[1]左克强陈震金逸焦岳龙吕中伟李济宇秦环龙王清江盛伟琪.基于病种临床路径的门急诊绩效考核机制探索[J].中国卫生质量管理,2020,27(05):31-33.
　ZUO Keqiang,CHEN Zhen,JIN Yi,et al.Exploration of Performance Evaluation Mechanism of Outpatient and Emergency Department Based on Clinical Pathway of Diseases[J].Chinese Health Quality Management,2020,27(05):31-33.

点击复制

基于病种临床路径的门急诊绩效考核机制探索

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第27卷期数: 2020年05期页码: 31-33 栏目: 医疗质量出版日期: 2020-09-28

Title:: Exploration of Performance Evaluation Mechanism of Outpatient and Emergency Department Based on Clinical Pathway of Diseases

作者:: 左克强陈震金逸焦岳龙吕中伟李济宇秦环龙王清江盛伟琪; 上海市第十人民医院

Author(s):: ZUO Keqiang; CHEN Zhen; JIN Yi; et al; Firstauthor's addressShanghai Tenth People's Hospital, Tenth People's Hospital of Tongji University

关键词:: 门急诊; 病种; 临床路径; 绩效管理; 考核机制; 医疗质量

Keywords:: Outpatient and Emergency Department; Diseases Category; Clinical Pathway; Performance Management; Evaluation Mechanism; Medical Quality

分类号:: R197.323

文献标志码:: B

摘要:: 为改变以工作量为导向的传统门急诊绩效分配模式，通过建立并试行门急诊优势病种电子化临床路径，结合“多劳多得、优绩优酬”的考核新思维，建立了以临床专业能力评价、医师工作量贡献、医师劳务贡献及分配方式改变等为核心的多维度门急诊绩效考核新机制。实践以来，30个优势病种的门急诊量与同期相比增加8.9%，临床路径入组率达89.2%，完成率达91.5%，患者满意度从92.1%提升至97.2%，90%以上的医务人员收入明显增加。绩效引导下的门急诊病种临床路径管理方法可充分调动医务人员工作积极性，有效提高医师工作效率和临床服务能力，进而改善患者就医体验，提升门急诊服务质量与水平

Abstract:: In order to change the workload-oriented traditional outpatient and emergency department performance allocation model, the outpatient and emergency electronic clinical pathway for superior diseases was established and preliminary applied. Combined with the new conception of "more pay for more work and more pay for better work", a new multi-dimensional outpatient and emergency department performance evaluation mechanism was established based on professional competence evaluation, physician workload contribution, physician labor contribution, and changes in distribution methods. Since the practice, the workload of outpatient and emergency predominant diseases increased by 8.9% compared with the same period, the enrollment rate of clinical pathways had reached 89.2%, the completion rate had reached 91.5%, and the patient satisfaction rate had reached 97.2% from 92.1%; Furthermore, more than 90% of medical staff's income increased significantly. Performance guided clinical pathway management had improved the enthusiasm of medical staff, effectively improved physicians' efficiency and clinical service ability, and improved the patients' medical experience, enhanced the medical service ability of outpatient and emergency department

参考文献/References:

［1］中华人民共和国国务院. 深化医药卫生体制改革2017年重点工作任务［EB/OL］. ( 2017-05-05 )［2020-02-28］.http://www.gov.cn/zhengce/content/2017-05/05/content_5191213.htm.

相似文献/References:

[1]刘启刘翠牛婷婷王筱慧柯骏钟海忠项耀钧.基于综合指数法的病种绩效评价研究[J].中国卫生质量管理,2017,24(02):21.[doi:10.13912/j.cnki.chqm.2017.24.2.07]
[2]俞天智.门急诊退号原因分析与改进[J].中国卫生质量管理,2018,25(01):60.[doi:10.13912/j.cnki.chqm.2018.25.1.21]
[3]李浩施芳红黄诗颖张顺国陈敏玲魏继福.基于第六版JCI标准的门急诊输液应急预案构建[J].中国卫生质量管理,2019,26(03):44.[doi:10.13912/j.cnki.chqm.2019.26.3.12]
[4]殷佳罗莉汪盛凯魏伟狄建忠.公立医院病种经济绩效评价方法探究：以上海某院骨科为例[J].中国卫生质量管理,2021,28(08):39.[doi:10.13912/j.cnki.chqm.2021.28.8.11 ]
　YIN Jia,LUO Li,WANG Shengkai.Economic Performance Evaluation Method of Diseases in Public Hospitals:Taking the Department of Orthopedics of a Hospital in Shanghai as an Example[J].Chinese Health Quality Management,2021,28(05):39.[doi:10.13912/j.cnki.chqm.2021.28.8.11 ]

更新日期/Last Update: 2020-09-28