Research on the pathways of social responsibility of public hospitals based on qualitative comparative analysis
10.3760/cma.j.cn111325-20220811-00703
- VernacularTitle:基于定性比较分析的公立医院公益性作用路径研究
- Author:
Qingwen DENG
1
;
Yan WEI
;
Shimeng LIU
;
Yingyao CHEN
Author Information
1. 复旦大学公共卫生学院 国家卫生健康委员会卫生技术评估重点实验室（复旦大学）, 上海 200032
- Keywords:
Hospitals, public;
Social responsibility;
Qualitative comparative analysis;
Influencing factors;
Pathway
- From:
Chinese Journal of Hospital Administration
2023;39(4):288-292
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors and pathways of social responsibility of public hospitals, and to provide a reference for public hospitals in China to further improve the social responsibility level.Methods:From 2019 to 2020, 22 tertiary public hospitals in a region were selected as study cases. The social responsibility score was used as the outcome variable, social benefit, appropriateness, quality, and efficiency were used as the conditional variables, and the qualitative comparative analysis was applied to investigate the combination of conditions affecting social responsibility evaluation of public hospitals.Results:The consistency of the social benefit, appropriateness, and quality was less than 0.9 and greater than 0.8, indicating that they were sufficient and non-necessary conditions for high social responsibility of public hospitals. The consistency of efficiency was 0.747, indicating that it was neither sufficient nor necessary condition. The configuration analysis showed that there were three paths for public hospitals to achieve high social responsibility: co-driven social benefit and appropriateness with high quality assistance, co-driven social benefit and efficiency with high quality assistance, and co-driven appropriateness and efficiency, with a coverage rate of 92.6%.Conclusions:Social benefit, appropriateness, quality, and efficiency can be combined in different ways to achieve high social responsibility in public hospitals. Public hospitals could develop targeted social responsibility improvement strategies according to the actual situation, and strengthen the synergy between the elements to improve the level of social responsibility in hospitals.
