[1]吴治林,何 秦,张 东,等.医联体内机构同质化管理方法的效果评价[J].医学信息,2021,34(04):151-152,161.[doi:10.3969/j.issn.1006-1959.2021.04.041]
　WU Zhi-lin,HE Qin,ZHANG Dong,et al.Evaluation of the Effect of the Homogenization Management Method of Institutions in the Medical Partnership[J].Medical Information,2021,34(04):151-152,161.[doi:10.3969/j.issn.1006-1959.2021.04.041]
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医联体内机构同质化管理方法的效果评价()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年04期
页码:
151-152,161
栏目:
调查分析
出版日期:
2021-02-15

文章信息/Info

Title:
Evaluation of the Effect of the Homogenization Management Method of Institutions in the Medical Partnership
文章编号:
1006-1959（2021）04-0151-03
作者:
吴治林; 何 秦; 张 东; 等
（1.达州市中心医院骨科，四川 达州 635000； 2.宣汉县第二人民医院骨科，四川 宣汉 636150）
Author(s):
WU Zhi-lin; HE Qin; ZHANG Dong; et al.
(1.Department of Orthopedics,Dazhou Central Hospital,Dazhou 635000,Sichuan,China; 2.Department of Orthopedics,the Second People’s Hospital of Xuanhan County,Xuanhan 636150,Sichuan,China)
关键词:
医联体; 机构同质化管理方法; 医疗质量
Keywords:
Medical partnership; Institutional homogenization management method; Medical quality
分类号:
R197.323
DOI:
10.3969/j.issn.1006-1959.2021.04.041
文献标志码:
A
摘要:
目的 研究医联体内机构同质化管理方法及其对医疗质量的影响。方法 选取2019年7月~2020年6月（实施后）建立的以达州市中心医院骨科为中心（A），宣汉县第二人民医院（B）和达州南方医院（C）骨科组建骨科医联体为研究对象，在医联体内实行医疗质量同质化管理，另选取2018年6月~2019年6月实施前医联体前各医疗机构采用常规管理的资料，比较实施前后各医疗机构门诊量、住院量、治疗效果、患者满意度、平均住院日、人均医疗费用。结果 实施后A、B、C各医院骨科门诊量、住院量、治愈率、患者满意度、人均医疗费用均高于实施前，平均住院日均低于实施前，差异有统计学意义（P＜0.05）。结论 实施医联体内机构同质化管理方法，可提高医联体内各医疗机构医疗能力，增加门诊量、住院量，提高治疗效果，提升患者满意度，人均医疗费用明显增加，平均住院日减少，进一步促进各医疗机构卫生资源利用有效率提升，医疗质量提高。
Abstract:
Objective To study the homogenization management method of institutions in the medical partnership and its impact on medical quality. Methods Selecting the Department of Orthopedics of Dazhou Central Hospital established from July 2019 to June 2020 (after implementation) (A),the Second People’s Hospital of Xuanhan County(B) and Dazhou Nanfang Hospital (C) Department of Orthopedics formed an orthopedic medical consortium as the research object.Carrying out the homogeneous management of medical quality in the medical partnership,In addition, select the data of routine management in various medical institutions before the implementation of the medical partnership from June 2018 to June 2019.Compare the number of outpatient visits, hospitalizations, treatment effects, patient satisfaction, average length of stay, and per capita medical expenses of each medical institution before and after implementation.Results After the implementation, the number of orthopedic outpatients, hospitalizations, cure rates, patient satisfaction, and per capita medical expenses in hospitals A, B, and C were all higher than before the implementation, and the average hospitalization days were lower than before the implementation,the difference was statistically significant (P＜0.05).Conclusion The implementation of a homogeneous management method for institutions in the medical partnership can improve the medical capabilities of medical institutions in the medical union, increase the number of outpatients and hospitalizations, improve the treatment effect, and improve patient satisfaction. The per capita medical expenses are significantly increased, and the average hospital stay is reduced. Further promote the efficient use of health resources in various medical institutions and the improvement of medical quality.

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更新日期/Last Update: 1900-01-01