重庆市区县级妇幼保健院医疗质量管理体系评价
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摘要
目的评价重庆市区县级妇幼保健院医疗质量管理体系建设现状,研究目前管理体系的不足,为接下来质量持续改进工作提供依据。方法 2016年9月采用问卷调查法和关键知情人访谈对重庆市潼南区和万州区妇幼保健院的员工进行调查。结果发放350份问卷,回收344份有效问卷,有效回收率为98.29%。员工对医疗质量管理六大维度的总体重要性认知和满意度评价尚可,其中对医疗质量管理的组织构架、管理职能和相关制度三大维度的重要性认知和满意度较好,对运行监督、管理培训和管理工具三大维度的重要性认知和满意度较差。结论对医疗质量管理体系总体评价尚可,应进一步加强管理培训,完善运行监督,提高管理工具的运用。
Objective To evaluate the current situation of medical quality management system construction in district( county) level maternal and child health care hospitals in Chongqing,research the deficiency of current management system,and provide a basis for continuous quality improvement work. Methods The employees of Maternal and Child Health Care Hospitals of Tongnan District and Wanzhou District in Chongqing were surveyed by questionnaire method and key informant interview in September 2016. Results A total of 350 questionnaires were distributed,and 344 valid questionnaires were collected,the effective recovery rate was 98. 29%. The cognitions of overall importance and satisfaction degrees of the six dimensions of medical quality management were not bad,the cognitions and satisfaction of degrees of organizational structure,management function,and correlative system of medical quality management were good,the cognitions and satisfaction of degrees of operation supervision,management training,and management tools were not good. Conclusion The overall evaluation of medical quality management system is not bad,management training should be further strengthened,operation supervision and use of management tools should be improved.
Objective To evaluate the current situation of medical quality management system construction in district( county) level maternal and child health care hospitals in Chongqing,research the deficiency of current management system,and provide a basis for continuous quality improvement work. Methods The employees of Maternal and Child Health Care Hospitals of Tongnan District and Wanzhou District in Chongqing were surveyed by questionnaire method and key informant interview in September 2016. Results A total of 350 questionnaires were distributed,and 344 valid questionnaires were collected,the effective recovery rate was 98. 29%. The cognitions of overall importance and satisfaction degrees of the six dimensions of medical quality management were not bad,the cognitions and satisfaction of degrees of organizational structure,management function,and correlative system of medical quality management were good,the cognitions and satisfaction of degrees of operation supervision,management training,and management tools were not good. Conclusion The overall evaluation of medical quality management system is not bad,management training should be further strengthened,operation supervision and use of management tools should be improved.
引文
[1]马万强,陈俊国.某医院医疗质量管理的几点思考[J].中国卫生事业管理,2012,29(8):582-583.
[2]罗毅.医疗质量管理新思维[J].现代医院管理,2004,2(4):1-3.
[3]姚瑶,刘斌,刘国恩.妇幼保健院规模与妇幼保健水平的关系:基于全国省级面板数据的研究[J].人口与发展,2014,21(4):65-75.
[4]许国锋,尚志君.新医改下妇幼保健院品牌建设的实践与思考[J].中国医院管理,2012,23(10):79-80.
[5]刘芝梅,吴修荣.三级妇幼保健院全面质量管理体系建立与质量缺陷定额管理效果评价[J].中国实用医药,2014,9(35):234-235.
[6]秦颖.吉林油田总医院医疗质量管理体系研究[D].吉林大学,2011.
[7]吴义龙.医院医疗质量管理研究[D].西北农林科技大学,2013.
[8]周炯,李昕隆.JCI管理标准倡导的管理工具在医院管理中的实际应用[J].南京医科大学学报(社会科学版),2014,55(1):45-48.
[9]张彬,王胜.50家三级医院医疗质量管理现状问卷调查结果分析[J].中国医院管理,2011,15(9):17-19.
[10]熊晶晶,张泽洪,吴文报.医院质量管理模式的调查与思考[J].医学与社会,2008,21(12):42-44.
[11]常虹.我国医院评审中管理工具的应用研究[D].青岛大学,2015.
[12]李青.注重全员质量管理培训树立全方位质控观念[J].中医药管理杂志,2009,17(8):767-768.
[13]陈妹芳.基层医院医疗质量监管的实践和体会[J].中国卫生资源,2010,13(3):125-139.
[14]田燕,胡占生,陈穗芬,等.信息化技术将医疗质量监管前移[J].中国卫生质量管理,2010,16(6):63-66.
[15]Wardhani V,Utarini A,van Dijk JP,et al.Determinants of quality management systems implementation in hospitals[J].Health Policy,2009,89(3):239-251.
[16]Barron WM,Krsek C,Weber D,et al.Critical success factors for performance improvement programs[J].Jt Comm J Qual Patient Saf,2005,31(4):220-226.
[17]宁燕.构建科学的医疗质量管理体系[J].现代医院管理,2008,6(4):18-21.
[2]罗毅.医疗质量管理新思维[J].现代医院管理,2004,2(4):1-3.
[3]姚瑶,刘斌,刘国恩.妇幼保健院规模与妇幼保健水平的关系:基于全国省级面板数据的研究[J].人口与发展,2014,21(4):65-75.
[4]许国锋,尚志君.新医改下妇幼保健院品牌建设的实践与思考[J].中国医院管理,2012,23(10):79-80.
[5]刘芝梅,吴修荣.三级妇幼保健院全面质量管理体系建立与质量缺陷定额管理效果评价[J].中国实用医药,2014,9(35):234-235.
[6]秦颖.吉林油田总医院医疗质量管理体系研究[D].吉林大学,2011.
[7]吴义龙.医院医疗质量管理研究[D].西北农林科技大学,2013.
[8]周炯,李昕隆.JCI管理标准倡导的管理工具在医院管理中的实际应用[J].南京医科大学学报(社会科学版),2014,55(1):45-48.
[9]张彬,王胜.50家三级医院医疗质量管理现状问卷调查结果分析[J].中国医院管理,2011,15(9):17-19.
[10]熊晶晶,张泽洪,吴文报.医院质量管理模式的调查与思考[J].医学与社会,2008,21(12):42-44.
[11]常虹.我国医院评审中管理工具的应用研究[D].青岛大学,2015.
[12]李青.注重全员质量管理培训树立全方位质控观念[J].中医药管理杂志,2009,17(8):767-768.
[13]陈妹芳.基层医院医疗质量监管的实践和体会[J].中国卫生资源,2010,13(3):125-139.
[14]田燕,胡占生,陈穗芬,等.信息化技术将医疗质量监管前移[J].中国卫生质量管理,2010,16(6):63-66.
[15]Wardhani V,Utarini A,van Dijk JP,et al.Determinants of quality management systems implementation in hospitals[J].Health Policy,2009,89(3):239-251.
[16]Barron WM,Krsek C,Weber D,et al.Critical success factors for performance improvement programs[J].Jt Comm J Qual Patient Saf,2005,31(4):220-226.
[17]宁燕.构建科学的医疗质量管理体系[J].现代医院管理,2008,6(4):18-21.