Study On City Hospital Strategic Management

Objectives:Taking the enterprise strategic management theory and the enterprise strategic ecosystem theory as the main rationale, to analysis the concept and the layer of the hospital strategic management, establishes the city hospital strategic ecological model, consummates city hospital strategic management study system info of our country, according to the city hospital strategic management implementation model, describes the hospital mission, the idea as well as the city hospital strategy forms, implementation and appraisal, forms the hospital strategic management system and the implementation method that has the theory guiding sense, provides the policy-making basis for the hospital strategic management.Methods:1. Literature study: Through the widespread collection related the enterprise strategic management theory and the strategy ecosystem theory's material, analyzes the strategic management nature, the characteristic, the principle and the process of our country hospital strategy management.By studying the professional journals, policy papers, internet and publications, the newly situation and development of strategy and measures on hospital management were made clear.2. Expert consultation: This research by selecting twelve the leads of hospital management has many year administration experience of public health department, the health bureau administrative personnels and the Medical personnels as the meeting object, carries out the expert convention , though discussing making a choice on the index of hospital strategy management, afterwards according to every ascertained index to grade appraise object, the statistics being in progress here on the basis handles, to ascertain the weight of index respectively , making clear the entirety score of appraise objecte ultimately.3. Case study: This research chooses the Hubei Province Xinhua Hospital as the main investigation and study scene to conduct the deep research. At the same time, chooses the Wuhan Xiehe hospital and the Wuhan Asia heart disease hospital assumes collation analysis.4. Questionnaire method: In order to obtain the external environment, the internal environment and the patient information of the hospital strategic development,chooses the corresponding investigation object to carry on the payable to bearer questionnaire survey separately, and carries on the analysis according to the survey result, understood the appraisal of the resident to the medical profession, the Wuhan Area Related Hospital and the Hubei Province Xinhua Hospital's, the appraisal of the patient and the hospital staff to the hospital, to provide the reference to formulate the hospital strategy.5. Interview method: By half structural formula interviewing to the managers of medical administration , the managers and staff of hospitals, the key problems of the hospital strategic manegement were made clear, the solving methods and ideas were given forward, and the social effect and the existences problem of health institutions was made clear.Results and Conclusions:Along with our country socialist market economic system's establishment and the medicine health organizational reform's deepening, the inside and outside environment of hospital survival and development have had the deep transformation. If the hospital want survive and develop, must embarks from long-term and the interests of the whole, formulate and implementate hospital developmental strategy. The current Our country hospital strategy management theory and the methodology research also merely pause in"force-fit"enterprise's stage, lacks the systematic characteristic, is unable to guarantee the hospital strategy plan be scientific,feasibility and feasibility.This research through the fundamental research, has been clear about the hospital strategy management's meaning and essence.Because the hospital interior has often established certain management levels, thus the hospital strategy is also divided certain levels. We have divided the hospital strategy management into the total strategy, the business unit strategy and the function level strategy three levels. The strategic management is a quite complex process, must carry on the effective management, the superintendent must have the perfect political fiberre, the synthesis knowledge quality, comprehensive ability quality, hale and hearty psychological quality as well as advanced strategic idea.This topic according to the inside and outside environment analysis result of the City hospital, proposed the City hospital strategy ecosystem is composed by the macroscopic ecological environment, the profession ecological environment and the microscopic ecological environment, macroscopic ecological environment including ecological factors such as political law, economy, social culture and so on; Profession ecological environment including in ecological factors such as potential entrant, other hospitals, hospital customer, medical supplier, medical service replacer and so on; Microscopic environment including ecological factors such as hospital system flow, hospital superintendent, hospital staff, information technology, property condition, hospital culture and so on. The hospital ecological models' construction and operation mechanism research indicated that the various factors of the hospital inside and outside environment have composed set of complete systems, only then various factors move coordinated, the hospital survival condition can maintain good, the hospital possibly has the superiority competition status, instructs the hospital by the ecology thought the strategic competition behavior, is helpful to maintain inside environment stability and outside environment compatibility, is helpful to instructs the hospital to plan and arrangement strategy competition, promotes the ecology community of the hospital and the strategy ecosystem construction and coordination evolute, is helpful to the hospital to enhances own ecosystem long-term compatibility and system evolution ability, promotes the hospital and ecosystem sustainable development.Nowadays, the macroscopic ecological environment which our country City hospital located have the deep transformation. While insisted that the health profession public ia welfare, the government increased to the national basic medical service investment direction has aimed at the consumer, even more stressed that fair and the efficiency, the hospital also needed to face the changeable medical market; Health laws and regulations perfection, government supervision enhancement; Economical development, national medical service paying capacity enhancement as well as payment pattern change; Aging of populations, disease spectrum change, life style and healthy viewpoint change; Medical technology's changing with each new day as well as the globalized advancement speeds up and so on,The above factor causes the external environment which china city hospital faces or soon has the tremendous change, the opportunity and challenge coexisting. This requests the hospital to follow the time's step, pays attention to the external environment closely change, grasps the opportunity, meets the challenge. Must realize soberly, each hospital faces the environment is equates, the hospital is unable to change it, should positive adapt it on own initiative. Using the external factor appraisal matrix analysis obviously see that city hospital cannot use the exterior opportunity and avoid the exterior threat very well.The medical industry is a very unmature industry, simultaneously is also a sunrise industry, it's competition degree relative is not intense. In medical industry main competition strength from the competition between hospital, next is the pressure of the patient attention to the price which brings to the hospital, the influence of the potential entrant, the supplier, the medical service replacer are relatively weak to the hospital. Looking from the angle of competition vicissitude, following the economical and society development, in addition is the start of the new round medical service organizational reform, as well as the medical safeguard system's consummation, government's protective function will be been weaken, more hospitals and the capital will emerge the medical industry, the industrial order will also be disrupted, the medical industry will possibly occur the essential condition change will intensify the medical industry competition.This topic take the hospital competitive power strong or weak as an x-coordinate, take the development speed fast or slow aa a y-coordinate, divides the hospital into four different groups, the identical strategic essential factor group's hospital has the similar strategic characteristic and carries out the same or similar strategy. This requested the hospital to find the appropriate localization, chose the appropriate developmental strategy. The hospital want realize the developmental strategy must to cultivate the core competitiveness. The hospital core competitiveness is a series of supplementary of the skills and the knowledge combination in one or certain domains which can cause the hospital realizes continually competitive advantage, this is the unique ability which through fusion forms of the outstanding culture and the hospital practices. According to the value's height as well as operation difficult degree may divide the core competitiveness into the resources, the ability, the competitive power, the core competitiveness four strategy social strata, the core competitiveness strategic level and the hospital strategy level is corresponds. Using the internal factor appraisal matrix analysis,the core competitive ability of different hospital has very obviously difference, only the hospital have strong core competitiveness, the overall strategic level is higher than the profession average level the hospital and is possibly to make the good progress, but the hospital that the overall strategic level is lower than the profession average level muat to strengthen the superiority, overcomes the inferiority, otherwise will be in the passive position in the competition.This topic suggests strategic management implementation model of the city hospital of our country into practice subdivides the hospital strategy management process for the strategic formulation, the strategic implementation, the strategic appraisal, the strategic control and the strategic adjustment. The strategic management process is a dynamic development process, these five stages in fact are the dynamic processes which is circulation consummates and unceasingly repeatedly.