首页|基于三级公立医院绩效考核的多院区同质化管理研究

基于三级公立医院绩效考核的多院区同质化管理研究

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目的 以多院区年度绩效考核数据为基础,剖析多院区同质化管理存在的问题,为推进公立医院分院区高质量发展提供借鉴思路.方法 以《国家三级公立医院绩效考核操作手册》(2022年版)为基础,筛选出院患者手术占比、四级手术占比等10个指标,对某一医疗机构4个院区2022-2023年功能定位、质量安全、收支结构、费用控制情况进行描述性分析.结果 主院区病例组合指数和出院手术占比等明显优于分院区,4个院区医疗质量指标无显著差异,专科特色突出的分院区运行效益优于综合性分院区.结论 公立医院在布局分院区时更加突出"大专科、小综合"模式,在医疗质量管理上更加侧重专科层面质控管理,在运营管理上加强同一专科不同院区效益分析.
Research on Multi-Hospital District Homogenization Management based on Three-Level Public Hospital Performance Appraisal System
Objective To analyze the problems existing in the homogenization management of multi-branch hospitals based on the annual performance assessment data,and provide reference for promoting the high-quality development of public hospital branch districts.Methods Based on the Performance Assessment Operation Manual of National Tertiary Public Hospitals(2022 edition),10 indicators including the proportion of discharged patients undergoing surgery and the proportion of fourth-level surgery were screened,and the functional positioning,quality and safety,revenue and expenditure structure,and cost control of 4 hospitals of a certain medical institution from 2022 to 2023 were descriptively analyzed.Results The CMI value and the proportion of discharged surgery in the main hospital were significantly better than those in the branch hospitals,and there was no significant difference in the medical quality indicators of the four hospitals,and the operation efficiency of the branch hospital with outstanding specialty characteristics was better than that of other hospitals.Conclusion Public hospitals pay more attention to the"big specialty,small comprehensive"mode in the layout of branch districts,pay more attention to the quality control management at the specialty level in medical quality management,and strengthen the benefit analysis of different hospitals in the same specialty in operation management.

public hospitalsmulti-hospital areaperformance appraisalhomogenization

丁宁、许栋、张明、曾绍颖、张义丹、危莉、陈稳、彭义香

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华中科技大学同济医学院附属协和医院 湖北 武汉 430022

公立医院 多院区 绩效考核 同质化

湖北省卫生健康委卫生健康科研立项项目湖北省卫生健康委卫生健康科研立项项目国家卫生健康委卫生健康统计工作高质量发展揭榜攻关项目(3)

WJ2023M038WJ2023M043

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(9)