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国考背景下多院区的手术指标管理探讨

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目的 探讨多院区发展过程中分院区国考手术统计指标有效提升途径。方法 选取 2023 年度上半年两院区同方向A1、A2 两个手术科室的病案首页数据,通过分析患者一般情况、四级手术术式、非四级手术术式、收治病种,找出差异原因并提供改进措施。结果 分院区A2 科室腹腔镜检查术式数量远高于主院区A1 科室(P<0。01),且分院区A2 科室收治以化学治疗、恶性黑色素瘤为主要诊断的患者比例高于主院区A1 科室(P<0。01),是影响分院区手术率指标的重要因素。结论 通过对病案首页数据系统分析,可有效发现院区之间同方向术科国考手术指标差异原因。落实门诊特定病种管理办法、鼓励收治疑难危重患者是提高科室手术率及四级手术率的有效途径。当分院区存在因为暂不可调节的影响因素导致手术率指标差异时,分院区与主院区应设置不同的管理目标值。
Surgical rate indicators management in multi-campus hospitals under the background of national as-sessment
Objective Toexplore a path to improving surgical operation statistical indexes during the expansion of multi-campus hospitals.Methods In this study we selected the data from the medical records of two surgical departments(A1 and A2)from two campuses of a hospital in the first half of 2023,following by analyzing patients'general information,fourth-level surgical procedures,non-fourth-level surgical procedures,and disease types to identify the reasons for the discrepancies in the in-dicators between the two departments and make suggestions for improvement.Results The A2 department in the branch hospital performed significantly more laparoscopic procedures than the A1 department in the home hospital(P<0.01).Moreover,the prevalence of the patients diagnosed with chemotherapy and malignant melanoma in the A2 department was significantly higher than in the A1 department(P<0.01),impacting the surgical rate indicator for the branch area.Conclusion A systematic anal-ysis of medical record data can effectively pinpoint the reasons for indicator discrepancies among different campuses within the same surgical departments of a hospital.Implementing outpatient-specific disease management and encouraging admission of com-plex and critically ill patients can effectively enhance the surgical rate as well as the fourth-level surgical rate in a department.It is suggested for the home hospital and its branches to set a respective indicator management target as long as the gap in the factors influencing the surgical rate indicators is unbridgeable between the campuses.

Multiplehospital campusesNational assessmentSurgical rateFourth-level Surgical rateSurgical proce-duresDisease type

宁华诚、黄丽华、陈举达

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华南恶性肿瘤防治全国重点实验室//广东省恶性肿瘤临床医学研究中心//中山大学肿瘤防治中心 广东广州 510060

多院区 国考 手术率 四级手术率 术式 病种

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(2)
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