[1]王巍马丽平李莹郭云剑.苏、沪、粤三省市医疗服务标准实施现状调查[J].中国卫生质量管理,2022,29(05):53-57.[doi:10.13912/j.cnki.chqm.2022.29.5.14 ]
　WANG Wei,MA Liping,LI Ying.Investigation of the Implementation Status of Medical Service Standards in Jiangsu, Shanghai and Guangdong Provinces[J].Chinese Health Quality Management,2022,29(05):53-57.[doi:10.13912/j.cnki.chqm.2022.29.5.14 ]

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苏、沪、粤三省市医疗服务标准实施现状调查

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年05期页码: 53-57 栏目: 服务质量出版日期: 2022-05-28

Title:: Investigation of the Implementation Status of Medical Service Standards in Jiangsu, Shanghai and Guangdong Provinces

作者:: 王巍马丽平李莹郭云剑; 国家卫生健康委医院管理研究所

Author(s):: WANG Wei; MA Liping; LI Ying; National Institute of Hospital Administration, National Health Commission

关键词:: 医疗机构; 医疗服务标准; 标准知晓; 标准培训; 标准执行

Keywords:: Medical Institutions; Medical Service Standards; Standard Awareness; Standard Training; Standard Implementation

分类号:: R197.1

DOI:: 10.13912/j.cnki.chqm.2022.29.5.14

文献标志码:: A

摘要:: 目的调查苏、沪、粤三省市医疗机构医疗服务标准知晓、培训、执行情况及存在问题，为进一步落实医疗服务标准提供依据。方法采取方便抽样方法，对苏、沪、粤三省市医疗机构940名医务人员进行问卷调查，对35名医务人员进行半结构访谈。结果二、三级医院、不同科室在标准的知晓率、培训率、执行率方面差异有统计学意义（P<0.05）。二、三级医院标准实施中存在的主要问题是“标准、指南不易区分”“错把红头文件当标准”，且二级医院选择率高于三级医院（P<0.001）。标准适用性有待加强。结论苏、沪、粤三省市医疗机构医疗服务标准知晓、培训、执行情况较好。未来应继续加强标准宣贯、培训、监督和考核，努力提升标准实施效果。

Abstract:: ObjectiveTo investigate the awareness, training, implementation and existing problems of medical service standards in medical institutions in Jiangsu, Shanghai and Guangdong, so as to provide basis for further implementing of medical service standards.MethodsA questionnaire survey was conducted among 940 medical personnel from medical institutions in Jiangsu, Shanghai and Guangdong provinces by convenient sampling, and semi-structured interviews were conducted with 35 medical staff.ResultsThere were statistically significant differences in the standard awareness rate, training rate, and implementation rate of the second and third-level hospitals, clinical departments in the three provinces and cities (P<0.05). The main problems in the implementation of standards for secondary and tertiary hospitals were that "standards and guidelines are not easily distinguished" and "red files are mistaken as standards", and the selection rate of secondary hospitals was higher than that of tertiary hospitals (P<0.001). The applicability of the standard needed to be strengthened. Conclusion The awareness, training and implementation of medical service standards in medical institutions in Jiangsu, Shanghai and Guangdong provinces were relative good. In the future, we should continue to strengthen standard publicity and implementation, training, supervision and assessment, and strive to improve the implementation effect of standards.

参考文献/References:

［1］卫生健康委关于印发卫生健康标准管理办法的通知［J］.中华人民共和国国务院公报, 2019(29): 66-69. ［2］方道奎,余淑苑,彭朝琼.我国卫生标准实施评估工作开展情况概述［J］.中国卫生产业, 2019,16(29): 194-195. ［3］马梦颖,孔冬,李长安,等.山东省二级及以上医疗机构护理人员《静脉治疗护理技术操作规范》卫生行业标准培训现状的调查［J］.解放军护理杂志, 2018,35(7): 14-19. ［4］胥欣，姜易晨，杨彦清, 等.公共卫生领域卫生健康标准在新型冠状病毒肺炎疫情防控中的应用与思考［J］.中华流行病学杂志，2020,41(11):1758-1764. ［5］PIERUCCI R.Fetal pain: the science behind why it is the medical standard of care［J］.Linacre Q, 2020,87(3):311-316. ［6］李俊,王强,黄超,等.对河南省某三甲医院医疗卫生标准实施评估情况的研究［J］.中国卫生标准管理, 2019,10(20): 1-4. ［7］梅宇欣,洪宓,马丽平,等.医疗机构安全管理标准实施现况调查［J］.中国医院,2019,23(10): 22-24. ［8］刘紫慧,王斌,黄宇,等.医疗卫生标准需求现状及影响因素调查［J］.中国医院管理, 2019,11(6): 11-13. ［9］PATIL SS,GAIKWAD RA,DESHPANDE TN,et al.Gaps in facilities available at community health centers/rural hospitals as per Indian public health standards:Study from Western Maharashtra［J］.Journal of Family Medicine and Primary Care, 2020,9(9):4869-4874. ［10］冯岚,宋彬,李卫国,等.我国公共卫生领域卫生标准不协调之初探［J］.中华流行病学杂志, 2019,40(5): 601-604. ［11］孙辉,贾怡蓓,唐清蓉,等.上海市医疗服务地方标准实施现状与影响因素分析［J］.中国卫生质量管理, 2021,28(8):55-58. ［12］刘苏苏,茅宁莹.江苏省卫生地方标准工作现状分析［J］.中国卫生质量管理,2021, 28(7):22-24. ［13］LIU T,LU Y,ZHU QH.Analysis on the applicational health standards based on bibliometrics［J］.Journal of Family Medicine and Primary Care,2019,37(1)39-45. ［14］任洁琼,张琳,丁雯,等.宁夏7所三级综合医院护士静脉治疗护理技术操作规范实践认知现状调查［J］.中国护理管理, 2017,17(5): 682-685. ［15］王景慧,王强,黄超,等.中国医疗标准需求度、认可度及影响因素调查［J］.中国卫生标准管理, 2020,11(7): 11-13. ［16］吕兰婷,张子墨.我国医疗卫生标准管理的现状研究［J］.中国卫生事业管理,2019,36(4):258-260.

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更新日期/Last Update: 2022-05-28