我国三级公立医院绩效考核结果分析与思考
发布人：yaot 发布时间：2024/2/6 10:05:28 浏览次数：397次
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】——周明华
【摘要】目的?对我国三级公立医院绩效考核结果进行分析，为推进三级公立医院高质量发展提供依据。方法?运用描述性分析法和对比分析法对2019年—2021年三级公立医院绩效考核结果及发展趋势进行分析。结果?出院患者手术占比、微创手术占比、四级手术比例和日间手术占择期手术比例均有所增长；I类切口感染率下降，DRG组数中位数逐渐增加；抗菌药物使用强度逐步降低，且明显低于40 DDDs的国家上限要求；门诊预约诊疗率大幅度提升，门诊患者预约后平均等候时间稳中有降；人员支出占业务支出比例稳中有升；副高级以上职称的比例、接收对口支援医院和医联体内医院进修半年以上人员的比例逐步提升。存在的主要问题为三级公立医院发展不均衡，跨省异地就医现象仍然存在，医院管理水平有待进一步提高，患者就医感受和医务人员获得感仍需进一步改善。结论?为推进三级公立医院高质量发展，还需进一步提升医疗服务水平；加强医院科学管理，推进管理出效益；激活医务人员积极性，推动以人为本的全面发展。
【关键词】三级公立医院；绩效考核；高质量发展
中图分类号：R197.323 文献标识码：A
Analysis and Reflection on Performance Appraisal Results of Tertiary Public Hospitals in China/ZHOU Minghua.//Chinese Health Quality Management，2024,31(1):34-37,48
Abstract Objective To analyze the performance appraisal results of tertiary public hospitals in China, and provide basis for promoting the high-quality development of tertiary public hospitals.Methods Descriptive analysis method and comparative analysis method were used to analyze the performance appraisal results and development trend of tertiary public hospitals from 2019 to 2021. Results The proportion of discharged patients undergoing surgery, the proportion of minimally invasive surgery, the proportion of grade-4 surgery and the proportion of ambulatory surgery in elective surgery all increased. The infection rate of Class I incision decreased, and the median number of DRG group increased gradually. The intensity of antimicrobial use decreased gradually and was obviously lower than the national upper limit of 40 DDDs. The rate of outpatient appointment was greatly improved, and the average waiting time of outpatient patients after appointment was stable and decreased. The proportion of personnel expenditure in business expenditure was stable and increased. The proportion of persons with professional titles of deputy senior or above, and the proportion of persons receiving training for more than six months in counterpart supporting hospitals and hospitals in the medical union had gradually increased. The main problems were uneven development of tertiary public hospitals, cross-province and different places for medical treatment, hospital management level needed to be further improved, and patients' feeling of medical treatment and medical staff's sense of access still needed to be further improved.Conclusion In order to promote the high-quality development of tertiary public hospitals, it is necessary to further improve the level of medical services; strengthen the scientific management of the hospital and promote the efficiency of management; activate the enthusiasm of medical staff and promote the all-round development of people.
Key words Tertiary Public Hospitals; Performance Appraisal; High-Quality Development
Firstauthor's address?Luzhou People's Hospital, Luzhou, Sichuan, 646000, China
2019年，国家全面启动三级公立医院绩效考核工作［1］；2021年，国家全面部署推动公立医院高质量发展。因此，绩效考核成为了三级公立医院综合改革的风向标，高质量发展成为了三级公立医院改革发展的时代主题［2］。国家三级公立医院绩效考核实施以来，国家卫生健康委每年对绩效考核的组织实施、考核结果、存在问题和工作要求等情况进行了通报。为深入了解绩效考核结果的发展趋势，把握好三级公立医院的发展方向，本研究对2019年—2021年三级公立医院绩效考核结果及发展趋势进行分析，并提出应对措施，为推进三级公立医院高质量发展提供依据。
1资料与方法
1.1资料来源
三级公立医院绩效考核结果来源于国家卫生健康委官网，2019年—2021年《国家卫生健康委办公厅关于全国三级公立医院绩效考核国家监测分析有关情况的通报》。
1.2研究方法
采用绝对数、构成比等对2019年—2021年三级公立医院绩效考核结果进行描述性分析。采用对比分析法对2019年—2021年三级公立医院绩效考核结果的发展趋势进行对比分析。分析内容包括功能定位、质量安全、合理用药、服务流程、收支结构、费用控制、持续发展、满意度以及工作开展情况。
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