| 引用本文：陈晔, 甘雪琼, 韩明林, 孙佳璐, 马丽平.我国医院质量管理现状——基于五省调研[J].中国卫生政策研究,2016,9(8):49-54 |
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| 我国医院质量管理现状——基于五省调研 |
| 投稿时间：2015-12-22 修订日期：2016-06-17 PDF全文浏览 HTML全文浏览 |
| 陈晔, 甘雪琼, 韩明林, 孙佳璐, 马丽平 |
| 国家卫生计生委医院管理研究所 北京 100191 |
| 摘要:本研究通过对5个省开展实地调研，发现我国三级医院、县级医院、民营医院之间医疗质量管理的发展水平有很大差距。三级医院的质量管理体系最为健全；县级医院由于人力资源匮乏和运营压力而无力完善薄弱的质量管理体系；民营医院的医疗质量管理水平则呈现两极分化的趋势。其中存在的具体问题包括：省级质量监管机构监管能力薄弱，运行缺乏保障；医院内部质量管理组织架构不完善，专业质管人员缺乏，人员培训不足；医院信息化发展程度不均衡，信息共享不足。针对上述问题，本文建议：提升第三方监管机构的隶属层次，加强对质控中心的运行保障；完善县级医院、民营医院内部质量管理组织架构，保障人员配置，加大经费投入，开展全员质量管理培训；制定医院信息化建设的基本框架，加强对县级医院、民营医院信息化建设的经费补贴，尽快颁布全国统一的疾病编码，促进医院信息共享。 |
| 关键词:医院管理 质量管理 质量控制 |
| 基金项目:中国繁荣基金项目 |
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| The status of hospital quality management in China: A research carried out in five provinces |
| CHEN Ye, GAN Xue-qiong, HAN Ming-lin, SUN Jia-lu, MA Li-ping |
| Institute of Hospital Administration, National Health and Family Planning Conmmission, Beijing 100191, China |
| Abstract:Through a field research carried out in 5 provinces of China, this study has found out that there is an obviously wide gap between development levels of hospital quality management among Chinese tertiary, county-level and private hospitals. Tertiary hospitals have the most perfect quality management systems, those at county-level are unable to perfect their weak sound quality management systems due to the lack of human resources while they are facing great operational pressure, and the private ones are showing a polarization trend into their medical quality management. The specific problems in those country-level and private hospitals were found to be the following: weak regulatory capacity for the provincial supervision regulators and lack of operational guarantee; imperfect internal quality management organizational structures, lack of professional quality control personnel and inadequate trainings; uneven development of the hospitals' information systems and lack of information sharing. In response to these problems, we recommend: to enhance administrative levels of the third-party regulatory bodies; to strengthen the quality control centers' operational guarantee; to improve the county-level and private hospitals' internal quality management organizational structures; the personnel allocation guarantee; to increase investment funds and conduct quality management training for the whole staff; the development of the basic frameworks in hospital information technology; to increase the funds and allowance for the county-level hospitals and informatization construction in private hospitals; to enact the national unified coding of diseases as soon as possible; and to promote the information sharing among hospitals. |
| Key words:Hospital management Quality management Quality control |
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