低生育率背景下基层妇幼保健院发展战略研究——以海南省某区级妇幼保健院为例  

Development strategies for grassroots maternal and child health hospitals in the context of low birth rates:a case study of a district-level hospital in Hainan province

作　　者：蒋致远 张文龙 JIANG Zhiyuan;ZHANG Wenlong(School of Public Health(Shenzhen),Sun Yat-sun University,Shenzhen 518107,China;School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]中山大学公共卫生学院(深圳),广东深圳518107 [2]广州中医药大学公共卫生与管理学院,广东广州510006

出　　处：《现代医院》2024年第5期743-746,共4页Modern Hospitals

摘　　要：低生育率背景下,基层妇幼保健院面临业务量减少的威胁。本文以海南省某区级妇幼保健院为例,运用SWOT模型分析基层妇幼保健院的优势、劣势、机会和威胁,提出相应类型的发展战略。基层妇幼保健院具有贴近市场、服务较易改善的优势,存在人才缺乏、技术薄弱、社会信任度和管理水平较低的劣势;外部环境存在政府高度重视、医联体政策利好、群众注重身心健康和人文关怀的机会,面临生育率下降、高危孕产妇分级管理、医院间竞争加剧的威胁。基层妇幼保健院应根据内外环境实施增长型战略、扭转型战略、多元化战略和防御型战略,实现高质量发展。With low fertility rates,grassroots maternal and child health hospitals confront the challenge of diminishing business volume.Taking a district-level maternal and child health hospital in Hainan Province as an example,this study employed the SWOT model to dissect the strengths,weaknesses,opportunities,and threats facing such institutions,and subsequently proposed tailored development strategies.Grassroots maternal and child health hospitals possess advantages such as proximity to the market and the potential for services improvement,yet they contend with a shortage of professionals,weak technological capabilities,low social trust,and low management proficiency.However,external environment provides them with an access to a high degree of government prioritization,supportive medical alliance policies,and a public focus on holistic well-being and humanistic care,but meanwhile,they face the challenges such as declining birth rates,hierarchical management of high-risk pregnant women,and fierce competitions among hospitals.It is imperative for grassroots maternal and child health hospitals to implement growth,turnaround,diversification and defensive strategies in response to the changes in internal and external environments,thereby striving for high-quality development.

关 键 词：低生育率 基层妇幼保健院 SWOT分析 战略 

分 类 号：R197.32[医药卫生—卫生事业管理]