基于扎根理论的公立医院"一院多区”管理策略优化研究

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中图分类号：R197 文献标识码：A

Abstract Objective To summarize and organize the current issues in the management of "one hospital with multiplecampuses"in public hospitals，andto explore theoptimalpathways for management strategies in this context in China.MethodsData were collcted through literature review，policy analysis，stakeholder interviews，and focus group interviews.Interviewdata were analyzed based on grounded theory.ResultsThrough three levels of coding，21 initialcategories，14maincategories，and5corecategorieswereidentified.Thecorecategories includeintegrated management，homogeneous medical quality management，cost and financial management，hospitalculture management，and disciplinary layout management. Centered around thesefive corecategories，a model foroptimizing the management strategies of "one hospital with multiplecampuses" inpublic hospitalsin China was constructed.ConclusionItis recommended to strengthen integrated management acrossmultiple campuses to enhance the scientific management level of hospitals;unify medical quality management to promote homogeneous medical services across campuses; strengthen the standardization of cost acounting tocontinuously reduce operational costs across multiplecampuses;create aunified culturallandscapetofacilitateculturalintegrationacrossdiferenthospitalcampuses;andsientificallplandisciplinarylay outs to achieve differentiated competition among different hospital campuses.

Key words Public Hospitals;"One Hospital with Multiple Campuses";Management Strategies; Grounded Theory First-authors address Shanghai Health Development Research Center（Shanghai Medical Service and Technology Information Institute），Shanghai，20ll99，China

2021年6月，国务院办公厅发布《关于推动公立医院高质量发展的意见》（国办发〔2021]18号），明确表示支持部分实力强的公立医院在控制单体规模的基础上，适度建设发展多院区[1]。（剩余9141字）