全国重症医学专业医疗服务与质量安全调查  

National Investigation on Medical Services and Quality Safety of Critical Care

作　　者：李奇[1] 马旭东 苏龙翔[1] 李尊柱[1] 李真[1] 孙建华[1] 罗红波[1] 李若祎 何怀武[1] 隆云[1] 周翔 刘大为 LI Qi;MA Xudong;SU Longxiang(Peking Union Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China)

机构地区：[1]中国医学科学院,北京协和医院,北京100730 [2]国家卫生健康委员会医政医管局医疗质量与评价处,北京100044 [3]中国医学科学院北京协和医院重症医学科,北京100730

出　　处：《中国卫生质量管理》2020年第1期1-4,43,共5页Chinese Health Quality Management

摘　　要：目的了解我国重症医学专业医疗服务与质量安全现况。方法采用结构化抽样方法,对全国3425家不同级别医院重症医学科进行调查,调查内容包括:医疗质量与服务结构指标(床位数、医护人员配备)、控制指标(ICU患者收治率、病死率等)及其完成率等。结果不同级别医院的重症医学专业质量指标存在较大差异,重症医学科资源配置尚不合理,重症医学质量安全仍有待进一步改进提高。结论建立完善的激励和培养机制,加强人才队伍建设,进而壮大和稳定ICU医护队伍。建设远程医疗中心网络,完善区域协同医疗信息平台等智慧医疗设施,探索远程ICU诊疗模式。Objective To investigate the current situation of medical services and quality safety in critical care medicine in China.Methods Structural sampling method was used to investigate the intensive care department of 3425 hospitals at different levels in China,including medical quality and service structure indicators(number of beds,staffing of medical staff),control indicators(admission rate of ICU patients,mortality rate,etc.)and completion rate.Results The quality indicatorsof critical care medicine in hospitals of different levels were quite different.Theallocation of resources of intensive care department was not reasonable,and the quality and safety of critical care medicine still needed to be further improved.Conclusion Establish a sound incentive and training mechanism,strengthen the construction of the talent team,and then strengthen and stabilize the ICU medical team.Establish a network of telemedicine centers,improve smart medical measures such as regional collaborative medical information platforms,and explore remote ICU diagnosis and treatment model.

关 键 词：重症医学 医疗服务 质量 调查 

分 类 号：R197[医药卫生—卫生事业管理] R441[医药卫生—公共卫生与预防医学]