| Recently, the revolution of great combined service in the whole military had been carried out broadly, and the military sanitarium which has remarkable change in manage mode, work strategy, develop space and range of service object began to run under the combined service system. New system injects vigor in the construction and development of the sanitarium, meanwhile bring valuably developed opportunity. With the development of the new system, however, some deep problem began to turn up, such as manage mode, mechanism, talent and the combination of therapy and cure that constrain the further development of sanitarium. In spite of some research on sanitarium, the evaluation of satisfaction of patient, training and requirement of training of workers and managers, worker's satisfaction, and the combination of therapy and cure and the provide of recuperate for the special worker is still a weak and blank field, the entirely, integrate and systemic research on the develop strategy of sanitarium was fewer. Hence, it is very important to discuss and solve these deep problems, in order to promote the sanitarium to develop healthy and continuance.This paper on the ground of other reviews, aimed at the difficulty, hot spot, weakness and blankness, exerts the approach combined quantifying and qualifying to collect relative information and to analyze the develop statue and relative factor of the sanitarium, which define the develop character of the sanitarium, and promote the strategy of further development of the sanitarium.Study purposes Analyze the operation statue of sanitarium now, and find the relative factors whichconstrain the development of sanitarium. Systemic study the strategy of the development of sanitarium, and promote thestrategy of sustainable development.Study contentsEvaluation of satisfaction and reactivity of sanitariumManpower resource statue of sanitariumThe evaluation of the statue of the operation in sanitarium.Related study on the special worker's requirement and offering. Study on the strategy of sustainable development of the sanitarium.Research objectPromote relative investigation to 16 military sanitariums.Research and analyze methodsBased on the collection of general register data, exert the approach combinedquantifying and qualifying to make complementary investigation, meanwhile takeuse of search tools to collect literature.Quantity investigation include: Satisfaction and reactivity of worker, workers'relative content of training, satisfaction for job, spot check on stability, evaluationinvestigation on the training requirement of manager and the statue of efficient andservice supply of the sanitariums.Quality investigation includes: talking with the leaders of the sanitarium individually,special group discuss of the worker of sanitarium and the relevant people etc.The analysis of information adopts the method which combined descriptive researchand analytic research. Main methods include descriptive analysis, multi-factoranalysis, TOPSIS, DEA analysis, SWOT analysis, scene analysis, quality analysis etc.The quality analysis adopts a series of special analysis steps to understand theinformation.Main result of researchThe five main parts result has been shown follow.1. The revolution of satisfaction and reactivity of sanitariumAbout 93.06% people is relatively satisfied or very satisfied with the sanitarium, according to the result of the evaluation on the satisfaction with the sanitarium, and the average score of general satisfaction is 4.40 which in the front of all the items, which indicates that the sanitarium having high satisfaction can be accepted by most workers. However, the subject scores of medical supplies and logistic support are under the average, and satisfaction scores are lower. Among the reactivity, the evaluation of dignity is well, 92.59% people thinks that well or very well; secrecy of the sanitarium has receive highly evaluation, and 85.19% people consider it well or very well; 87.04% people think communication is well or very well; 51.39% people think in time attention is well or very well; 65.86% people think the living condition is well or very well; 74.60% people think the condition of check room is well or very well; 51.22% people think the cleanness is well or very well; than the evaluation on facilities and living condition is not very well. Being influenced by the feature of the mission of recuperation, the item that whether the worker can choose sanitarium is compare low, and there are 26.86% people can choose sanitarium; on the general evaluation of choice, there are 49.07% people consider it well or very well; on the general evaluation of social support, there are 51.03% people consider it well or very well. According with the evaluation score of the 8 factors, we can conclude that indignity, independence, secrecy, communication, in time attention and facilities are evaluated highly, and the choice and social support are low.Based on the investigation of reactivity and general satisfaction respectively, we use statistic method to do further research on the relationship between general satisfaction and each item. Then through the regression analysis, we conclude that facility, indignity, independence, choice, in time attention, secrecy and communication have some influence on workers' satisfaction, and the partial regression coefficient is positive, so the higher these items scored, the more satisfied these worker are; in term of standard partial regression coefficient, facility and indignity have the most influence on satisfaction, followed by the indignity, independence, choice, in time attention, secrecy and communication.2. Evaluation of the manpower statue of the sanitariumThe sanitarium is lack of elite, and most worker on the sanitarium have low study and post.In general, the training of the sanitarium is not enough, different kinds of worker receive different degree training. Doctor receive high degree training, the nurses are eager to be trained, and the age, whether have been trained and the kind of worker are the important factors that influence the requirement of the nurse.Requirement evaluation of the manager observe that 36.73% people has been trained in resent 2 year, which is not half of the total, however, the eager of management to be trained is higher than 97.56%, even the number of management who most please to be trained is up to 70.73%. They have highly eager to receive the training of lead method, art of leadership, quality management of the sanitarium, technique management of operation, application of psychology in the management and manpower management.There are some problem in the training of manager and nurse. The evaluation of nurse to the training effect is not very well, the main problems are lack of practice, low accuracy, training period comparative short, what has been learnt could not be used, emphasis not clearly, training content old, as well as other aspect. The training problems of manger are lack of chance to be trained, training period comparative short, lack of practice, the attention paid by supervise not enough and the emphasis not clear. And in the view of manager the key factors in the training are the degree of the combination of the theory and practice, the level of the teacher, training content, the will of trainer, training form, the time and the frequency.Now the most unsatisfaction aspect of the worker is mainly concentrated on the reward, bonus, work condition, social statue, job risk and pressure, exertion of power and the feeling of accomplishment. The purpose of the development of team, work condition, individual development, training, service object, and direct management, purpose of quality, communication, evaluation and reward are important factors that affect the satisfaction of the workers.The stability of the workers in the sanitarium is lower, 45.53% workers had the thought to leave the sanitarium. Multi-factor analysis obtained that age, post, evaluation and reward of the job, worker condition, individual development and communication are the important factors that influence the job stability, and increasing with the age, workers' the attitude to the work became more stable. The younger workers' attitude is not stable, and high-post workers' attitude is more stable. According to the standard partial regression coefficient, among these factors, the work condition and individual development have influence on the stability of the workers.3. Evaluation on the operation of the sanitariumAnalyze to the efficiency of the military sanitarium by the method of DEA generally, among the 16 sanitariums, and31.25% sanitarium reach the generally effect, while most could not reach the target, which indicate that there are excessive and shortage situation in the aspect of input and output. In the general evaluation, the lowest score is 0.2, which lower than the target of general effect by 0.8, which indicate the low generally effect of sanitarium, in addition, the diversification of the efficient of the sanitariums is distinctly.The analysis of some case indicate: on the base of effective analysis, Hang Zhou sanitariums of Nan Jin military area is a unit of sanitarium-hospital, hospital-hospital was selected, taking use of TOPSIS to evaluate the Hang Zhou sanitarium generally, and the result indicate that the general benefit of hospital and sanitarium is increasing year by year in recent 3 year. And the building of combination of hospital and sanitarium and the practice of the mode of act mutually can improve the combined unit effectively. Analysis of the reasons can find that positively constructed new technology build mode of interactive between convalescing and treatment, convalescing and convalescing, resource and resource, and tried a useful attempt in technology build of combination of services and arms, convalescing and medical treatment under the study of joint logistics system, and progress the development of sanitarium combination units.4. The related study of special convalescingThe most satisfactory project of resting therapy is landscape resting therapy, 80.62 percent of nurses are satisfacted or extremely satisfacted; Then, medical examination and health appraisal, the percent of satisfaction is 75.84 and 73.03 respectively; Half of the nurses are satisfied with disease therapy, health education and recreational activities; The satisfactory rate of physical ability training and physiologic training are low, 32.02% and 32.5% respectively.Nurses in resting therapy want to solve many problems: first, is resting and relax themselves; then, visit natural and human landscape, improve the adaptability of work environment, have fine mood to raise mental health level, learn new conservancy knowledge and methods, medical examination and health appraisal ect. The last one is reasonable food and drink, correcting unhealthy eating habit.Nurses consider that in order to improve quality of resting therapy, many aspects need to be pay close attention: first one, improving housing condition, then, colorful landscape tourist, improve the level of health examination and disease therapy, amendment routine medical treatment facility, increase nourishment, amendment facility and conditions of physical ability and physiologic training, upgrade the service flow sheet, improve staffs attitude, enhance communication with the armed forces, emphasis administrative security and improve the condition of entertainment facilities. The main problem of convalescent home is lack of professional foundations, can't achieve the requirement of physiological, psychological, physical ability and nourishment of nurses; then, backward of expertise: most therapy is just according to the experience or common therapy technological specification. Another one, extensive administration system: operating mechanisms are not smooth enough; regulations are not well established; management instruments are less advanced. Lagging facilities. Now, therapy housing can't reach the files requestment of areas per person, the lowest is just more than 10 m~2 ;the house of living, training and activity isn't consummate, there's miscampus that considering the therapy house equate to the normal guesthouse, and there's phenomenon that special convalescing agents and local people Lodge ,health examination repast and training together. Simple servise concept. There's not enough study of rules and feature about special convalescing talent, and lack of special convalescing talent is normal, some therapy house has none master directly dealing with therapy works. The percent of therapy system of armed forces which reach the requirement about staff's educational background training and working experience is no more than30%.5. Research on the sustainable development of the sanitariumAccording to the result and relative information, 5 phases of the development of the sanitarium have been advanced, beginning phase, stasis phase, development phase, adaptation phase and set up the feature of our military sanitarium phase. It can be think that military sanitarium is in the double phases of adaptation phase and set up the feature of our military sanitarium phase now.Take use of the method of SWOT and analysis the situation, and analysis the own advantage and shortage of the sanitarium, and the opportunity and menace ,the seven key incidents that influence the development of the sanitarium are the change of management and use modes, organization structure, manage mode and resource composition,the universal phenomenon of complications in resting therapy object and order of common cadres, construction and perfect of the training mechanism of the workers, the combination of therapy and cure is the necessity trend and opposition of our army, the biggest characteristic is the combination of the two technique resources, and the most difficulty is the tolerance of the theory and means; rational evaluation system to the achievement and effect; special recuperation is not only the outstanding mission but also one task of the guarantee of medical; improve the stability of the workers to reduce the flow-out of elites. And construct 3 situations: situation of optimism, non-mutation situation and pessimism situation.Advance the sustainable development strategy of the sanitarium from the aspect of macroscopic and microcosmic:Strategy 1: regularizing the system of issuing of convalescing cortication, effective control of convalescing objective and order.;Strategy 2: strengthening the function consciousness, entirely fulfill each measure; increase the ability of hygienic guarantee;Strategy 3: realizing the increasing of the workers of the sanitarium, including the training of different staff;Strategy 4: extruding the subject construction, persist in connotation development, form the characteristics of convalescing and healing technologyStrategy 5: perfecting the function of sanitarium of prevention, health care, treatment and healing, realizing the new breaking of the combination of the cure and therapy and whole concept of medical and nurse;Strategy 6: establishing the inner effective mechanism of the sanitarium, adopting all effect measure, exerting the advantage, taking use of outer opportunity, advance the ability of complete.
|
PDF Full Text Request