我國公立醫(yī)院臨床科室衛(wèi)生服務(wù)經(jīng)營管理現(xiàn)狀及措施研究

陳楠 夏國光 戴麗

[摘要] 目的 以北京積水潭醫(yī)院呼吸與危重癥醫(yī)學(xué)科為例，分析我國公立醫(yī)院臨床科室衛(wèi)生服務(wù)經(jīng)營管理現(xiàn)狀，并探討干預(yù)措施。 方法 研究資料來源于2016年1月～2017年12月北京積水潭醫(yī)院呼吸與危重癥醫(yī)學(xué)科醫(yī)療統(tǒng)計年報表，同時以管理干預(yù)為時間點于干預(yù)前后各隨機選取500例患者，統(tǒng)計分析呼吸與危重癥醫(yī)學(xué)科工作人員現(xiàn)狀，管理前后工作效率、醫(yī)患關(guān)系、患者滿意度。 結(jié)果 呼吸與危重癥醫(yī)學(xué)科現(xiàn)有工作人員69人，年齡分布呈紡錘形，碩士及以上15人，占21.74%，臨床專業(yè)技術(shù)人員職稱構(gòu)成以初中級為主，占84.06%。管理干預(yù)后臨床專業(yè)技術(shù)人員綜合素質(zhì)評分高于管理干預(yù)前，差異有高度統(tǒng)計學(xué)意義（P < 0.01）。管理干預(yù)后，病床使用率、普通病床周轉(zhuǎn)次數(shù)、監(jiān)護病床周轉(zhuǎn)次數(shù)以及病床效率指數(shù)均顯著高于管理干預(yù)前（P < 0.05）。管理干預(yù)后，醫(yī)患關(guān)系優(yōu)良率高于管理干預(yù)前、醫(yī)療糾紛發(fā)生率低于管理干預(yù)前，差異有高度統(tǒng)計學(xué)意義（P < 0.01）。管理干預(yù)后患者滿意度高于管理干預(yù)前，差異有高度統(tǒng)計學(xué)意義（P < 0.01）。 結(jié)論 加強醫(yī)院呼吸與危重癥醫(yī)學(xué)科衛(wèi)生服務(wù)經(jīng)營管理有助于提高人員綜合素質(zhì)及工作效率、降低醫(yī)療糾紛進而提高患者滿意度，值得推廣。

[關(guān)鍵詞] 臨床科室;衛(wèi)生服務(wù);經(jīng)營管理;現(xiàn)狀;干預(yù)措施

[中圖分類號] R197.1? ? ? ? ? [文獻標(biāo)識碼] A? ? ? ? ? [文章編號] 1673-7210（2019）03（a）-0157-04

[Abstract] Objective To analyze the current situation in public hospitals in China and explore the intervention measures by taking Department of Respiratory and Critical Medical， Beijing Jishuitan Hospital as an example. Methods Study data were collected from the medical statistical annual report of the Department of Respiratory and Critical Care Medicine of Beijing Jishuitan Hospital from January 2016 to December 2017， and 500 patients were randomly selected with management intervention as the time point respectively. The present situation of the staff， work efficiency， doctor-patient relationship and patient satisfaction were statistically analyzed. Results There were 69 staff in the Department of Respiratory and Critical Care Medicine， with spindle-shape age distribution， 15 with a master degree or above， accounting for 21.74%. The professional title composition of clinical professional and technical personnel was mainly in the primary and middle level， accounting for 84.06%. After management intervention， the comprehensive quality score of clinical professional and technical personnel was statistically higher than that before management intervention， the difference was highly significant （P < 0.01）. After management intervention， the sickbed utilization rate， the turnover number of common beds， the turnover number of monitoring beds and the efficiency index of beds were significantly higher than those before management intervention （P < 0.05）. After management intervention， The excellent and good rate of doctor-patient relationship was higher than that before management intervention and the incidence of medical disputes was lower than that before management intervention， the difference was highly significant （P < 0.01）. After management intervention， patient satisfaction was higher than that before management intervention， and the difference was highly statistically significant （P < 0.01）. Conclusion Strengthening the operation and management of hospital respiratory and critical care medical services is helpful to improve the comprehensive quality and work efficiency of personnel， to reduce medical disputes and improve the satisfaction of patients， which is worth of promotion.