胸痛中心多学科协作诊疗管理模式探讨  

Exploration of Multidisciplinary Collaborative Management Diagnosis and Treatment Model in the Construction of Chest Pain Center

作　　者：汪刚[1] 侯旭敏[1] 张晓丽[2] 范小红[2] WANG Gang;HOU Xuming;ZHANG Xiaoli;FAN Xiaohong(Division of Medical Affairs, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030;Dean's Office, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030)

机构地区：[1]上海市胸科医院/上海交通大学附属胸科医院医务部,上海200030 [2]上海市胸科医院/上海交通大学附属胸科医院院长办公室,上海200030

出　　处：《解放军医院管理杂志》2019年第7期669-670,677,共3页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：借鉴多学科协作诊疗模式(MDT)的管理经验,探索及总结有专科特色的胸痛中心建设模式。胸痛中心不同于传统意义上的医学学科,而是具有不同资源及优势的学科为了共同的目标走到一起的非实体性组织。通过整合院内外相关优势资源,形成一套相应的组织模式和运行机制。首先,胸痛中心在组织体系上形成技术团队上的两层同心圆结构及管理团队上的双总监负责制度。其次,采用"三固定"的整合门诊,急诊"一键启动"等具体形式落实和实施多学科密切协作,促进学科交互的常态化。再次,通过定期例会、指南流程化和培训学习,实现学习型组织内部的知识共享和交流,落实指南的本地化,带动多学科协作的标准化。总之,MDT实现多学科的优势互补,资源内聚,知识共享,从而打造专科品牌和医院的核心竞争力。Based on the management experience of multidisciplinary cooperative diagnosis and treatment model (MDT), we explored and summarized the construction mode of the chest pain center with specialized features. Different from the traditional medical discipline, the chest pain center is a non-entity organization that comes together by disciplines with different resources and advantages for the common goal. Through the integration of related advantageous resources inside and outside the hospital, a corresponding organizational model and operation mechanism was formed. First, the chest pain center formed the two concentric circles structure in the technical team and dual director accountability system in the management team. Secondly, the “three fixed” integrated outpatient service, emergency “one button start” and other specific forms implemented multidisciplinary cooperation and promoted the normalization of multidisciplinary interaction. Thirdly, through regular meeting, guideline process and training, the chest pain center achieved the knowledge sharing and communication, implemented the localization of the guideline and promoted the standardization of multidisciplinary collaboration. In a word, MDT has achieved the complementary advantages of multidisciplines, resource cohesion and knowledge sharing, so as to build the core competitiveness of specialty brand and hospital.

关 键 词：胸痛中心 多学科协作诊疗 管理模式 

分 类 号：R197.32[医药卫生—卫生事业管理]