[1]孙佳璐杨昕李子孝王拥军马旭东.我国脑梗死质量管理的历史演变[J].中国卫生质量管理,2021,28(08):15-18.[doi:10.13912/j.cnki.chqm.2021.28.8.05 ]
　SUN Jialu,YANG Xin,LI Zixiao.Historical Evolution of Quality Management of Cerebral Infarction in China[J].Chinese Health Quality Management,2021,28(08):15-18.[doi:10.13912/j.cnki.chqm.2021.28.8.05 ]

点击复制

我国脑梗死质量管理的历史演变

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年08期页码: 15-18 栏目: 医疗质量出版日期: 2021-08-28

Title:: Historical Evolution of Quality Management of Cerebral Infarction in China

作者:: 孙佳璐杨昕李子孝王拥军马旭东; 国家卫生健康委员会医院管理研究所

Author(s):: SUN Jialu; YANG Xin; LI Zixiao; National Institute of Hospital Administration

关键词:: 脑梗死; 质量管理; 医疗质量控制指标; 质量改进

Keywords:: Cerebral Infarction; Quality Management; Medical Quality Control Index; Quality Improvement

分类号:: R197.323；R743.3

DOI:: 10.13912/j.cnki.chqm.2021.28.8.05

文献标志码:: A

摘要:: 国家卫生健康委员会通过建立国家神经系统疾病医疗质量控制中心，逐渐探索出适合我国国情的脑梗死质量控制和管理模式。一是出台单病种质控系列文件，对脑梗死医疗服务能力稳步提升起到关键支撑作用；二是基于循证医学制/修订脑梗死医疗质量控制指标，为脑梗死质量管理提供有效工具；三是搭建全国脑梗死质量管理信息平台，发挥数据驱动医院脑梗死医疗服务高质量发展的作用；四是以“目标为导向”的脑梗死医疗质量管理，将极大推动我国脑梗死医疗质量服务水平提升。我国脑梗死质量管理模式实现了从“指标制定-数据采集-结果反馈”向“目标导向-凝聚力量-量化评估”的精准管理转变。

Abstract:: The National Health Commission has gradually explored the cerebral infarction quality control and management mode suitable for China's national conditions through eastablishing the National Center for Medical Quality Control of Neurological Diseases and taking a series of measures. Firstly, a series of documents on the quality control of single disease were issued, which played a key role in the steady improvement of the medical service ability of cerebral infarction. Secondly, based on evidence-based medicine, the medical quality control index of cerebral infarction was formulated/revised to provide an effective tool for the quality management of cerebral infarction. Thirdly, to build a national cerebral infarction quality management information platform and play the role of data-driven high-quality development of hospital cerebral infarction medical services. Fourthly, the goal-oriented medical quality management of cerebral infarction will greatly promote the medical quality service level of cerebral infarction in China. The quality management mode of cerebral infarction in China has realized the precise management transformation from "indicator formulation, data collection and result feedback" to "goal orientation, power pooling and quantitative evaluation".

参考文献/References:

［1］国家卫生和计划生育委员会．医疗质量管理办法［S］.2016-07-01. ［2］Zhou M,Wang H, Zeng X,et al. Mortality, morbidity,and risk factors in China and its provinces, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017［J］.Lancet, 2019, 394(10204) :1145-1158. ［3］Wang W, Jiang B, Sun H, et al. Prevalence, incidence and mortality of stroke in China: results from a nationwide population-based survey of 480 687 adults［J］.Circulation, 2017, 135(8):759-771. ［4］卫生部办公厅．卫办医政函〔2009〕757号关于开展单病种质量管理控制工作有关问题的通知［S］.2009-08-24. ［5］卫生部办公厅．卫办医管发〔2011〕148号关于印发《三级综合医院评审标准实施细则（2011年版）》的通知［S］.2011-11-25. ［6］卫生部办公厅．卫办医政函〔2012〕57号关于印发《二级综合医院评审标准（2012年版）实施细则》的通知［S］.2012-05-11. ［7］国家卫生和计划生育委员会办公厅．国卫办医函〔2015〕189号关于提升急性心脑血管疾病医疗救治能力的通知［S］.2015-03-11. ［8］国家卫生健康委员会办公厅．国卫办医函〔2020〕624号关于进一步加强单病种质量管理与控制工作的通知［S］.2020-07-23. ［9］Stroke—1989. Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders［J］.Stroke,1989,20(12):1407-1431. ［10］卫生部医政司．单病种质量管理手册［M］.北京：科学技术文献出版社，2010:142-197. ［11］王伊龙, 王拥军, 周永, 等. 亟待建立我国卒中中心网络［J］.中国卫生质量管理, 2010, 17(1): 27-30. ［12］Wang Y，Li Z，Zhao X，et al. Effect of a multifaceted quality improvement intervention on hospital personnel adherence to performance measures in patients with acute ischemic stroke in china［J］.JAMA,2018,320(3):245-254. ［13］Hill MD, Kamal N, Jeerakathil T. Bridging the evidence-to-practice gap in stroke care［J］.JAMA, 2018,320(3):236-237. ［14］Wang Y, Li Z, Zhao X, et al. Evidence-based performance measures and outcomes in patients with acute ischemic stroke［J/OL］.Circ Cardiovasc Qual Outcomes, 2018, 11(12):e001968. ［15］Wangqin R, Laskowits DT, Wang YL, et al. International comparison of patient characteristics and quality of care for ischemic stroke:analysis of the china national stroke registry and the American Heart Association Get With The Guidelines：Stroke program［J/OL］.J Am Heart Assoc, 2018, 20(7): e010623. ［16］Li Z, Pandian J, Sylaja PN, et al. Quality of care for ischemic stroke in China vs India: findings from national clinical registries［J/OL］.Neurology, 2018, 91(14): e1348-e1354. ［17］国家卫生健康委员会办公厅．国卫办医函〔2020〕13号关于印发《神经系统疾病和肾病专业医疗质量控制指标（2020年版）》的通知［S］.2020-01-09. ［18］Fonarow GC, Reeves MJ, Smith EE, et al. Characteristics, performance measures,and in- hospital outcomes of the first one million stroke and transient ischemic attack admissions in Get With The Guidelines-Stroke［J］.Circulation, 2010, 3 (3): 291-302. ［19］Fonarow GC,Smith EE,Saver JL,et al.Improving door-to-needle times in acute ischemic stroke:the design and rationale for the American Heart Assoeiation/American Stroke Association's Target Stroke initiative［J］.Stroke, 2011,42(10):2983-2989. ［20］国家卫生健康委员会办公厅．国卫办医函〔2021〕76 号关于印发2021年国家医疗质量安全改进目标的通知［S］.2021-02-09.

相似文献/References:

[1]肖镜,项新华,王青,等.药品检验机构实验室开展变更控制的研究[J].中国卫生质量管理,2015,22(06):78.
[2]黄鑫,陈安民*,杜杏利,等.KTQ质量认证体系在提高电子病历质量中的作用[J].中国卫生质量管理,2016,23(04):27.[doi:10.13912/j.cnki.chqm.2016.23.3.10]
[3]高岩鲍玉荣张莉彩赵庆华冯丹.小品管，大质量：医院开展品管圈活动效果研究[J].中国卫生质量管理,2017,24(04):1.[doi:10.13912/j.cnki.chqm.2017.24.4.01]
[4]马薇叶丽艳马艳宁叶坤张有江杨继勇罗燕萍.品管圈助力医技质量管理水平提升[J].中国卫生质量管理,2017,24(04):4.[doi:10.13912/j.cnki.chqm.2017.24.4.02]
[5]王玉玲皮红英.品管圈助力护理质量管理水平提升[J].中国卫生质量管理,2017,24(04):6.[doi:10.13912/j.cnki.chqm.2017.24.4.03]
[6]郑拉让张博宏张海林李凌马淑红.临床输血准入及质量评价体系探索[J].中国卫生质量管理,2017,24(04):84.[doi:10.13912/j.cnki.chqm.2017.24.4.28]
[7]储继志杨耀芳魏新萍金蕾陈家仪.社区医院门诊药房工作质量标准与持续改进[J].中国卫生质量管理,2017,24(04):110.[doi:10.13912/j.cnki.chqm.2017.24.4.36]
[8]郑拉让于昊永刘磊柏亮.基于SHINOW 9.0系统的采供用血信息化建设实践[J].中国卫生质量管理,2017,24(05):112.[doi:10.13912/j.cnki.chqm.2017.24.5.35]
[9]涂宣成肖万超王道雄邹佩琳吕家高.建设现代医院后勤质量管理体系[J].中国卫生质量管理,2018,25(01):1.[doi:10.13912/j.cnki.chqm.2018.25.1.01]
[10]匡永利程小维陶晓钦李莹陶玥颖邓明德.临床医师病历质量管理认知调查与分析[J].中国卫生质量管理,2018,25(02):38.[doi:10.13912/j.cnki.chqm.2018.25.2.12]

更新日期/Last Update: 2021-08-28