The Study On The Construction And Evaluation Of Learning Hospital

Learning organization theory is the most advanced management theory. Hospital is knowledge and technology—intensive unit, and it's very necessary to introduce this theory into hospital. Many U.S. hospitals apply this theory to innovate and get remarkable effects. After China's government asked Chinese people to establish the learning society, a few Chinese enterprises, hospitals and schools carry out the theory and get positive effects. This dissertation reviews the experience of Pingdingshan Coal Group' Genral Hospital from 2001 to 2005, and deeply systematicly study how to establish and review the learning hospital in China.Objective:This thesis uses comprehensively qualitative and quantitative methods, especially the tools from operational research and statistics to study learning hospital's construction modes and evaluation system.Source of materials:The source of materials: the data and other materials in this thesis come from the practice of Pingdingshan Coal Group's General Hospital from 2001 onwards. Research contentsThe interviewees include the following:Experts: the hospital's leadership and the directors of various departments, the investigation methods are interview and focus group discussion;Hospital staff: Based on the strata of various departments, we randomly investigate 225 employees in various medical and administrative departments.Household investigation: we sum up the materials of household investigaton from 2003, when we began the construction of learning hospital.The investigation uses the method of multi-stage investigation, first we classify the interviewees into various groups according to their residence, such as those in urban area or those in near suburbs, second we select randomly the residents in two blocks in urban area, and carry out household investigation in every households in the two blocks; and we select two village in the investigated township, and select one township in the investigated county, the number of investigated counties is 3, and the total number of investigated villages is 6; and we carry out household investigation in every family in the 6 villages.Finally,the total number of unban and country investigated households is 300,and the total number interviewees is 1000.The main operation indicators come from the charts and reports provided by the hospital's information department and medical administration department.The ecomonic data from 2001 to 2005 of Pingdingshan Coal Group's General Hospital come from the hospital's financial reports.Content and methods:Research contents:1. The thesis's contents include the framework and model of learning hospital with Chinese characteristics, the context and platform of such a hospital, its goal(the common ideal and vision), the constructive tools(the five exercises), the relationship between content and function modules, and the construction mode of learning hospital with Chinese characteristics, which includes organizational culture modules to set up harmonious hospital, group learning module with the characteristics of fingers' joints, etc.2. The thesis's contents include the review methods how to review the construction of learing hospital, learning hospital's environmental platform, targets, ways and tools to set up(five exercises), establishment contents(progress) and functional modules, and the establishment stepsResearch methods: This research synthesizes the application to settle the problems with the method that the fixed amount combine together, on the quantitative analysis, the large quantity adopted the strategy to learn, statistics to learn with the method that misty mathematics, such as the grey correlation grouping and data envelopment analysis( DEA).The most creative methods in the study are the following:1. grey correlation grouping, this method combine grey correlation analysis with grouping method, and work out the grey correlation grouping, which is more concise, effective, flexible and universal.2. Data Envelopment Analysis, DEA, this method is the hybrid of operational research, management science and quantitative economics, which can bring us management information with deeper economic meaning.Conclusions :The thesis advances learning hospital's framework and model of China's characteristics. The model is both static and dynamic, both systematic and partial, which both deals with the relations of hospital's present environmental platform, the common target, construction methods, contents and functional modules, and the progress of construction period; deals with three kinds of internal powers study, power, creation and value, continuously promote the interaction and increase, reflect the renew of common vision, promote the construction steps.In the five years' practices, the candidate sum up the theoretical and practical modes, especially some sub-modules conforming to China's characteristics, such as1. The organizational cultural modules, which emphasizes 9 fusions combine both the political and medical works, both the leadership and medical workers, both work and study, both strict management an cozy environment, both professional and humane management, both spiritual and material civilization, hospital learning and staff communication.2. The systematic evaluation modules based on fuzzy mathematics. Self-evaluation and peer review, provide feedback, modulate the work, verify better the construction modules.3. This research synthesizes the application to settle the problems with the method that the fixed amount combine together, on the quantitative analysis, the large quantity adopted the strategy to learn, statistics to learn with the method that misty mathematics, such as the grey correlation, data envelopment analysis(DEA).On the base of deep study of constructing learning hospital and evaluation' theory, and consulting the experts concerned, and hospital's organizational characteristics, and the practices of Pingdingshan Coal Group's General Hospital, we initially sum up the five characteristics, three key points and five fundaments.The five characteristics are changeable, creativity, progressive, conforming and simplicity. The three key points are the combination of theoretical creation and practical feasibility, the combination of organization's construction, staffs progress and values, and the combination of enforceability, systematic thinking, strategic decision. And the five fundaments are emergencies of business, leadership's continuity, cadres' following, the response and unity of medical workers.Creative conclusions:1. The thesis first sum up the experiences of the construction of learning hospital in China and advance the framework and model of China 's learning hospital;. The model is both static and dynamic, both systematic and periodic. And it show us the relations between learning hospital's environmental platform, targets, ways and tools to set up(five exercises), establishment contents(progress) and functional modules, and the establishment steps' progressiveness.2. the thesis advances some feasible indicators of evaluating the effectiveness and efficiency of construction, and first apply the fuzzy mathematic grey correlation and DEA to the evaluation of construction;3. the thesis advances some feasible and concrete measures to the construction of learning hospital, which can be helpful for the domestic hospital's construction of learning hospital.As learning organization is a brand new management theory, and the establishment of learning organization is a complicated systematic project, the study on learning hospital's setup and review has a long way to walk.