首页|江苏省三级医院内部质量评价现状分析

江苏省三级医院内部质量评价现状分析

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目的:调查了解江苏省三级医院质量评价管理现状,分析影响医院内部质量评价机制构建的因素.方法:采用"问卷星"向江苏省41所三级医院的院级领导、职能部门、临床医技科室医务人员进行问卷调查,收集三级医院质量评价管理的现状以及医院内部质量评价机制构建赞同率情况.结果:不同等次、类型的三级医院与等级医院评审工作及新标准了解程度、职能部门工作主动性及发现问题能力、职能部门接受上级部门检查频度、职能部门对临床医技科室检查频度、重复性以及督查标准一致性、部门和科室管理工具应用能力、科室对指标管理的重视程度以及反馈问题的及时性对比具有统计学意义(P<0.05).多因素Logistic回归分析结果显示,三级专科医院、职能部门、临床医技科室、对等级医院评审工作的了解程度对三级医院内部质量评价机制构建赞同率的影响具有统计学意义(P<0.05).结论:三级医院不断优化内部管理,探索建立适合医院实际情况的内部质量评价模式可有效助推医院高质量发展,具有一定的必要性.
Analysis of the current status of internal quality evaluation in Grade Ⅲ hospitals in Jiangsu Province
Objective:To investigate the current status of quality evaluation management in Grade Ⅲ hospitals in Jiangsu Province and analyze the factors influencing the establishment of internal quality evaluation mechanisms.Methods:A questionnaire survey was conducted via"Questionnaire Star"targeting hospital leadership,administrative departments,and clinical and technical departments in 41 Grade Ⅲ hospitals in Jiangsu Province.Data were collected on the current status of quality evaluation management and the approval rate for constructing internal quality evaluation mechanisms.Results:Significant differences were observed in hospitals of different grades and types regarding awareness of hospital grading review and new standards,proactivity and problem identification ability of administrative departments,frequency of inspections by superior departments,frequency,consistency,and duplication of checks conducted by administrative departments on clinical and technical departments,application of management tools,emphasis on indicator management,and timeliness of feedback(P<0.05).Multivariate logistic regression analysis showed that hospital type(specialized Grade Ⅲ hospitals),administrative departments,clinical and technical departments,and understanding of hospital grading reviews significantly influenced the approval rate for constructing internal quality evaluation mechanisms(P<0.05).Conclusion:Continuous optimization of internal management and exploration of internal quality evaluation models tailored to hospital-specific needs are essential for promoting high-quality development in Grade Ⅲ hospitals.

Grade Ⅲ hospitalevaluation standardsinternal quality evaluationstatus surveyinfluencing factors

陈立萍、滕锦楠、周丹丹、李超凡、仇永贵

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南通大学公共卫生学院,226001江苏省南通市

南通大学第六附属医院(盐城市第三人民医院),224001江苏省盐城市

三级医院 评审标准 内部质量评价 现状调查 影响因素

2025

中国医院
中国医院协会

中国医院

北大核心
影响因子:1.209
ISSN:1671-0592
年,卷(期):2025.29(1)