Research on organizational performance improvement path of primary healthcare institutions in Beijing based on system dynamics
CUI Chengsen1* ZHUANG Nan2* MENG Kai1▲#br#
1.School of Public Health, Capital Medical University, Beijing 100069, China;
2.Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China
Abstract：Objective To built primary healthcare institutions system dynamics model, in order to provide scientific basis for improving the organizational performance of primary healthcare institutions in China. Methods The Vensim software was used to build primary healthcare institutions system dynamics model, and the years from 2016 to 2019 were taken as the historical years, and the years from 2020 to 2030 were taken as the future years for simulation. Data were derived from institutional reports and health statistics yearbooks. Results When the ability of organization, government financial aid in primary healthcare institutions, and grassroots medical staff wage income increased, number of patients treated by primary healthcare institutions, first diagnosis rate at primary level, number of people hospital diagnosis and treatment, number of people hospital turn number, annual income of primary doctors, and per capital number of primary level doctors and other performance indicators were in different degrees of improvement. At the same time, when a variety of policies were adjusted together, the improvement of organizational performance was more obvious. Conclusion This study further verified the policy path of improving the organizational performance of primary healthcare institutions through the policy experiment of the model. Primary healthcare institutions should strengthen the organizational capability, and the government should give full play to the responsibility of running healthcare institutions, strengthen the financial input of primary healthcare institutions, guarantee the salary of their staff, and formulate a reasonable performance management distribution system, so as to further improve the performance of primary healthcare institutions.
崔成森1* 庄囡2* 孟开1▲. 基于系统动力学的北京市基层医疗卫生机构组织绩效提升路径研究[J]. 中国医药导报, 2022, 19(18): 173-179,189.
CUI Chengsen1* ZHUANG Nan2* MENG Kai1▲. Research on organizational performance improvement path of primary healthcare institutions in Beijing based on system dynamics. 中国医药导报, 2022, 19(18): 173-179,189.
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