[1]江蒙喜.深化医改背景下医院组织变革的敏捷机制与路径策略[J].卫生经济研究,2026,43(03):11-14.
　JIANG Mengxi.Mechanisms and Pathways for Hospital Organizational Change in the Context of Deepening Healthcare Reform[J].Journal Press of Health Economics Research,2026,43(03):11-14.
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深化医改背景下医院组织变革的敏捷机制与路径策略

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年03期
页码:
11-14
栏目:
理论研究
出版日期:
2026-03-03

文章信息/Info

Title:
Mechanisms and Pathways for Hospital Organizational Change in the Context of Deepening Healthcare Reform
作者:
江蒙喜1
1.国家卫生健康委卫生发展研究中心，北京 100191
Author(s):
JIANG Mengxi
China National Health Development Research Center, Beijing 100191, China
关键词:
组织敏捷理念; 公立医院; 组织变革
Keywords:
organizational agility;  public hospitals;  organizational change
分类号:
R19
文献标志码:
A
摘要:
当前，医疗行业格局已被打破，并从稳态向动态均衡过渡。公立医院必须主动转变发展模式、精准定位专科方向并变革组织管理方式，以应对动态环境的多重挑战。对此，医院需要运用组织敏捷理念，构建感知响应、目标自主、协同机动、资源支撑四大敏捷机制，实现医院组织变革；具体路径包括：目标管理从指标管控向价值导向转变，生态运营从固化科室向业务单元转变，赋能管理由指令管控向疏通优化转变，数字底座由条块碎片分割向整合敏捷系统转变。同时，医院组织变革面临结构性、流程性、文化价值及政策性挑战，需要通过专家和业务主导、模块化流程设计、渐进式文化重塑和政策适应性策略加以应对。
Abstract:
In the current context, the landscape of the healthcare industry has been reshaped, transitioning from a steady state to a dynamic equilibrium. Public hospitals must proactively transform their development models, precisely position their specialized disciplines, and reform their organizational management methods to address the multiple challenges posed by this dynamic environment. In response, hospitals need to apply the concept of organizational agility and construct four agility mechanisms-sensing and response, goal autonomy, coordinated flexibility, and resource support-to achieve organizational transformation. Specific pathways include shifting from indicator control to value orientation in goal management, evolving from rigid departmental structures to flexible business units in ecological operations, transitioning from directive control to facilitation and optimization in enabling management, and transforming fragmented digital infrastructure into integrated, agile systems. Meanwhile, hospital organizational change faces structural, procedural, cultural/value-related, and policy challenges, which need to be addressed through strategies such as expert- and business-led governance, modular process design, gradual cultural reshaping, and policy adaptation.

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更新日期/Last Update: 2026-03-03