基于组织变革理论的医院多学科综合诊疗体系构建  

Construction of Multidisciplinary Team Diagnosis and Treatment System Based on Organizational Reform Theory

作　　者：卢建龙[1] 曹志刚[1] 王宇[1] 郭小毛[1] LU Jian-long CAO Zhi-gang WANG Yu et al.(Fudan University Shanghai Cancer Center,Shanghai 200032,Chin)

机构地区：[1]复旦大学附属肿瘤医院复旦大学上海医学院肿瘤学系,上海200032

出　　处：《中国肿瘤》2017年第9期665-668,共4页China Cancer

基　　金：复旦大学附属肿瘤医院管理专项基金;上海申康医院发展管理中心支持项目(SHDC2015626)

摘　　要：根据组织变革理论,回顾性总结分析2005~2016年间复旦大学附属肿瘤医院在组织流程、技术支撑和人才培养等3个组织变革维度的多学科综合诊疗体系构建经验和建设效果,并探索组织变革理论在多学科综合诊疗中的应用。案例研究发现多学科综合诊疗体系的建设和发展需要依靠完善的组织制度和工作流程,科研和信息化的技术支持,以及可持续的人才培养和绩效激励机制,这与组织变革理论相辅相成。组织变革理论可用于指导医院多学科综合诊疗建设。This paper retrospectively analyzed the experience and effect of constructing the multidisciplinary team（MDT） diagnosis and treatment system in Fudan University Shanghai Cancer Center from 2005 to 2016.The paper reviewed the organizational structure,technical support and personnel training aspects,and explored the application of organization reform theory in MDT diagnosis and treatment system construction.The case study found that the construction and development of MDT diagnosis and treatment system should rely on the perfect organizational system and work flow,scientific research and information technology support,and sustainable personnel training and performance incentive mechanism,all of which were consistent with the theory of organizational reform.The results suggest that the organizational reform theory can be used to guide the construction of MDT diagnosis and treatment system.

关 键 词：组织变革 多学科诊疗 组织结构 技术支持 人才培养 

分 类 号：R197[医药卫生—卫生事业管理]