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基于熵权TOPSIS法的高校附属医院文化建设评价

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目的 构建高校附属医院文化建设评价指标体系,结合上海市10家高校附属医院文化建设现状,探讨附属医院文化建设中的问题及其对策。方法 应用两轮德尔菲法构建高校附属医院文化建设评价指标体系,使用熵权确定指标的权重,采用TOPSIS法评价上海市10家高校附属医院文化建设成效。结果 构建了涵盖5个一级指标、17个二级指标的指标体系。5个一级指标权重由高至低依次为:行为文化(0。285 4)、制度文化(0。213 9)、物质文化(0。189 0)、精神文化(0。171 2)和党建引领(0。140 5)。二级指标中权重最高的前4位依次为:医院党建引领医院文化(0。071 2)、高校党建引领医院文化(0。069 3)、宣传载体(0。066 8)、标识系统(0。066 4)。整体指标和5个一级指标的Cronbach's α系数为0。86~0。90(P<0。01),说明该指标体系信度较好。采用探索性因子分析,正交旋转后产生的因子特征根均>1,且对其总方差解释贡献率为56。80%,说明该指标体系具有较好的指标效度。经方差分析,多院区的医院文化综合评分显著低于单个院区的评分(F=10。48,P<0。05);专科医院的医院文化综合评分显著高于综合医院的评分(F=12。59,P<0。05)。结论 高校附属医院文化建设成效指标体系的构建和基于熵权TOPSIS法的评价科学有效。在附属医院文化建设中,高校党建引领将成为附属医院文化提升的核心,宣传载体和标识系统等患者可直接体验的物质文化愈加受到重视,但多院区的医院文化传承和融合还需要一个较长的过渡时期。
Cultural Construction Evaluation of Affiliated Hospitals of Universities based on Entropy Weight TOPSIS Methods
Objective To construct an evaluation index system of cultural construction of affiliated hospitals of universities,and discuss the existing problems and their corresponding countermeasures based on the performance of cultural construction of 10 affiliated hospitals of colleges and universities in Shanghai.Methods Two-rounds of Del-phi method were used to construct the evaluation index system of cultural construction of university affiliated hospi-tals,the entropy weight was used to determine the weight of the index,and the TOPSIS method was used to evaluate the effectiveness of cultural construction of 10 university affiliated hospitals in Shanghai.Results An index system containing 5 primary indicators and 17 secondary indicators had been developed.The weights of the five primary indi-cators from high to low were behavioral culture(0.285 4),institutional culture(0.213 9),material culture(0.189 0),spiritual culture(0.171 2)and leading of Party building(0.140 5).Among the secondary indicators,the top four with the highest weight were leading of hospital Party building(0.071 2),leading of university Party building(0.069 3),publicity carrier(0.066 8)and identification system(0.066 4).The Cronbach's α coefficients of overall indexes and 5 level-1 indexes fell in the range of 0.86-0.90(P<0.01).Based on the exploratory factor analysis,all of the charac-teristic roots of the factors generated by orthogonal rotation were>1,and the total variance explained contribution rate was 56.80%,proving the good validity of the indexes.Through the analysis of variance,the comprehensive score of hospital culture in multiple hospital areas was significantly lower than that in single hospital area(F=10.48,P<0.05).The comprehensive score of hospital culture in specialized hospitals was significantly higher than that in(F=12.59,P<0.05).Conclusion An index system of cultural construction of affiliated hospitals of universities has been successfully constructed and the evaluation based on entropy weight TOPSIS method shows scientific and effec-tive results.During the cultural construction of affiliated hospitals,the leading of Party building of universities will become the core of the cultural promotion of affiliated hospitals.More attention should be paid to the material culture that patients can directly experience,such as publicity carriers and identification systems.The inheritance and inte-gration of hospital culture in multiple hospital areas still requires a long transition period.

Hospital cultureAffiliated hospitals of universitiesParty building leadingEntropy weight TOPSIS method

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上海交通大学医学院附属第六人民医院宣传文明处,上海,200233

医院文化 高校附属医院 党建引领 熵权TOPSIS法

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(6)