职业与健康 ›› 2025, Vol. 41 ›› Issue (9): 1270-1274.

• 卫生管理与研究 • 上一篇    下一篇

天津市某三级公立医院行政管理人员职业化现状与能力提升策略

安国亮, 王西墨   

  1. 天津市第三中心医院院长办公室,天津 300170
  • 收稿日期:2025-02-24 修回日期:2025-03-17 出版日期:2025-05-01 发布日期:2025-12-12
  • 通信作者: 王西墨,主任医师,E-mail:wangximo@126.com
  • 作者简介:安国亮,男,研究实习员,主要从事卫生事业管理工作。

Current situation and ability improvement strategy of professionalization among administrative personnel in a tertiary public hospital in Tianjin

AN Guoliang, WANG Ximo   

  1. Dean's office,Tianjin Third Central Hospital,Tianjin 300170,China
  • Received:2025-02-24 Revised:2025-03-17 Online:2025-05-01 Published:2025-12-12
  • Contact: WANG Ximo,Chief physician,E-mail:wangximo@126.com

摘要: 目的 分析天津市某三级公立医院行政管理人员职业化现状,探索实施科学有效的职业能力提升策略,推动医院高质量发展。方法 2022—2023年多维度收集天津市某三级公立医院165名行政管理人员分布数据,采用描述分析方法对数据进行分析。通过查阅文献,编制职业能力指标咨询表,并向20位专家进行咨询,对12项职业化能力指标按分值排序,培训后调查129名参训人员对培训内容在实际工作中的采纳情况,分析比较该院2022与2023年运行情况,并对数据进行统计分析。结果 该院165名行政管理人员中,管理类专业高等院校毕业生有54人,占32.7%;硕士及以上教育程度的有32人,占19.4%;副高及以上职称的有43人,占26.1%。根据专家咨询结果,确定发现问题能力、调查研究能力、人际沟通能力、优化流程能力、建章立制能力和应急处突能力6项职业化能力作为教育培训重点内容。通过问卷调查,培训对72.87%的参训人员具体行政管理行为产生了实质性影响。2023年该院运行指标门急诊人次数、出院患者人次数、四级手术台次数、平均住院天数、医疗服务收入指标占比均优于2022年,差异均有统计学意义(均P<0.05)。结论 行政管理人员职业化水平有待提升,针对6项职业化能力的教育培训和实际运用,是在现有条件下实现行政管理人员职业化水平提升的有效方法。

关键词: 公立医院, 行政管理人员, 职业化能力, 教育培训, 运行指标

Abstract: Objective To analyze the professionalization status of administrative management personnel in a tertiary public hospital in Tianjin,explore the implementation of scientific and effective strategies for improving professional abilities,and promote the high-quality development of the hospital. Methods From 2022 to 2023,multi-dimensional data collection was conducted on the distribution of 165 administrative staff members at a certain tertiary public hospital in Tianjin,and descriptive analysis methods were used to analyze the data. By reviewing literature,a professional competence index consultation form was compiled,and 20 experts were consulted to rank the 12 professional competence indicators according to their scores. After the training,a survey was conducted among 129 trained personnel to assess their adoption of training content in actual work. The operational status of the hospital in 2022 and 2023 was analyzed and compared,and statistical analysis was performed on the collected data. Results Of the 165 administrative staff at the hospital,54 graduated from management-related higher education institutions,accounting for 32.7%,and 32 had a master's degree or higher,accounting for 19.4%. Additionally,43 had associate senior or higher professional titles,accounting for 26.1%. Based on the results of expert consultation,six professional competencies had been identified as key content for education and training,including the ability to identify problems,the ability to conduct research and investigation,interpersonal communication skills,the ability to optimize processes,the ability to establish rules and systems,and the ability to handle emergencies and crises. A questionnaire survey revealed that training had a substantial impact on the specific administrative management behaviors of 72.87% of the participants. In 2023,the operational indicators of the hospital,including the number of outpatient and emergency visits,the number of discharged patients,the volume of fourth level surgeries,the average length of hospital stay,and the proportion of medical service income indicators,were all better than those in 2022,with statistically significant differences(all P<0.05). Conclusion The professionalization level of administrative personnel needs to be improved. Educational training and practical application in six professional abilities are effective methods to enhance the professionalization level of administrative personnel under current conditions.

Key words: Public hospital, Administrative management personnel, Professional competence, Educational Training, Operational indicators

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