[1]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):008-11.[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):008-11.[doi:10.13912/j.cnki.chqm.2024.31.3.03]
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上海市级医院专科能力评价与分析()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年03期
页码:
008-11
栏目:
特别关注
出版日期:
2024-03-15

文章信息/Info

Title:
Evaluation and Analysis of Specialized Ability in Shanghai Municipal Hospitals
作者:
张娴静华莹奇赵明崔文斌柏杨王兴鹏赵蓉王爱荣
上海申康医院发展中心
Author(s):
ZHANG Xianjing; HUA Yingqi; ZHAO Ming
Shanghai Hospital Development Center
关键词:
专科能力评价; 市级医院; 偏离度; 上海
Keywords:
Specialized Ability Evaluation; Municipal Level Hospitals; Deviation; Shanghai
分类号:
R197.3
DOI:
10.13912/j.cnki.chqm.2024.31.3.03
文献标志码:
A
摘要:
目的对上海市级医院专科能力开展评价分析，展现各专科的发展水平，为医院专科建设和发展提供依据。 方法基于“病例-DRG病种-专科”的统一归集路径对专科病例进行归集，采用上海申康医院发展中心研制的临床专科能力评价指标体系，应用变异系数（CV）比较专科能力集中度，中位数表示专科平均水平，偏离度表示同一专科内最好能力与最差能力的差异。结果19个专科得分的CV值在0.09～0.19之间、中位数在539.93分～671.92分之间、偏离度在40.56%～75.37%之间。医院的总体专科能力方面，综合性医院表现优于中医类医院，专科类医院特色突出。以心血管内科为例开展同一专科院际间比较，两家正向偏离超过25%，6家负向偏离超过-10%，各家医院能力差异较大。结论通过专科能力评价与分析，能够体现专科发展特点，实现专科之间、医院之间以及不同院际同一专科之间的全面比较，助推上海市级医院专科能力建设。
Abstract:
ObjectiveTo evaluate the specialty ability of Shanghai municipal hospitals, show the development level of each specialty, and provide evidence for the construction and development of hospital specialties.MethodsBased on the unified collection path of "inpatient cases, DRG category, specialty", specialized cases were collected. The evaluation index system of clinical specialty ability developed by Shanghai Hospital Development Center was used. The coefficient of variation (CV) was used to compare the concentration of competence in a specialty. The median represented the average level of the specialty, and the deviation represented the difference between the best and worst competence within the same specialty.ResultsThe CV values of 19 specialties ranged from 0.09 to 0.19, the median was 539.93 to 671.92, and the deviation was 40.56% to 75.37%. In terms of the overall specialized ability of hospitals, general hospitals performed better than traditional Chinese medicine hospitals, and specialized hospitals had prominent characteristics. Taking cardiovascular medicine as an example, the inter-hospital comparison of the same specialty showed that two hospitals had a positive deviation of more than 25% and six hospitals had a deviation of more than -10%.The ability of each hospital varied greatly.Conclusion Through the evaluation and analysis of specialty ability, it can reflect the characteristics of specialty development, realize the comprehensive comparison between specialties, hospitals and different hospitals in the same specialty, and promote the specialty capacity building of Shanghai municipal hospitals.

参考文献/References:

［1］国务院办公厅．关于推动公立医院高质量发展的意见：国办发〔2021〕18号［ＥＢ／ＯＬ］．（２０２１－０６－０４）［2023-08-25］．ｈｔｔｐ：／／ｗｗｗ．ｇｏｖ．ｃｎ／ｚｈｅｎｇｃｅ／ｃｏｎｔｅｎｔ／２０２１－０６／０４／ｃｏｎｔｅｎｔ５６１５４７３．hｔｍ.［2］朱 辉,余飞，范理宏，等. 高质量发展形势下研究型医院评价指标体系构建研究［J］. 中国医院管理，2022,42(4):66-69.［3］韩 栋，刘 锋，关小倩,等. 基于疾病诊断相关组的医院内专科评价指标探讨［J］. 中国医院统计，2021,28(2): 172-174.［4］金春林，牛玉宏，丁汉升，等. 上海市三级甲等医院2013年度科研竞争力分析［J］.中国卫生资源，2015，18（3）：163-166.［5］黄 东，张书宁，钱菊英，等.心血管内科临床专科能力建设探索［J］.中国卫生质量管理，2023，30（6）：37-40.［6］魏 巍，李 倩，鲜 明，等.四川省医学重点学科/专科影响力评价指标体系的构建［J］.华西医学，2020，35（12）：1462-1465.［7］胡超群, 张 勘, 段增杰,等. 上海市“重中之重”临床重点学科建设评估研究［J］.中国卫生资源,2018,21(3):203-206.［8］尹 妍. “双一流”下的大型公立医院重点学科建设思考［J］. 现代医院管理, 2018, 16(4): 70-72.［9］邵兴江,潘娜瑛.指标与方法视角下我国学科评估改革的新导向［J］.黑龙江高教研究,2022,40(3):119-125.［10］包江波,何 珂,汪玲.对我国临床重点专科/学科评价和建设工作的回顾与思考［J］.中国卫生资源,2013,16(5):315-317.

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更新日期/Last Update: 2024-03-15