深圳市医疗服务质量整体评估的成效及改进策略分析
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摘要
深圳市开展医疗服务质量评估工作以来,医疗服务质量明显提升,医务人员医疗行为得到规范,医患关系逐步改善。质量评估体系以全面评估为基础,持续关注医疗服务质量重点领域和关键环节,广泛运用评价结果,形成了具有深圳特色的医疗服务质量整体评估体系;但在评价指标创新、评价方式和监管信息化等方面仍存在不足。建议进一步精简评估内容,将属于医院内控的质量指标交由医院自身掌控;采取日常监管为主、现场专项检查为辅的评估方式;构建智慧医疗监管信息系统,实现智能化评估。
Shenzhen established the Overall Management and Quality Control Evaluation System of Medical Service in 2002,which had played an important role in improving the quality management of medical institutions with standardizing the behavior of medical staff,improving the doctor-patient relationship.This system,based on the comprehensive assessment,gave prominence to final medical quality and lawful practice,and had the deficiencies of index innovation,evaluation methods and regulatory informationization.It is recommended to refine the content of assessment,strengthen the construction of medical information,and take daily supervision as the main evaluation profile.
Shenzhen established the Overall Management and Quality Control Evaluation System of Medical Service in 2002,which had played an important role in improving the quality management of medical institutions with standardizing the behavior of medical staff,improving the doctor-patient relationship.This system,based on the comprehensive assessment,gave prominence to final medical quality and lawful practice,and had the deficiencies of index innovation,evaluation methods and regulatory informationization.It is recommended to refine the content of assessment,strengthen the construction of medical information,and take daily supervision as the main evaluation profile.
引文
[1]谢若斯,韩春艳,樊宏,等.深圳市医疗服务整体管理与质量控制指标体系专题组讨论结果分析[J].中国医院管理,2009,29(12):39-40.
[2]田常俊.基于患者体验的医疗服务质量评价研究[D].武汉:华中科技大学,2014.
[3]马灿泽,石欧敏,邓剑,等.深圳市福永街道居民社区卫生服务满意度调查[J].中国社会医学杂志,2014,31(6):400-402.
[4]李军,于亚滨,谢苗荣,等.现行医疗质量评价指标体系的缺陷问题刍议[J].中华医院管理杂志,2011,27(4):249-253.
[5]董四平,马丽平,梁铭会.第三方医疗质量监管体系的探索与实践:基于海南省医院评鉴中心的研究[J].中国卫生质量管理,2011,18(6):9-12.
[6]Donabedian A.Evaluating the quality of medical care[J].Milbank Mem Fund Q,1966,44(3):166-203.
[7]Campbell SM,Roland MO,Buetow SA.Defining quality of care[J].Soc Sci Med,2000,51(11):1611-1625.
[8]井淇,马安宁,冀春亮,等.医院评审的国际经验及启示[J].中国卫生政策研究,2012,5(12):18-23.
[9]王小琴,刘越泽,孙军连.住院患者对医院满意度的评价研究[J].卫生软科学,2011,25(6):426-429.
[10]梁铭会.基于医疗信息化的医疗质量评价现状与建议[J].中国医院,2014,18(2):1-3.
[2]田常俊.基于患者体验的医疗服务质量评价研究[D].武汉:华中科技大学,2014.
[3]马灿泽,石欧敏,邓剑,等.深圳市福永街道居民社区卫生服务满意度调查[J].中国社会医学杂志,2014,31(6):400-402.
[4]李军,于亚滨,谢苗荣,等.现行医疗质量评价指标体系的缺陷问题刍议[J].中华医院管理杂志,2011,27(4):249-253.
[5]董四平,马丽平,梁铭会.第三方医疗质量监管体系的探索与实践:基于海南省医院评鉴中心的研究[J].中国卫生质量管理,2011,18(6):9-12.
[6]Donabedian A.Evaluating the quality of medical care[J].Milbank Mem Fund Q,1966,44(3):166-203.
[7]Campbell SM,Roland MO,Buetow SA.Defining quality of care[J].Soc Sci Med,2000,51(11):1611-1625.
[8]井淇,马安宁,冀春亮,等.医院评审的国际经验及启示[J].中国卫生政策研究,2012,5(12):18-23.
[9]王小琴,刘越泽,孙军连.住院患者对医院满意度的评价研究[J].卫生软科学,2011,25(6):426-429.
[10]梁铭会.基于医疗信息化的医疗质量评价现状与建议[J].中国医院,2014,18(2):1-3.