Key factors influencing the effectiveness of hospital quality management tools: using the quality control circle as an example-a cross-sectional study.
Key factors influencing the effectiveness of hospital quality management tools: using the quality control circle as an example-a cross-sectional study.
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DOI：
10.1136/bmjopen-2021-049577
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发表时间：
2022-02-22
期刊：
影响因子：
2.9
通讯作者：
Liu TF
中科院分区：
文献类型：
--
作者：
Zhang D;Yan Y;Liu TF
找出影响医院质量管理工具有效性的关键因素，分析医院长期科学管理所需的机制。本研究采用横断面研究方法，对大量品管圈活动参与者进行现场调查。数据收集于2018年10月在中国山东举行的第六届全国医院质控圈竞赛期间的问卷调查。共随机抽取1500名参与者，完成问卷1316份，总体回复率为87.73%，有效问卷1181份。我们进行了逐步回归分析，以确定具有解释能力的自变量。然后逐层引入组织、群体和个人因素的总平均分，建立四水平回归模型。QCC活动的实施效果可以分为三个维度：个体因素、群体因素和组织因素。效用知觉是最重要的个体因素。不适当的激励和奖励对组织效能和个人效能都有负面影响。小组成员的态度、能力、目标的特异性是影响社区卫生服务质量的主要群体因素。在组织因素中，活动导向的影响最大。在三个维度中，个人因素对质量控制中心有效性的影响最大，其次是群体因素，然后是组织因素。这些结果表明，重视领导的关注，建立QC小组的保障体系，防止QC小组的疏忽和失效;加强团队建设，利用团队奖励或非物质激励来提高积极性;调动小组成员乃至全院使用质量管理工具的积极性。
To identify the key factors influencing the effectiveness of hospital quality management tools and analyse the mechanisms needed for long-term scientific hospital management. In this cross-sectional study, a large number of participants in quality control circle (QCC) activities were investigated on site. Data were collected by the questionnaire during the sixth National Hospital Quality Control Circle Competition in Shandong, China, in October 2018. A total of 1500 participants were randomly selected, in which 1316 questionnaires were completed, yielding an overall response rate of 87.73%, and 1181 questionnaires were valid. We performed a stepwise regression analysis to identify the independent variables with explanatory ability. Then the total mean score of the organisational, group, and individual factors were introduced layer by layer, and a regression model with four levels was established. The application effectiveness of QCC activities can be divided into three dimensions: individual factors, group factors and organisational factors. Utility perception was the most important individual factor. Inappropriate incentives and rewards had a negative effect on both organisational effectiveness and individual effectiveness. The attitude and ability of the circle monitor and counsellors, the specificity of the goals were the key group factors. Of the organisational factors, activity orientation had the greatest impact. Among the three dimensions, individual factors had the most significant influence on the effectiveness of QCCs, followed by group factors, then by organisational factors. These results suggest that addressing the concerns of the leaders and implementing a safeguard system that protects the QCC tool from neglect or failure, that strengthening team building and using team rewards or non-material incentives to enhance enthusiasm, and that mobilising the enthusiasm of the circle members and even the whole hospital for using quality management tools are essential.
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影响因子：
8.4
作者：
Akerlof, GA;Kranton, RE
通讯作者：
Kranton, RE
DOI：
10.22239/2317-269x.01101
发表时间：
2018-08-01
影响因子：
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影响因子：
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作者：
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通讯作者：
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