摘要
主诊医师负责制下的医疗组考核有助于推进公立医院高质量发展和精细化管理。2022年10月,华中科技大学同济医学院附属协和医院开展了医疗组考核实践,将服务能力、服务效率、技术能力、费用控制和质量安全5个维度的17个指标纳入医疗组考核,并通过分类设置各医疗组的考核指标及其权重,明确考核实施办法,以及合理运用考核结果,取得了初步成效。2022年,医院医疗组数量、病例组合指数、医疗服务有效收入占比、出院患者手术占比分别为395个、1.63、28.93%、31.60%,2023年升至447个、1.92、30.74%和32.47%;平均住院日和抗菌药物使用强度从7.3 d和46.37降至6.4 d和35.15。该医疗组考核有助于提升医院医疗服务能力、改善医疗收入结构和提高医疗质量,可为其他公立医院开展医疗组考核提供借鉴。
The medical teams assessment under the chief physician responsibility system is conducive to promoting the high-quality development and refined management of public hospitals.In October 2022,Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology carried out the practice of medical team assessment,including five dimensions of service ability,service efficiency,technical ability,cost control and quality and safety.By setting the assessment indicators and their weights for each medical team in a classified manner,clarifying the implementation methods of the assessment,and rationally applying the assessment results,initial achievements had been made.In 2022,the number of medical teams,case mix index,proportion of effective medical service income,and proportion of discharged patients undergoing surgery in the hospital were 395,1.63,28.93%,and 31.60%,respectively.By 2023,these data increased to 447,1.92,30.74%,and 32.47%.The average length of stay and the intensity of antibiotic use decreased from 7.3 days and 35.15 to 6.4 days and 35.15.This medical team assessment helped enhance the hospital′s medical service capacity,improved the structure of medical income,and improved medical quality,providing references for other public hospitals to carry out medical team assessment.
作者
贺哲
翁雨雄
夏家红
杨超
王莉霞
胡赛
危莉
吴少玮
He Zhe;Weng Yuxiong;Xia Jiahong;Yang Chao;Wang Lixia;Hu Sai;Wei Li;Wu Shaowei(Medical Office,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Dean′s Office,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Medical Record Statistics Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2024年第12期943-947,共5页
Chinese Journal of Hospital Administration
基金
中原医创基金会医院管理研究项目(24YCG1003)
国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(YLZLXZ24G067)。
关键词
高质量发展
大型公立医院
主诊医师负责制
医疗组考核
精细化管理
High-quality development
Large public hospital
Chief physician responsibility system
Medical team assessment
Fine management
