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紧密型医联体联合矩阵式医政管理模式对医院质量安全的影响

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目的 探讨紧密型医联体联合矩阵式医政管理模式在提高医院诊疗质量及医疗安全方面中的作用和效果.方法 采用文献综述、案例分析和对比研究的方法,选取 10 家实施紧密型医联体联合矩阵式医政管理模式的医院(试验组)和 10 家未实施该模式的医院(对照组)共 8 000 例患者作为研究对象,对其在 2019-2020 年的医院诊疗质量的指标进行统计,并且分析紧密型医联体联合矩阵式医政管理模式的内涵、特点和优势,以及在国内外的应用情况和实践经验,比较其与传统的医政管理模式在医院诊疗质量及医疗安全方面中的差异和优劣.结果 试验组的治愈率、死亡率、复发率、并发症率、满意度、等待时间、就诊次数、转诊率、出院后随访率等指标均显著优于对照组,差异有统计学意义(P<0.001);试验组的医疗差错发生率为 0.8%、医疗纠纷发生率为 0.3%、医疗事故发生率为 0.1%,均优于对照组(2.1%、1.2%、0.5%),差异有统计学意义(P<0.05).结论 紧密型医联体联合矩阵式医政管理模式是一种符合我国医疗卫生事业发展趋势和需求的医政管理模式,它能够有效地提高医院诊疗质量及医疗安全,为构建和谐医患关系、促进人民健康提供有力的保障.
The Influence of Tight Medical Union and Matrix Medical Administration on the Quality of Hospital Diagnosis and Treatment and Medical Safety
Objective To explore the effect of tight medical union and matrix medical management mode in improving the quality of hospital diagnosis and treatment and medical safety.Methods By using the methods of literature review,case analysis and comparative study,a total of 8 000 patients from 10 hospitals that implemented the tight medical union and matrix medical management model(experimental group)and 10 hospitals that did not implement this model(control group)were selected as the study objects,make statistics on the indicators of hospital diagnosis and treatment quality from 2019 to 2020,and characteristics and advantages of the compact medical union and matrix medical management mode,as well as its application and practical experience at home and abroad,and to compare the differences and advantages and disadvantages between it and the traditional medical management mode in hospital diagnosis and treatment quality and medical safety.Results The cure rate,mortality rate,recurrence rate,complication rate,satisfaction,waiting time,number of visits,referral rate and follow-up rate after discharge of the experimental group were significantly better than those of the control group,the differences were statistically significant(P<0.001).The incidence of medical error of 0.8%,incidence of medical dispute of 0.3%,incidence of medical malpractice of 0.1%in the experimental group was significantly higher than that of the control group(2.1%,1.2%,0.5),the differences were statistically significant(P<0.05).Conclusion The compact medical commonwealth and matrix medical management mode is a kind of medical management mode which conforms to the development trend and demand of China's medical and health undertakings.It can effectively improve the quality of diagnosis and treatment and medical safety in hospital,and provide strong guarantee for constructing harmonious doctor-patient relationship and promoting people's health.

tight typematrixmedical conjunctivitismedical administrationhospital diagnosis and treatment qualitymedical safety

董春丽、王军华

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青岛大学附属威海市中心医院医患关系行风办公室,山东 威海 264400

青岛大学附属威海市中心医院急诊科,山东 威海 264400

紧密型 矩阵式 医联体 医政管理 医院诊疗质量 医疗安全

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(17)