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[1]丁余武连斌吴绪波刘甜甜徐雪平杨坤王川王杰宁.三级医院医康融合不同管理模式对临床康复开展影响研究[J].中国卫生质量管理,2025,32(01):18-21.[doi:10.13912/j.cnki.chqm.2025.32.1.05]
　DING Yuwu,LIAN Bin,WU Xubo.Study on the Influence of Different Management Modes of Medical-Rehabilitation Integration in Tertiary Hospitals on the Development of Clinical Rehabilitation[J].Chinese Health Quality Management,2025,32(01):18-21.[doi:10.13912/j.cnki.chqm.2025.32.1.05]

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三级医院医康融合不同管理模式对临床康复开展影响研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年01期页码: 18-21 栏目: 特别关注出版日期: 2025-01-15

Title:: Study on the Influence of Different Management Modes of Medical-Rehabilitation Integration in Tertiary Hospitals on the Development of Clinical Rehabilitation

作者:: 丁余武连斌吴绪波刘甜甜徐雪平杨坤王川王杰宁; 上海中医药大学附属第七人民医院

Author(s):: DING Yuwu; LIAN Bin; WU Xubo; Shanghai Seventh People ’s Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

关键词:: 医康融合; 管理模式; 早期康复; 医疗质量

Keywords:: Medical-Rehabilitation Integration; Management Mode; Early Rehabilitation ; Medical Quality

分类号:: R197.3R197.5

DOI:: 10.13912/j.cnki.chqm.2025.32.1.05

文献标志码:: A

摘要:: 目的研究不同管理模式对临床康复开展情况的影响。方法随机选取69所中国康复医学会医康融合工作委员会会员单位作为研究对象。根据医康融合模式的不同，将研究对象分为3组，其中A组（医院层面主管）22所、B组（康复医学科主管）27所、C组（临床科室主管）20所。采用艾力彼与上海市第七人民医院共同编制的“医康融合量化评价指标体系调查表”作为研究数据采集工具，现场收集各医院相关数据，并选取临床早期康复开展率、非康复医学科开展康复治疗的数量占比、临床康复专科相关技术开展数量作为观察指标。结果临床早期康复开展率差异有统计学意义（P<0.001），两两比较结果显示, A组显著大于B组和C组，而B组和C组之间差异无统计学意义；非康复医学科开展康复治疗的数量占比差异有统计学意义（P<0.001），多重均数比较结果显示, A组显著大于B组和C组，而B组和C组之间差异无统计学意义；临床康复专科相关技术开展数量比较差异有统计学意义（P<0.001），多重均数比较结果显示, A组大于B组和C组，而B组和C组之间差异无统计学意义。结论由医院层面主管的模式更利于临床康复的开展，更利于向全院导入医康融合理念、培养专科康复人才以及协调康复与各临床学科之间的协作。

Abstract:: ObjectiveTo study the influence of different management modes on the development of clinical rehabilitation.Methods69 members of the medical-rehabilitation integration work committee of China Rehabilitation Medical Association were randomly selected as the research objects. According to the different modes of medical-rehabilitation integration, the subjects were divided into three groups, including 22 in group A (hospital-level executive leadership group), 27 in group B (rehabilitation medicine department executive leadership group), and 20 in group C (clinical department executive leadership group). "A questionnaire on the quantitative evaluation index system of medical-rehabilitation integration" jointly compiled by Ailibi and Shanghai Seventh People ’s Hospital was used as a research data collection tool to collect relevant data of each hospital on the spot. The development rate of early rehabilitation, the proportion of rehabilitation treatment carried out by non-rehabilitation medicine department, and the number of related technologies carried out by clinical rehabilitation specialties were selected as the observation indicators of this study.ResultsThere was a significant difference in the rate of early clinical rehabilitation among the three groups (P<0.001). The results of pairwise comparison showed that group A was significantly higher than group B and group C, while there was no significant difference between group B and group C. There was a significant difference in the proportion of rehabilitation treatment in non-rehabilitation medicine department among the three groups (P<0.001). The results of multiple mean comparison showed that group A was significantly larger than group B and group C, while there was no significant difference between group B and group C. There was a significant difference in the number of clinical rehabilitation related technologies among the three groups (P<0.001). The results of multiple mean comparison showed that group A was greater than group B and group C, while there was no significant difference between group B and group C.Conclusion The hospital-level executive leadership mode is more conducive to the development of clinical rehabilitation, more conducive to the introduction of the concept of medical-rehabilitation integration into the whole hospital, the cultivation of specialist rehabilitation talents, and the coordination of rehabilitation and clinical disciplines.

参考文献/References:

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更新日期/Last Update: 2025-01-15