of the organizational capacity to use research of health professional associations in LMICs is needed to assess, improve and reinforce such capacity. Increased knowledge translation potential may leverage research resources and promote knowledge-sharing.     

Tacit and encoded knowledge in the use of standardised outcome measures in multidisciplinary team decision making: a case study of in-patient neurorehabilitation

This paper explores how multidisciplinary teams (MDTs) balance encoded knowledge, in the form of standardised outcome measurement, with tacit knowledge, in the form of intuitive judgement, clinical experience and expertise, in the process of clinical decision making. The paper is based on findings from a qualitative case study of a multidisciplinary in-patient neurorehabilitation team in one UK NHS trust who routinely collected standardised outcome measures. Data were collected using non-participant observation of 16 MDT meetings and semi-structured interviews with 11 practitioners representing different professional groups. Our analysis suggests that clinicians drew on tacit knowledge to supplement, adjust or dismiss 'the scores' in making judgements about a patients' likely progress in rehabilitation, their change (or lack of) during therapy and their need for support on discharge. In many cases, the scores accorded with clinicians' tacit knowledge of the patient, and were used to reinforce this opinion, rather than determine it. In other cases, the scores, in particular the Barthel Index, provided a partial picture of the patient and in these circumstances, clinicians employed tacit knowledge to fill in the gaps. In some cases, the scores and tacit knowledge diverged and clinicians preferred to rely on their clinical experience and intuition and adjusted or downplayed the accuracy of the scores. We conclude that there are limits to the advantages of quantifying and standardising assessments of health within routine clinical practice and that standardised outcome measures can support, rather than determine clinical judgement. Tacit knowledge is essential to produce and interpret this form of encoded knowledge and to balance its significance against other information about the patient in making decisions about patient care.     

医院技术进步对经济增长所起作用的测算

本文采用柯布－－道格拉斯生产函数和经济增长速度方程测算技术进步对经济增长的作用。指出测算成败的关键在于选择合适的指标量和计算方法。因此，结合医院经济特点，汲取近年研究成果，改进澈各余值法以提高测算的可行性和科学性。用本院资料验证，１９８１－１９９３年的技术进步产出水平为０．１０２１５，生年平均提高１７．５３％，对经济增长速度的贡献度为６１．８３％。     

地方医科大学生物医学科技竞争力评价指标体系的构建与应用

目前,高校学科科技竞争力评价研究仍处于起步阶段,为了构建一套适于评价地方医科大学科技竞争力的评价体系,本文在分析影响地方医科大学生物医学科技竞争力核心因素的基础上,按照一定的设计原则,采用德尔菲法构建了地方医科大学生物医学科技竞争力评价指标体系并进行了实证研究。结果显示该评价指标体系具有科学性和可靠性。