背景:大量证据表明,领导力在组织的成功中起着至关重要的作用。我们的研究旨在对中国五家表现最好的医院的领导力属性进行案例研究,检查他们的共同做法。
方法:对8位领导进行了半结构化访谈,39名经理,19位医生,和来自中国五家样本医院的16名护士。我们从这些医院收集了有关高级领导角色的信息,组织治理,社会责任,与Baldrige卓越框架中的领导力评估准则保持一致。定性数据通过内容分析进行解释,专题分析,和比较分析。本研究遵循COREQ报告定性研究的指南。
结果:我们的研究表明,中国五家表现最好的医院的领导者始终将“患者需求第一”确立为医院文化的核心要素。努力建设具有中国特色的世界知名医院,受访者都坚信科学活力,敬业精神,合作文化。领导坚持以员工为中心,特别强调人才招聘和发展;建立薪酬制度;营造有利于提高医学知识的支持性环境,技能,和职业道德。在组织治理方面,他们不断加强各部门和各级员工之间的沟通,提高了医疗质量和安全,专注于创新医学和科学研究,从而建立基于证据的,具有反馈循环的标准化医院管理。同时,关于社会责任,他们通过提供国际和国内医疗援助,优先提高医疗保健质量,社区外展,和其他方案。
结论:在很大程度上,中国顶尖医院的卓越领导力可以归功于他们对“两柱式医院文化”的承诺,优先考虑将患者需求放在首位,并采用以员工为中心的方法。此外,这些医院的领导人强调医院的表现,运营管理,和社会责任。
Substantial evidence indicates that leadership plays a critical role in an organization\'s success. Our study aims to conduct case studies on leadership attributes among
China\'s five top-performing hospitals, examining their common practices. A semi-structured interview was conducted with 8 leaders, 39 managers, 19 doctors, and 16 nurses from the five sample hospitals in
China. We collected information from these hospitals on the role of senior leadership, organizational governance, and social responsibility, aligning with the leadership assessment guidelines in the Baldrige Excellence Framework. Qualitative data underwent interpretation through content analysis, thematic analysis, and comparative analysis. This study adhered to the consolidated criteria for reporting qualitative research guidelines for reporting qualitative research. Our study revealed that the leaders of the five top-performing hospitals in
China consistently established \"Patient Needs First\" as the core element of the hospital culture. Striving to build world-renowned hospitals with Chinese characteristics, the interviewees all believed strongly in scientific vigor, professionalism, and cooperative culture. The leaders adhered to a staff-centered approach, placing special emphasis on talent recruitment and development, creating a compensation system, and fostering a supportive environment conducive to enhancing medical knowledge, skills, and professional ethics. In terms of organizational governance, they continuously enhanced the communication between various departments and levels of staff, improved the quality and safety of medical care, and focused on innovative medical and scientific research, thereby establishing evidence-based, standardized hospital management with a feedback loop. Meanwhile, regarding social responsibility, they prioritized improvements in the quality of healthcare by providing international and domestic medical assistance, community outreach, and other programs. To a large extent, the excellent leadership of
China\'s top-performing hospitals can be attributed to their commitment to a \"Two-Pillared Hospital Culture,\" which prioritizes putting patient needs first and adopting a staff-centered approach. Furthermore, the leaders of these hospitals emphasize hospital performance, operations management, and social responsibility.