健康发展与政策研究2024，Vol.27Issue(5)：403-409,7.DOI:10.12458/HDPR.202404052
基层医疗卫生机构动态能力形成模型的质性研究:以乡镇卫生院为例
Formation model of dynamic capabilities in primary care facilities:a qualitative study of township health centers
摘要
Abstract
Objective This study aims to identify antecedents of dynamic capabilities in primary care facilities and their impacts on these capabilities,thereby constructing a model for their formation.This provides insights for cultivating and enhancing the dynamic capabilities of primary care facilities.Methods Using purpose-driven,theoretical,and snowball sampling methods combined with grounded theory,semi-structured interviews were conducted with 37 directors of township health centers.Through open,axial,and selective coding,a model for the formation of dynamic capabilities in these centers was constructed.Results The interviews lasted a total of 1991 minutes,and the textual data amounted to 428935 words.Open coding yielded 61 original interview statements and their corresponding initial concepts,which were integrated and refined into 26 concepts and 12 categories.Axial and selective coding identified the core category of this study as "antecedents of and impacts on dynamic capabilities in township health centers," from which five main categories emerged:environmental changes,organizational resources,organizational systems,management traits of directors,and policy support.Conclusions Environmental changes could trigger the formation of dynamic capabilities;organizational resources and systems are crucial organizational-level antecedents for this formation,while the management traits of directors are individual-level antecedents.Policy support plays an important role in influencing how organizational resources,organizational systems,director management traits affect dynamic capabilities.The government should ensure the autonomy of primary care facilities and promote the professional development of their leaders.Primary care facilities should enhance their sensitivity to environmental changes through improved organizational system.关键词
动态能力/基层医疗卫生机构/形成模型/扎根理论Key words
dynamic capabilities/primary care facilities/formation model/grounded theory分类
医药卫生引用本文复制引用
卢珊,张亮..基层医疗卫生机构动态能力形成模型的质性研究:以乡镇卫生院为例[J].健康发展与政策研究,2024,27(5):403-409,7.基金项目
国家自然科学基金青年项目(72104086) （72104086）
国家自然科学基金重点项目(71734003) （71734003）
