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基于循证决策的公立医院精益运营管理模式构建

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全面提升公立医院高质量发展新效能是"十四五"时期深化公立医院改革的关键顶层设计.针对近年来药品耗材加成取消、支付方式改革的深度推进等公立医院面临的宏观环境变化,公立医院运营微观层面存在的诊疗业务与经济运行活动相分离、决策方式粗放、资源配置不合理以及流程亟待优化等突出问题,借鉴价值管理、精益管理和循证决策等理论,探索构建基于"业财融合、精益运营、循证决策"的三位一体公立医院精益运营管理模式.旨在打破临床诊疗业务与经济运营管理"双线"相对平行运作壁垒,探索形成业财融合直线参谋型管理新架构,充分发挥专家治院作用,将"技术型+管理型"双轮驱动的专业委员会制度纳入医院决策体系,为医院领导层科学决策提供循证支持.
A Lean Operation Management Model for Public Hospital is Constructed Based on Evidence Based Deci-sion-Making
Comprehensively improving the new efficiency of high-quality development of public hospitals is the key top-level design for deepening the reform of public hospitals during the"14th Five-Year Plan"period.In view of the changes in the macro environment faced by public hospitals in recent years,such as the cancellation of the addi-tion of pharmaceutical consumables and the deep promotion of the reform of payment methods,as well as the out-standing problems existing at the micro level of public hospital operation,such as the separation of diagnosis and treatment business from economic operation activities,extensive decision-making methods,unreasonable alloca-tion of resources and urgent optimization of processes.By referring to relevant theories such as value management theory,a new"trinity"public hospital lean operation management model based on"integration of industry and fi-nance,lean operation and evidence-based decision-making"is explored and constructed.It breaks the relatively parallel operation barriers of clinical diagnosis and treatment business and economic operation management,innovates a new method of linear staff management with the integration of industry and finance,gives full play to the role of experts in governing hospitals,and integrates the professional committee system driven by"technology+manage-men"into the hospital decision-making staff system to provide data evidence-based basis for assisting the hospital leadership to make scientific decisions.

public hospitalevidence-based decision-makinglean managementoperation management

赵要军、王雷超、李建军、蒋帅、郑丽、刘雯雯、穆子涵、郭智萍

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华中阜外医院·郑州大学华中阜外医院 河南 郑州 451464

河南省人民医院 河南 郑州 450003

郑州大学第一附属医院 河南 郑州 450052

公立医院 循证决策 精益管理 运营管理

河南省医院管理创新研究课题河南省医院管理创新研究课题

HNYGCX-2023-04AHNYGCX-2023-01B

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(3)
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