[1]马丽平李娜熊康吴奇飞杨威孙晓宇刘倩楠.14家医院细菌真菌感染诊治能力建设的定性比较[J].中国卫生质量管理,2022,29(11):30-33.[doi:10.13912/j.cnki.chqm.2022.29.11.08 ]
　MA Liping,LI Na,XIONG Kang.Qualitative Comparison of Capacity Construction for Diagnosis and Treatment of Bacteria and Fungi Infections in 14 Hospitals[J].Chinese Health Quality Management,2022,29(11):30-33.[doi:10.13912/j.cnki.chqm.2022.29.11.08 ]

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14家医院细菌真菌感染诊治能力建设的定性比较

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年11期页码: 30-33 栏目: 医疗质量出版日期: 2022-11-28

Title:: Qualitative Comparison of Capacity Construction for Diagnosis and Treatment of Bacteria and Fungi Infections in 14 Hospitals

作者:: 马丽平李娜熊康吴奇飞杨威孙晓宇刘倩楠; 国家卫生健康委医院管理研究所

Author(s):: MA Liping; LI Na; XIONG Kang; National Institute of Hospital Administration, National Health Commission

关键词:: 二级以上医院; 细菌真菌感染; 诊治能力; 清晰集定性比较分析; 三力模型

Keywords:: Secondary and above Hospitals; Bacteria and Fungi Infection; Diagnosis and Treatment Capacity; the Crisp-sets Qualitative Comparative Analysis; Model of "Ability; Power and Pressure"

分类号:: R197.323；R37

DOI:: 10.13912/j.cnki.chqm.2022.29.11.08

文献标志码:: A

摘要:: 目的探究我国二级以上医院细菌真菌感染诊治能力建设的影响因素及路径，为医院感染科建设提供依据。方法基于三力模型，运用清晰集定性比较分析法，分析5省14家二级以上医院细菌真菌感染诊治能力建设的因素组态及作用机制。结果形成3条影响医院细菌真菌感染诊治能力建设的路径。路径1：领导支持+配套政策+政策重视程度+会诊价值感受；路径2：领导支持+政策重视程度+培训和学习机制；路径3：领导支持+培训和学习机制+会诊价值感受。路径1属于政策驱动机制，路径2和路径3属于自主提升机制。结论领导支持是二级以上医院细菌真菌感染诊治能力建设的关键。政策驱动机制和自主提升机制分别从外部和内部影响二级以上医院细菌真菌感染诊治能力建设。

Abstract:: ObjectiveTo explore the influencing factors and path affecting the diagnosis and treatment ability of bacteria and fungi infections in secondary and above hospitals, so as to provide evidence for the construction of infectious diseases department in hospital.MethodsBased on the model of "Ability, Power and Pressure", the crisp-sets Qualitative Comparative Analysis was used to analyze the factor configuration and mechanism of bacteria and fungi infection diagnosis and treatment capacity construction in 14 secondary and above hospitals in 5 provinces.ResultsThree pathways affecting the capacity construction of diagnosis and treatment of bacteria and fungi infections were formed. Path 1: leadership support + supporting policies + policy emphasis + consultation value perception; Path 2: leadership support + policy emphasis + training and learning mechanism; Path 3: Leadership support + training and learning mechanism + consultation value perception. Path 1 belong to policy-driven mechanism,path 2 and path 3 belong to autonomous promotion mechanism.Conclusion Leadership support is the key factor affecting the diagnosis and treatment of bacteria and fungi infection in secondary and above hospitals. The policy-driven mechanism and autonomous promotion mechanism affect the capacity construction of diagnosis and treatment of bacteria and fungi infections in secondary and above hospitals externally and internally, respectively.

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更新日期/Last Update: 2022-11-28