[1]WANG Mishi,LIU Gongbao,WANG Yi.Research on the Improvement Pathways of Operational Resilience in Public Hospitals Based on Technology-Organization-Environment Theory and fuzzy-set Qualitative Comparative Analysis[J].Chinese Health Quality Management,2026,33(3):62-66.[doi:10.13912/j.cnki.chqm.2026.33.3.14]
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Research on the Improvement Pathways of Operational Resilience in Public Hospitals Based on Technology-Organization-Environment Theory and fuzzy-set Qualitative Comparative Analysis
Chinese Health Quality Management[ISSN 1006-7515/CN CN 61-1283/R] Volume:
33
Number of periods:
2026年3期
Page number:
62-66
Column:
绩效管理与医院高质量发展
Public date:
2026-03-15
- Title:
- Research on the Improvement Pathways of Operational Resilience in Public Hospitals Based on Technology-Organization-Environment Theory and fuzzy-set Qualitative Comparative Analysis
- Keywords:
- Public Hospitals; Operational Resilience; Technology-Organization-Environment Framework; fuzzy-set Qualitative Comparative Analysis (fsQCA)
- CLC:
- R197
- DOI:
- 10.13912/j.cnki.chqm.2026.33.3.14
- Abstract:
- ObjectiveTo explore the influencing factors and improvement pathways of operational resilience in public hospitals.MethodsBased on the technology-organization-environment(TOE) theoretical framework, a multidimensional collaborative analysis model was constructed. The fuzzy-set qualitative comparative analysis（fsQCA） method was employed to analyze the factor configurations and improvement pathways of operational resilience in typical cases of 32 municipal public hospitals in Shanghai.ResultsNo single factor constituted a necessary condition for high operational resilience. Three equivalent high-resilience configuration pathways were identified: technology-driven with scale support, organizational efficiency with policy alignment, and specialized services with quality enhancement. Among these, diagnostic and treatment complexity emerged as a common core driving condition, while digitalization level played a critical moderating role.Conclusion Public hospitals should dynamically optimize the combination of technological, organizational, and environmental factors based on their functional positioning and resource endowments. By constructing differentiated and systematic resilience enhancement strategies, they can promote high-quality development in public hospitals.
- References:
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Last Update:
2026-03-15