[1]李小艳王莉付艳玲李亚男张戟李颖川.新冠肺炎疫情对医疗质量精细化管理的影响分析：以甲状腺恶性肿瘤手术患者为例[J].中国卫生质量管理,2023,30(03):46-49.[doi:10.13912/j.cnki.chqm.2023.30.3.09 ]
　LI Xiaoyan,WANG Li,FU Yanling.Influence of COVID-19 on the Refined Management of Medical Quality: a Case Study of Thyroid Malignancy Patients Undergoing Surgery[J].Chinese Health Quality Management,2023,30(03):46-49.[doi:10.13912/j.cnki.chqm.2023.30.3.09 ]

点击复制

新冠肺炎疫情对医疗质量精细化管理的影响分析：以甲状腺恶性肿瘤手术患者为例

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第30卷期数: 2023年03期页码: 46-49 栏目: 医疗质量出版日期: 2023-03-15

Title:: Influence of COVID-19 on the Refined Management of Medical Quality: a Case Study of Thyroid Malignancy Patients Undergoing Surgery

作者:: 李小艳王莉付艳玲李亚男张戟李颖川; 上海市第十人民医院

Author(s):: LI Xiaoyan; WANG Li; FU Yanling; Shanghai Tenth People's Hospital

关键词:: 新冠感染; 市级医院; 甲状腺恶性肿瘤; 手术患者

Keywords:: COVID-19; Municipal Hospitals; Thyroid Malignancy; Surgical Patient

分类号:: R736.1；R197.323

DOI:: 10.13912/j.cnki.chqm.2023.30.3.09

文献标志码:: A

摘要:: 目的探讨新冠肺炎疫情下上海市市级医院甲状腺恶性肿瘤手术患者的收治特点，并提出改进建议。方法收集2020年1月1日-12月31日上海市36家市级医院收治的甲状腺恶性肿瘤手术患者信息，并与2019年同期数据进行比较。采用SPSS 21.0软件进行数据统计分析。结果受新冠肺炎疫情影响，上海市36家市级医院2020年甲状腺恶性肿瘤手术患者出院人次为21 710人次，较2019年同期减少3.96%；平均住院日为5.00 d，较2019年同期延长2.88%；次均费用为19 716.63元，较2019年同期增加5.43%；次均药品费为2 561.06元，较2019年同期增加7.41%；次均耗材费为3 817.46元，较2019年同期增加10.94%。结论新冠肺炎疫情对上海市市级医院甲状腺恶性肿瘤手术患者的医疗服务能力、医疗服务效率、医疗费用控制均有一定影响。综合医院需提高医疗服务能力；专科医院需提升医疗服务效率；中医医院需增强成本管控意识。

Abstract:: ObjectiveTo explore the treatment characteristics of patients undergoing thyroid malignancy surgery in Shanghai municipal hospitals under the epidemic situation of COVID-19, and put forward suggestions for improvement.MethodsThe information of thyroid malignancy surgery patients admitted to 36 municipal hospitals in Shanghai from January 1, 2020 to December 31, 2020 was collected, and compared with the data of the same period in 2019.SPSS 21.0 software was used for statistical analysis. ResultsDue to the impact of COVID-19, the number of discharged thyroid malignancy surgery patients from 36 municipal hospitals in Shanghai reached 21 710 in 2020, a decrease of 3.96% compared with the same period in 2019. The average length of stay was 5.00 days, 2.88% longer than the same period in 2019. The average cost was 19 716.63 Yuan, an increase of 5.43% compared with the same period in 2019. The average drug cost was 2 561.06 Yuan, increased by 7.41% compared with the same period in 2019, respectively. The average consumption cost was 3 817.46 Yuan, which increased by 10.94% compared with the same period in 2019, respectively. Conclusion The COVID-19 epidemic has a certain impact on the medical service capacity, medical service efficiency and medical cost control of thyroid malignancy surgery patients in Shanghai municipal hospitals. General hospitals need to improve the capacity of medical services; specialized hospitals need to improve the efficiency of medical services; traditional Chinese medicine hospitals need to strengthen the consciousness of cost control.

参考文献/References:

［1］国务院新闻办公室.《抗击新冠肺炎疫情的中国行动》白皮书［M］.北京：人民出版社，2020:20. ［2］朱丽丽，张国.常态化疫情防控背景下医院开展医疗工作实践及思考［J］.中国医院，2021，25（4）：84-86. ［3］刘波，楼阳，姜熳黎，等.新冠肺炎疫情后的公立医院预算调整策略研究：以武汉X医院为例［J］.现代医院，2021，21（1）：91-94．［4］郑荣寿，孙可欣，张思维，等.2015年中国恶性肿瘤流行情况分析［J］.中华肿瘤杂志，2019，41（1）：19-28. ［5］王斌.新冠肺炎疫情影响下的浙江省公立医院经济运行分析［J］.卫生经济研究，2020，37（9）：23-25. ［6］张瑞迪，杨娟，宁世伟，等.新冠肺炎疫情防控背景下医院运营管理模式探讨［J］.中国卫生质量管理，2021，28（3）：15-17，32. ［7］徐庚才，徐府奇，李惠芬，等.综合性公立医院在新冠肺炎疫情防控中的做法与思考［J］.中国卫生质量管理，2020，27（4）：23-26. ［8］齐小玲，唐挺.依托智慧医院建设优化就诊流程的实践与思考［J］.中国卫生质量管理，2020，27（5）：87-89. ［9］金辉，王奕.优化医技检查预约流程促进分级诊疗［J］.中国卫生质量管理，2020，27（5）：40-41，46.

相似文献/References:

[1]王淼杨丽黄一敏顾炜君柳龚堡贾昊刘静徐国锋.上海市级医院儿童日间手术进展与思考[J].中国卫生质量管理,2021,28(03):1.[doi:10.13912/j.cnki.chqm.2021.28.3.01 ]
　WANG Miao,YANG Li,HUANG Yimin.Progress and Thinking on Management of Children's Ambulatory Surgery in Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2021,28(03):1.[doi:10.13912/j.cnki.chqm.2021.28.3.01 ]
[2]李晶慧陈睦金广予.基于大数据的市级医院大型医用设备评价指标构建及应用[J].中国卫生质量管理,2023,30(01):12.[doi:10.13912/j.cnki.chqm.2023.30.1.04 ]
　LI Jinghui,CHEN Mu,JIN Guangyu.Construction and Application of Evaluation Indicators for Large-Scale Medical Equipment in Municipal Hospitals Based on Big Data[J].Chinese Health Quality Management,2023,30(03):12.[doi:10.13912/j.cnki.chqm.2023.30.1.04 ]
[3]曹玲燕徐诚魏建军.上海市级医院安防监控系统集成平台构建与应用[J].中国卫生质量管理,2023,30(01):16.[doi:10.13912/j.cnki.chqm.2023.30.1.05 ]
　CAO Lingyan,XU Cheng,WEI Jianjun.Integrated Platform Construction and Application of Security Monitoring System in Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2023,30(03):16.[doi:10.13912/j.cnki.chqm.2023.30.1.05 ]
[4]李福兴王飞何薇卞竹利余松轩.新冠肺炎疫情对上海市级医院小儿肺炎住院患儿的影响研究[J].中国卫生质量管理,2023,30(01):36.[doi:10.13912/j.cnki.chqm.2023.30.1.09 ]
　LI Fuxing,WANG Fei,HE Wei.Influence of COVID-19 on Pediatric Inpatients with Pneumonia in Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2023,30(03):36.[doi:10.13912/j.cnki.chqm.2023.30.1.09 ]
[5]朱春龙沈怡赵爽张礼.上海市级医院重点病种31天内重返住院调查与分析[J].中国卫生质量管理,2023,30(03):36.[doi:10.13912/j.cnki.chqm.2023.30.3.07 ]
　ZHU Chunlong,SHEN Yi,ZHAO Shuang.Investigation and Analysis of Readmission of Major Diseases within 31 Days in Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2023,30(03):36.[doi:10.13912/j.cnki.chqm.2023.30.3.07 ]
[6]张丽娜马旭东祝滨刘纯张文鹏张翼马新华孙杨周阳钱招昕陆勇.新冠肺炎疫情下定点医院阶梯式重症医疗救治的探索[J].中国卫生质量管理,2023,30(03):42.[doi:10.13912/j.cnki.chqm.2023.30.3.08 ]
　ZHANG Lina,MA Xudong,ZHU Bin.Stepped Medical Treatment for Severe Cases in Designated Hospitals under the COVID-19 Epidemic[J].Chinese Health Quality Management,2023,30(03):42.[doi:10.13912/j.cnki.chqm.2023.30.3.08 ]
[7]赵蓉盛伟琪.上海市级医院日间化疗管理共识[J].中国卫生质量管理,2023,30(04):22.[doi:10.13912/j.cnki.chqm.2023.30.4.07 ]
　ZHAO Rong,SHENG Weiqi.Consensus on Management of Ambulatory Chemotherapy in Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2023,30(03):22.[doi:10.13912/j.cnki.chqm.2023.30.4.07 ]
[8]谷茜罗诚祖肖俊杰尹远芳王育周密.上海市级医院国际化发展评价指标体系构建研究[J].中国卫生质量管理,2023,30(12):20.[doi:10.13912/j.cnki.chqm.2023.30.12.05 ]
　GU Qian,LUO Chengzu,XIAO Junjie.Construction of Evaluation Index System for Internationalization Development of Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2023,30(03):20.[doi:10.13912/j.cnki.chqm.2023.30.12.05 ]
[9]张娴静华莹奇赵明崔文斌柏杨王兴鹏赵蓉王爱荣.上海市级医院专科能力评价与分析[J].中国卫生质量管理,2024,31(03):8.[doi:10.13912/j.cnki.chqm.2024.31.3.03]
　ZHANG Xianjing,HUA Yingqi,ZHAO Ming.Evaluation and Analysis of Specialized Ability in Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2024,31(03):8.[doi:10.13912/j.cnki.chqm.2024.31.3.03]
[10]张静侯冷晨余松轩沈婷李莉珊.上海市级医院四级日间手术运行情况分析[J].中国卫生质量管理,2025,32(07):1.[doi:10.13912/j.cnki.chqm.2025.32.7.01]
　ZHANG Jing,HOU Lengchen,YU Songxuan.Analysis of the Operational Status of Grade IV Day Surgery in Municipal Hospitals in Shanghai[J].Chinese Health Quality Management,2025,32(03):1.[doi:10.13912/j.cnki.chqm.2025.32.7.01]

更新日期/Last Update: 2023-03-15