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作 者:徐爱军[1] 刘阿秀[1] 袁淼[1] 熊季霞[1]
出 处:《中华医院管理杂志》2015年第4期283-288,共6页Chinese Journal of Hospital Administration
基 金:国家自然科学基金(71203101);教育部人文社会科学研究项目(10YJC630300);国家中医药管理局重点学科(中医药管理学)开放基金(ZYYGLX-12);江苏省高校优秀中青年教师和校长境外研修计划
摘 要:目的:探讨不同特征的医院在履行社会责任方面存在的差异及提升社会责任水平的建议。方法问卷调查江苏省79家中医院2011年和2012年社会责任的履行情况,采用独立样本 t 检验分析。结果从社会责任实际贡献看,不同等级医院在坏账、完成政府指令性任务、保护环境、教育科研、社会公益活动方面,不同地区医院在保护环境、低利润的医疗服务及廉价药品的提供,是否教学医院在完成政府指令性任务、保护环境、教育科研、社会公益活动方面差异有统计学意义(P〈0.05)。从社会责任实施意愿看,不同等级医院在完成政府指令性任务、价格优惠、教育科研方面,不同地区医院在外部正效应的医疗服务、教育科研、社会公益活动的某些方面,是否教学医院在教育科研方面差异有统计学意义(P〈0.05)。结论二级医院要在主动承担社会责任方面投入更多资源。经济不发达地区的医院要在保护环境和教育科研方面加以重视。未承担教学任务的医院需要在提供优质医疗服务、完成政府指令性任务、保护环境方面加强。Objective To study the relationship between hospital attributes and hospital social responsibility (HSR)behaviors,and measures to improve HSR performance.Methods 79 TCM hospitals in Jiangsu Province was surveyed with questionnaires for their HSR performance in 201 1 and 2012,with the data analyzed by independent two-sample t-test.Results In terms of HSR contribution,different levels of hospitals have statistical significance in bad debt,accomplishment of government mandatory missions,environmental protection,education and research,and social welfare activities.Hospitals in different regions have statistical significance in education and research,low-profit medical services and cheap drugs provision.Teaching hospitals make statistical significance in accomplishment of government mandatory missions,environmental protection,education and research,and social welfare activities.In terms of HSR willingness,different levels of hospitals have statistical significance in accomplishment of government mandatory missions,price discount,and education and research.Hospitals in different regions have statistical significance in health services with positive social effects,education and research,and social welfare activities.Teaching hospitals make statistical significance in education and research. Conclusions Secondary hospitals need to invest more resources on HSR.Hospitals in underdeveloped areas must pay more attention to environmental protection,education and research.Non-teaching hospitals need to strengthen quality of care,accomplishment of governmental mandatory missions and environmental protection.
分 类 号:R197.4[医药卫生—卫生事业管理]
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