基于Kano模型的公立医院职工组织气候需求研究-以河北省某三级公立医院为例  

Research on climate demand of staff organization in public hospital based on Kano model:Taking a tertiary public hospital in Hebei Province as an example

作　　者：李芯恺 张帅 王晓岗 Li Xinkai;Zhang Shuai;Wang Xiaogang(The First Affiliated Hospital of Hebei North University,Zhangjiakou 07500,Hebei Province,China)

机构地区：[1]河北北方学院附属第一医院,张家口075000

出　　处：《中华医学科研管理杂志》2022年第3期224-229,共6页Chinese Journal of Medical Science Research Management

基　　金：2021年度张家口市社会科学研究课题(2021034)。

摘　　要：目的以构建三级公立医院良性组织气候为出发点,试图了解医院职工对内部组织气候的切实诉求。方法利用文献分析法与德尔菲专家调查法设计公立医院七维度组织气候问卷,在满足信度效度检验的基础上,将Kano问卷分析与Better-Worse系数分析结合从而识别提升医院职工满意度的关键气候因素。结果28项气候指标分为:9项(32.1%)魅力需求、7项(25.0%)期望需求、4项(14.3%)混合需求、6项(21.4%)必备需求,2项(7.2%)无差异需求。结论根据Kano模型分类结果及满意度影响力矩阵分布结果,从建设公正制度、推广民主领导、重视培育科研、提高人文关怀等方面为医院构建良性组织气候提出优化建议。Objective Based on the construction of benign organizational climate of tertiary public hospitals,this paper tries to understand the practical demands of hospital staff for the internal organizational climate.Methods A seven-dimension organizational climate questionnaire for public hospitals was designed by literature review and Delphi expert survey method.On the basis of satisfying the reliability and validity test,Kano questionnaire analysis and Better-Worse coefficient analysis were combined to identify the key climate factors to improve the satisfaction of hospital staff.Results 28 climate indicators were divided into:9(32.1%)attractive requirements,7(25.0%)one-dimensional requirements,4(14.3%)hybrid requirements,6(21.4%)must-be requirements,and 2(7.2%)indifference requirements.Conclusions According to Kano model classification results and satisfaction influence matrix distribution results,Some suggestions are put forward for constructing benign organizational climate in hospitals from the aspects of constructing equitable system,popularizing democratic leadership,attaching importance to cultivating scientific research and improving humanistic care.

关 键 词：公立医院 组织气候 职工需求 KANO模型 

分 类 号：R197.32[医药卫生—卫生事业管理]