试论医院核心竞争力研究框架

通过对医院核心竞争力基本要素和影响因素的分析,认为医院质量和效率、医院经营状况、创新和学习能力、院内职工满意度和病人满意度共同构成医院核心竞争力的研究框架,并认为通过医院绩效管理可提高医院的核心竞争力.     

军队A医院员工满意度调查与分析

目的通过员工满意度调查分析,促进医院人事管理制度完善,从而提升医院核心竞争力。方法设计员工满意度问卷调查表,采用"李克特量表"5点测量法。所得数据利用EXCEL录入,并通过SPSS 20.0软件进行数据分析及处理。结果军队A医院员工满意度水平为一般满意程度,员工总满意度均值为(3.15±1.02),医院制度管理满意度、工作回报满意度较低。结论医院应该定期地做员工满意度调查,了解影响员工满意度的因素,通过改善影响因素来提高员工满意度水平。     

实施患者关系管理培育医院核心竞争力

文章分析了医院在培育核心竞争力中面临的挑战和患者资产在帮助医院获取竞争优势方面的特性,指出医院核心竞争力是医院发现患者、获得患者、保留患者、经营患者的能力.最后从提高患者满意度、忠诚度,改善医患关系,挖掘患者终身价值等方面,阐明了医院实施患者关系管理(CRM)是培育核心竞争力的有效途径.     

如何构建医院部门的核心竞争力

未来医疗服务市场的竞争将是核心竞争力的竞争.笔者认为,当前,推动医院发展的医院文化建设的目的,就是要打造医院的核心竞争力.而医院的核心竞争力应是集中体现在医院的各个部门都有其自已的核心竞争力.笔者通过以江阴人民医院病员服务中心为例,提出医院内部的文化建设是部门核心竞争力的基础.并简单介绍了笔者在部门文化建设中,正在思考的五个问题.     

合理用药 KPI 考核在医院精细化管理中的应用

合理用药是建湖县人民医院 KPI 考核中的重要内容,通过完善考核体系、校正影响因素、改进考核机制,保障绩效考核工作平稳高效运行,不断提升医院核心竞争力,切实提高社会满意度,有力促进医院健康稳步发展。     

医院工会提升员工满意度的探索

在以知识、以人才为核心竞争力的时代,人力资源管理已成为医院管理者日益关注的重要课题,其在改善医院经营业绩、培养优秀员工队伍、塑造医院核心竞争优势等方面有着重要意义.医院管理者在关注患者满意度的同时,员工满意度也日渐成为被关注的重点之一.哈佛大学一项调查研究指出,员工满意度每提高3个百分点,顾客满意度会相应提高5个百分点[1].医院工会作为医院员工的群众组织,在参与医院管理中有其独特的优势和切入点,在提升医院员工满意度方面应有所作为.     

以技术创新提升医院核心竞争力实现医院跨越式发展

技术创新是形成医院核心竞争力的基础,是构建医院核心竞争力的重要环节.通过阐述技术创新与医院核心竞争力之间的关系和技术创新对提升医院核心竞争力的必要性,提出了以技术创新提升医院核心竞争力应实施的8条措施,并对医院进行技术创新提升医院核心竞争力的基础条件提出5点思考.     

以技术创新提升医院核心竞争力实现医院跨越式发展

技术创新是形成医院核心竞争力的基础,是构建医院核心竞争力的重要环节.通过阐述技术创新与医院核心竞争力之间的关系和技术创新对提升医院核心竞争力的必要性,提出了以技术创新提升医院核心竞争力应实施的8条措施,并对医院进行技术创新提升医院核心竞争力的基础条件提出5点思考.     

以技术创新提升医院核心竞争力实现医院跨越式发展

技术创新是形成医院核心竞争力的基础,是构建医院核心竞争力的重要环节。通过阐述技术创新与医院核心竞争力之间的关系和技术创新对提升医院核心竞争力的必要性,提出了以技术创新提升医院核心竞争力应实施的8条措施,并对医院进行技术创新提升医院核心竞争力的基础条件提出5点思考。     

某三甲医院内科住院患者满意度调查分析

目的通过对烟台市某三甲医院内科住院患者满意度地调查,了解患者在该科室就医时地感受,从医院和患者个人特征两方面分析影响患者满意度的因素,为完善管理制度、提升服务质量和提高医院竞争力提供科学的决策依据和建议。方法通过满意度问卷收集患者对各个指标满意度评分,评分方式采用李克特5级评分标准,通过序关系法确定各个指标的权重,并使用SPSS 25.0对满意度得分进行Mann-Whitney U检验、Kruskal-Wallis H检验和logistic回归分析。结果患者的总体满意度为3.994分;权重指数显示,内科患者最关心的是医疗技术和医疗效率;各指标满意度得分由高到低依次是医疗环境、医疗技术、服务态度、医疗效率、医疗费用;患者的居住地和性别也会影响就诊满意度。结论根据患者地满意度评价,认为该科室需要首先控制医疗费用,其次提高医疗效率和改善候诊秩序,并继续把医疗技术放在科室管理的核心位置,以及加强与低满意度患者群体地沟通。     

培育医院核心竞争力的误区

如何正确识别医院的核心竞争力,是医院能否成功培育核心竞争力的前提。文章通过分析当前对核心竞争力的不同理解,找出了医院核心竞争力在认识和培育中的误区,并针对这些误区提出了改进意见。     

某二级甲等综合医院护士核心能力现状调查

目的对二级甲等综合医院护士核心能力现状进行调查并分析影响因素,为相关部门制定有效措施提供科学依据。方法以青岛市某二甲综合医院350名临床护理人员为研究对象,采用中国注册护士核心能力量表(CIRN)进行问卷调查,应用SPSS 23.0软件对数据进行统计分析。结果护士核心能力总分(136.39±36.19),均值(2.48±0.66);各维度均分由高到低依次为:伦理与法律实践能力(2.57±0.72)、领导能力(2.57±0.69)、人际关系能力(2.54±0.68)、专业发展能力(2.50±0.70)、教育与咨询能力(2.42±0.73)、临床护理能力(2.42±0.69)、评判性思维与科研能力(2.32±0.72);多元线性回归分析结果显示工作年限、所在科室与护士核心能力有明显相关性(P<0.05)。结论青岛某二甲综合医院护士核心能力处于中等水平,工作年限、年龄、所在科室是影响护士核心能力的重要因素。医院管理者应有针对性制定措施,提升护士核心能力,从而提高护理服务质量。     

规范化培训护士核心能力与心理资本的关系研究

目的调查规范化培训护士核心能力与心理资本现状及二者间的关系。方法应用一般资料问卷、心理资本问卷中文修订版、中国注册护士核心能力量表调查医院230名规范化培训护士。采用SPSS 24.0软件进行统计分析。结果规范化培训护士核心能力得分为（120.94±34.68）分,心理资本得分为（83.66±14.87）分。规培年级、护理专业兴趣是影响护士核心能力的影响因素;心理资本总分及各维度均与核心能力呈显著正相关（P<0.01）。结论规范化培训护士核心能力处于中等水平,有较大提升空间,护理管理者和教育者可从护理专业兴趣、自我效能、韧性等方面入手,进一步提高护士核心能力     

Effects of recalled childhood gender nonconformity on adult genitoerotic role and AIDS exposure

The connections between childhood gender nonconformity (assessed by the Freund Feminine Gender Identity Scale, or FGI) and adult genitoerotic role (assessed by a sex history) were examined. The core sample was a group of 106 men who had sex with other men before 1980 and who are currently enrolled in two longitudinal studies of AIDS. Although other workers have cautioned against assuming a priori that childhood gender role is inherently related to adult preferences for particular sexual acts, our data suggest that there is at least a statistical association between these two concepts. In particular, the FGI (and many of its factors and items) are significantly associated with preferences for receptive anal intercourse and, less clearly, with oral-anal contact — but not with oral-genital intercourse or insertive anal intercourse. Suggestions for AIDS prevention and safe-sex awareness are made on the basis of these findings. The data also suggest that in sex research involving homosexual men, the correct genitoerotic role distinction is not insertive vs. receptive behaviors, or even insertive vs. receptive anal intercourse, but receptive anal intercourse vs. all other behaviors.The principal support for the HNRC is provided by NIMH Center grant 5 P50 MH45294 (HIV Neurobehavioral Research Center). Additional support is provided by 5 R01 MH 43298 (Neuropsychiatric Sequelae of HTLV-III Infections), 5 R29 MH45688 (Object-Oriented Simulation of HIV- and CNS/HIV Infection), R01 MH46255 (Psychosocial Moderators of Disease Progression in AIDS), 1 R01 NS27810 (Role of Immune Responsiveness in HIV Encephalopathy), and the Henry M. Jackson Foundation (Psychiatric Natural History Study: Factors Related to Human Immunodeficiency Virus Transmission and Morbidity).The San Diego HIV Neurobehavioral Research Center (HNRC) group is affiliated with the University of California, San Diego, the Naval Hospital, San Diego, and the San Diego Veterans Administration Medical Center, and includes Igor Grant, M.D., Director; J. Hampton Atkinson, M.D., Co-Director; James D. Weinrich, Ph.D., Center Manager; James L. Chandler, M.D., Joseph L. Malone, M.D., and Charles A. Kennedy, M.D., Co-Investigators Naval Hospital San Diego; J. Allen McCutchan, M.D., P.I. Medical Core; Stephen A. Spector, M.D., P.I. Virology Core; Leon Thal, M.D., P.I. Neurology Core; Robert K. Heaton, Ph.D., P.I. Neuropsychology Core; John Hesselink, M.D. and Terry Jernigan, Ph.D., Co-P.I.s Imaging Core; J. Hampton Atkinson, M.D., P.I. Psychiatry Core; Clayton A. Wiley, M.D., Ph.D., P.I. Neuropathology Core; Richard Olshen, Ph.D. and Ian Abramson, Ph.D., Co-P.I.s Biostatistics Core; Nelson Butters, Ph.D., P.I. Memory Project; Renée Dupont, M.D., P.I. SPECT Project; Thomas Patterson, Ph.D., P.I. Life Events Project; Sidney Zisook, M.D., P.I. Mood Project; Dilip Jeste, M.D., P.I. Psychosis Project; and Hans Sieburg, Ph.D., P.I. Dynamical Systems Project.     

The effect of the Montessori education method on pre-school children’s social competence – behaviour and emotion regulation skills

ABSTRACT

This research aims to investigate the effect of Montessori method on social competence and behaviors of 3.5–5 years-old-children on their emotion regulation skills. Sequential Explanatory Design, one of the mixed method designs, was used in the study. The study group of the research consisted of 55 children attending two independent preschools in Eski?ehir. Personal Information Form, Social Competence and Behavior Evaluation Inventory-Teacher and Parent Forms, Emotion Regulation Checklist and Parent Interview Forms for the Evaluation of Montessori Method have been used to collect the data. Friedman test used for data analysis. Post-hoc analysis with Wilcoxon signed-rank test and Mann-Whitney U were conducted to reveal the source of differentiation between the scores. It was determined that significant differences between Social Competence – Behavior and Emotion Regulation Skills sub-scale pretest and posttest mean scores of children in the study group. There are significant differences between the posttest scores of study and control groups.     

Validation of the Comprehensive ICF Core Set for Multiple Sclerosis from the perspective of occupational therapists

Abstract

Objective: The Comprehensive ICF Core Set for Multiple Sclerosis (MS) is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of People with MS (PwMS). The objective of this study was to validate this ICF Core Set from the perspective of occupational therapists (OTs). Method: In a three-round Delphi study, OTs were asked about problems and resources of PwMS, as well as environmental aspects treated by OTs. Statements were linked to the ICF and compared with the categories included in the Comprehensive ICF Core Set for MS. Results: Sixty-one OTs from 21 countries agreed on 71 categories that are included in the Comprehensive ICF Core Set for MS (19 Body Functions, 40 categories of Activities and Participation, 12 Environmental Factors). Eleven ICF categories were identified as not-yet-included ICF categories in the Comprehensive ICF Core Set for MS (6 Body Functions, 2 categories of Activities and Participation, 3 Environmental Factors). Conclusion: This study contributes to the validity of the ICF categories included in the Comprehensive ICF Core Set. It outlines which areas of functioning and health are relevant for PwMS from the perspective of OTs and consequently should be assessed.     

Quality Evaluation and Quality Enhancement in Preschool: A Model of Competence Development

Can quality in preschool be enhanced through competence development simultaneously to organisational changes and financial cutbacks? The aim of this study is to develop a "Model of Competence Development” to enhance quality in preschool. The Model of Competence Development takes it's point of departure in evaluations of quality, as evaluated by the Early Childhood Environment Rating Scale¹ (ECERS), and evolved in interaction with the pedagogues throughout development work. The study is divided into three parts. 1. An external evaluation of quality of 20 preschool units using the ECERS. 2. A selection of an intervention group and a control group. The intervention group takes part in a competence development work, which starts and ends with self-evaluations of quality as evaluated by the ECERS. 3. An external evaluation of quality using the ECERS on the same preschool units.     

卫生机构管理者胜任力研究及发展

管理者胜任力研究是近年来管理学、人力资源管理、教育学等学科领域研究的热点问题之一。但目前对于卫生机构管理者岗位胜任力的研究很少。该文对国内外管理者胜任力现状进行了系统的概述,提出了卫生机构管理者胜任力的研究目标及今后研究所应关注的焦点问题。     

The Relationship of Paralinguistic Cues to Impression Formation and the recall of Medical Messages

This study investigated the relationship of paralinguistic cues to impression formation and the recall of medical messages. Specifically, we examined listeners' impressions of speakers and their ability to recall an audiotaped medical message presented by a hypothetical physician. The message presented information about diagnosis, symptoms, treatment, and prognosis for either a low-serious (strep throat) or high-serious (diabetes) illness, with rate of speech and pitch variation altered by the speaker. The results indicated the presence of three impression factors: Personal Competence, Social Attractiveness, and Professional Competence. Variations in paralinguistic cues and seriousness of illness significantly influenced impressions of the speaker. However, there were few significant relationships between variations in paralanguage and recall. Implications of these findings for future research in health communication are discussed.     

Longitudinal factorial invariance of the PedsQL™ 4.0 Generic Core Scales Child Self-Report Version: One year prospective evidence from the California State Children’s Health Insurance Program (SCHIP)

Background  The measurement of health-related quality of life (HRQOL) in pediatric medicine and health services research has grown significantly over the past decade. The paradigm shift toward patient-reported outcomes (PROs) has provided the opportunity to emphasize the value and critical need for pediatric patient self-report. In order for changes in HRQOL/PRO outcomes to be meaningful over time, it is essential to demonstrate longitudinal factorial invariance. This study examined the longitudinal factor structure of the PedsQL™ 4.0 Generic Core Scales over a one-year period for child self-report ages 5–17 in 2,887 children from a statewide evaluation of the California State Children’s Health Insurance Program (SCHIP) utilizing a structural equation modeling framework. Methods  Specifying four- and five-factor measurement models, longitudinal structural equation modeling was used to compare factor structures over a one-year interval on the PedsQL™ 4.0 Generic Core Scales. Results  While the four-factor conceptually-derived measurement model for the PedsQL™ 4.0 Generic Core Scales produced an acceptable fit, the five-factor empirically-derived measurement model from the initial field test of the PedsQL™ 4.0 Generic Core Scales produced a marginally superior fit in comparison to the four-factor model. For the five-factor measurement model, the best fitting model, strict factorial invariance of the PedsQL™ 4.0 Generic Core Scales across the two measurement occasions was supported by the stability of the comparative fit index between the unconstrained and constrained models, and several additional indices of practical fit including the root mean squared error of approximation, the non-normed fit index, and the parsimony normed fit index. Conclusion  The findings support an equivalent factor structure on the PedsQL™ 4.0 Generic Core Scales over time. Based on these data, it can be concluded that over a one-year period children in our study interpreted items on the PedsQL™ 4.0 Generic Core Scales in a similar manner. The PedsQL™ is available at .