国家区域医疗中心建设关键问题清单研究
Research on Checklist of Key Issues for the National Regional Medical Centers
王旭阳 1韩奕 1赵静雪 1薛志文 2李杰1
作者信息
- 1. 中国中医科学院广安门医院 北京 100053
- 2. 黑龙江省中医药科学院 黑龙江哈尔滨 150000
- 折叠
摘要
目的 总结当前国家区域医疗中心建设重点、难点问题,形成国家区域医疗中心建设关键问题清单,并提出相关策略建议.方法 通过文献回顾、实地调研、深度访谈,形成国家区域医疗中心建设关键问题清单初稿;通过两轮德尔菲法咨询当地政府、输出医院、依托医院的专家,分析两轮问卷收集到的信息,筛选出重点问题.结果 两轮问卷的有效回收率分别为99%、100%,专家权威系数分别为0.83、0.90,最终形成的国家区域医疗中心建设关键问题清单共有6条问题,其中管理体制机制健全的建设难点3条、人力资源管理完善的建设难点1 条、医疗服务水平提升的建设难点1 条、其他方面进展的建设难点1 条.结论 国家区域医疗中心建设面临管理机制完善、人力资源统筹管理、医疗能力提升等关键问题,政府部门应强化领导保障与协调监督责任,输出医院应完善管理体制与运营机制,依托医院应做好党建引领与配合协作,不断推进国家区域医疗中心同质化发展.
Abstract
Objective Summarize the key difficult problems faced by national regional medical centers,create a checklist of crucial issues,and propose strategic recommendations to support future development.Methods It employed a combination of literature review,field research,and in-depth interviews to develop an initial draft of the checklist for key issues in national regional medical centers.Additionally,two rounds of Delphi method consultation were conducted with experts from local government,exporting and supporting hospitals.The data gathered from the questionnaires in both rounds were analyzed,and essential questions were identified.Results The questionnaires achieved response rates of 99%and 100%in the two rounds,and the expert authority coefficients were 0.83 and 0.90.The final checklist for key issues in national regional medical centers encompassed a total of 6 problems.These included 3 challenges related to establishing sound management systems and mechanisms,1 challenge concerning human resource management improvement,1 challenge focusing on elevating medical service levels,and 1 challenge pertaining to other aspects of progress.Conclusion Currently,the development of national regional medical centers encounters crucial challenges,including the enhancement of management mechanisms,overall human resource management,and medical capabilities.The government should reinforce leadership assurance,coordination,and supervisory responsibilities.Exporting hospitals should enhance management systems and operational mechanisms.Supporting hospitals should focus on effective party building guidance and cooperation while consistently promoting the uniform development of national regional medical centers.
关键词
国家区域医疗中心/关键问题清单/德尔菲法Key words
national regional medical centers/checklist of key issues/Delphi method引用本文复制引用
基金项目
中国中医科学院广安门医院护航工程骨干人才培育项目(9323016)
出版年
2024
NETL
NSTL
万方数据