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[1]兰茜魏佳特叶蔚怡张佳妮.公立医院党委议事及决策机制质量与效率提升研究[J].中国卫生质量管理,2026,33(5):116-121.[doi:10.13912/j.cnki.chqm.2026.33.5.22]
　LAN Xi,WEI Jiate,YE Weiyi.Research on Enhancing the Quality and Efficiency of the Deliberation and Decision-Making Mechanisms of Party Committees in Public Hospitals[J].Chinese Health Quality Management,2026,33(5):116-121.[doi:10.13912/j.cnki.chqm.2026.33.5.22]

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公立医院党委议事及决策机制质量与效率提升研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年5期页码: 116-121 栏目: 党建与医院高质量发展出版日期: 2026-05-15

Title:: Research on Enhancing the Quality and Efficiency of the Deliberation and Decision-Making Mechanisms of Party Committees in Public Hospitals

作者:: 兰茜魏佳特叶蔚怡张佳妮; 首都医科大学附属北京友谊医院

Author(s):: LAN Xi; WEI Jiate; YE Weiyi; Beijing Friendship Hospital，Capital Medical University

关键词:: 公立医院; 议事决策; 党委领导

Keywords:: Public Hospitals; Deliberative Decision-Making; Party Committee Leaders

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2026.33.5.22

文献标志码:: A

摘要:: 目的在公立医院高质量发展战略向纵深推进的背景下，探索提升公立医院党委议事及决策机制的质量与效率。方法以北京市属公立医院为研究对象，结合卫生决策生态系统组成要素，形成公立医院党委议事及决策机制的科学范式框架；使用扎根理论分析方法，结合多标准决策分析和证据质量分级与推荐强度系统等形成党委议事及决策机制的质控因素体系。结果公立医院党委议事及决策机制科学范式框架包括确立党委具体决策事项、主责部门内部研究、多部门系统研究、院党委决策、督办落实决策事项等5部分；党委议事及决策机制的质控因素体系包括项目总体背景、项目实施效果、项目经济影响、项目证据质量、项目实施复杂性、项目风险与应对等6部分。结论公立医院党委议事及决策机制科学范式框架和质控因素体系由经验机制上升到理论框架，可为提升公立医院党委决策质量提供理论支撑和操作指南。

Abstract:: ObjectiveTo explore how to enhance the quality and efficiency of the deliberative and decision-making mechanisms of the Party committees in public hospitals,against the backdrop of the in-depth advancement of the high-quality development strategy for public hospitals.MethodsTaking Beijing municipal public hospitals as the research subjects and integrating the constituent elements of the healthcare decision-making ecosystem, a scientific paradigm framework for the deliberative and decision-making mechanisms of Party committees in public hospitals was established. Utilizing grounded theory analysis, along with multi-criteria decision analysis and grading of recommendations assessment, development and evaluation system, a quality control factor system for the deliberative and decision-making mechanisms of Party committees was developed.ResultsThe scientific paradigm framework for the deliberative and decision-making mechanisms of Party committees in public hospitals comprises five parts: defining specific decision-making matters of the Party committee, internal research by the primary responsible department, systematic multi-departmental research, decision-making by the hospital Party committee, and supervising the implementation of decision-making matters. The quality control factor system for the deliberative and decision-making mechanisms of Party committees includes six components: the overall project background, the project’s implementation effects, the project’s economic impact, the project’s evidence quality, the project’s implementation complexity, and project risks and mitigation strategies.Conclusion The elevation of the scientific paradigm framework and quality control factor system for the deliberative and decision-making mechanisms of Party committees in public hospitals from empirical mechanisms to theoretical frameworks provides theoretical support and operational guidelines for improving the decision-making quality of Party committees in public hospitals.

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更新日期/Last Update: 2026-05-15