| Research BackgroundWith the advancement of urbanization,the continuous development of new urban areas,regional changes in medical health needs.In order to improve the efficiency of high-quality medical resources and speed up the resolution of imbalances in the allocation of medical and health resources,the development and construction of hospitals in multi-institutions has become an effective measure.As the core of the development and construction of multi-hospital hospitals,it is also the central goal of medical and health care-the guarantee of medical quality has become the top priority.How to ensure the medical quality of the branch area is the same as that of the main hospital area,so that patients who are in different areas,but can enjoy the same high quality medical services and medical quality is the focus of the construction of multi-hospital hospitals is also difficult.Therefore,it is necessary to scientifically identify the influencing factors of medical quality homogeneity in multiple hospitals,and quantitatively study the relationship and influence degree of each factor to find out the key factors,so as to homogenize the medical quality of hospitals in multiple hospitals.Efficient construction provides a theoretical basis.Research PurposesBased on the related theories of system science theory and medical quality"structure-process-result" three-dimensional theory,this study is based on the connotation,characteristics and current situation of multi-institutional medical quality homogenization construction.Factors influencing the construction.The aim is to better explore the quality of medical quality construction in multi-soccer areas in China and identify the key factors affecting the homogenization of medical quality.Subsequently,this study is based on the DEMATEL method and further quantitative analysis of the interrelationship and importance of various factors,in order to provide a targeted decision basis for the subsequent management strategy research of medical quality homogenization construction in multi-disciplinary areas.Research Content1.Through literature research to summarize the connotation and characteristics of medical quality homogenization,and systematically analyses the current situation of medical quality homogenization construction in multi-hospital areas based on case studies.2.According to Donabedian medical quality "structure-process-result"three-dimensional theory and system science theory and other related theories,from the qualitative point of view,the factors affecting the homogenization of medical quality in multi-disciplinary areas are analyzed,and the hierarchical structure table of influencing factors is constructed.3.According to the hierarchical structure table of influencing factors,the questionnaire was designed,and the research case was taken as the object of investigation,and the results of the questionnaire were analyzed by DEMATEL method.4.Based on the analysis results,clarify the interaction between the factors affecting the quality of medical quality in multi-sectoral districts,and identify the key factors affecting the quality of medical care in multi-disciplinary areas.And put forward countermeasures and suggestions to promote the homogenization of medical quality in multiple hospitals.Research Method1.Literature analysis method.This study mainly searches and reads the literature related to medical quality management in multi-disciplinary areas at home and abroad by reading through books,consulting professional journals,collections and online search of CNKI database,Wanfang database,PubMed and other electronic resources.Focusing on the connotation,characteristics,status quo and problems of medical quality homogenization construction in existing multi-hospital areas,systematically summarizing and summarizing them,and extracting the main factors affecting the quality homogenization of multi-hospital medical care.The construction of the influencing factor analysis framework lays the theoretical foundation.2.Questionnaire survey method.Based on the theoretical research and literature research on multi-hospital hospital construction practice and medical quality homogenization,the questionnaire of this paper is designed by considering practical problems.The questionnaire is divided into a series of processes such as scale design,expert assessment,pre-study and modification to ensure the reliability and validity of the questionnaire.3.DEMATEL method.With the help of SPSS24.0 and MATLAB data analysis software,the relationship between the factors affecting the homogenization of medical quality in multiple hospitals was analyzed.Research Results and Conclusions1.According to the size of the centrality,the degree of cooperation in the hospital interval from the large dimension is the key factor for the homogenization of medical quality;from the specific indicators,the capacity and willingness of the district construction and the quality of medical care in the district are more The quality of medical quality in the hospital has an important role2.From the perspective of reasons,the relevant policy support and input of multi-institutional construction is the driving force for achieving homogenization of medical quality;in addition,the willingness and ability of medical output in the main hospital area is an important support for achieving medical quality homogenization.Conditions;the degree of communication between the hospital interval information system and the degree of uniformity of the hospital interval system will have a direct impact on the quality of medical quality.3.Taking the centrality of factors as the main factor and taking the cause degree as the supplement to comprehensive analysis,the key factors affecting the quality of medical care in multi-sector areas are:the willingness and ability of medical input in the district,and the medical quality level in the district.The degree of clinical sharing in the hospital area.4.Based on the above research conclusions,this study proposes corresponding countermeasures and suggestions from three aspects:incentive construction main body,establishment of multi-hospital medical quality management team,and innovation construction cooperation mode. |