دانلود رایگان مقاله انگلیسی پیاده سازی مدیریت دانش در بیمارستان های چینی - اشپرینگر 2018

Summary:

The implementation of knowledge management (KM) in hospitals affects efficiency and outcomes of hospitals. However, few studies explored the implementation of KM in China. Twenty-two questions were designed concerning KM implementation status in over 50 hospitals. In order to understand the KM level and attitude to KM of the hospital’s managers, a random sampling survey was conducted among 138 managers from 50 different scales of hospitals in 15 provinces of China. The survey showed that overall level of KM implementation in Chinese hospitals was still low and differed among different scales of hospitals (P<0.05, or P<0.01). In all the hospitals investigated, 63.8% did not implement KM yet, among which 46% even had not planned for that. 49.8% of the hospitals investigated had no training program about KM ever and the main source of hospital staff to get knowledge was internet. It suggested that hospital managers should make much more efforts to get to know and understand theories on KM, so that hospital KM could be promoted more rapidly.

3 DISCUSSION

3.1 Estimation of the Status of HKM in China

According to the results, accounting for 36.2%, medical staff had admitted KM implementation, but most of them had not realized a meaningful KM. HKM was distributed in the process of hospital management. It is a state of no rules to constrain, no expert to manage, no plan to implement and no norm to follow. As shown in fig. 12, hospitals achieving institutionalization of HKM accounted only for 1.6%, those generalizing and supporting KM system accounted for 7.7%, those constructing the KM system accounted for 11.6%, those planning KM accounted for 18.6%, and those in the initiation stage accounted for 60.5%. Apart from some incorrect data, the hospitals conducting KM system are not many in the present, which means the KM in Chinese hospitals is in the primary stage.