自贡市区域临床检验质量管理网络建设初探  

Preliminary study on the construction of regional clinical inspection quality management network in Zigong City

作　　者：殷明刚 杨新春 徐雪梅[1] 刘伟平[1] 张春平 曹成建 YIN Minggang;YANG Xinchun;XU Xuemei;LIU Weiping;ZHANG Chunping;CAO Chengjian(Department of Clinical Laboratory,Zigong First People′s Hospital,Zigong,Sichuan 643000,China;Department of Laboratory Medicine,Sichuan Vocational College of Health and Rehabilitation,Zigong,Sichuan 643000,China;Sichuan Dajia Medical Examination Co.Ltd,Chengdu,Sichuan 610041,China)

机构地区：[1]自贡市第一人民医院检验科,四川自贡643000 [2]四川卫生康复职业学院检验系,四川自贡643000 [3]四川大家医学检测有限公司,四川成都610041

出　　处：《国际检验医学杂志》2020年第19期2364-2367,共4页International Journal of Laboratory Medicine

基　　金：四川省卫生计生委科研课题(17PJ526);自贡市重点科技计划项目(2017SF09)。

摘　　要：目的探讨自贡市区域临床检验质量管理网络建设。方法选择2017-2019四川省川南经济区自贡市167医疗机构作为研究组,通过参考国际较为成熟的临床检验质量管理网络体系,结合全国范围内征集的实验室意见,开发设计以区域临床检验质量管理网络系统为平台的信息管理系统。选择该区域2014-2016年155医疗机构为对照组,均未开发设计以区域临床检验质量管理网络系统为平台的信息管理系统。统计并比较两组医疗机构的收入、支出、结余、同期支出、年支出增长率、年结余增长率。结果研究组医疗机构总收入11123万元,总支出5502万元,总结余、总支出分别占总收入的50.5%、49.5%;而对照组医疗机构总收入11123万元,总支出5502万元,总结余、总支出分别占总收入的41.2%、58.8%。研究组总支出低于对照组,总结余高于对照组,差异均有统计学意义(P<0.05)。两组医疗机构年收入和结余增长率逐年升高,差异有统计学意义(P<0.05),年支出率比较,差异无统计学意义(P>0.05)。结论区域临床检验质量管理系统能够集公共数据共享、标本采集条码化等流程纳入信息化管理,从而提高医疗机构的总结余,降低总支出。Objective To explore the construction of regional clinical laboratory quality management network in Zigong City.Methods From 2017 to 2019,167 medical institutions in Zigong City,Southern Sichuan Economic Zone,were selected as the research group.By referring to the international mature clinical laboratory quality management network system and combining with the laboratory opinions collected nationwide,an information management system based on the regional clinical laboratory quality management network system was developed and designed.155 medical institutions in the region from 2014 to 2016 were selected as the control group,and no information management system was developed and designed based on the regional clinical laboratory quality management network system.The income,expenditure,savings,expenditure in the same period,annual expenditure growth rate and annual balance growth rate of the two groups of medical institutions were counted and compared.Results The total income of medical institutions of the study group was 111.23 million yuan,and the total expenditure was 55.02 million yuan,the total savings and total expenditure accounted for 50.5%and 49.5%of the total income respectively,while the total income of the control group was 111.23 million yuan,and the total expenditure was 55.02 million yuan,accounting for 41.2%and 58.8%of the total income respectively.The total expenditure of the study group was lower than that of the control group,and the total savings was higher than that of the control group,with statistically significant differences(P<0.05).The annual income and savings growth rate of the two groups increased year by year,the difference was statistically significant(P<0.05).There was no statistically significant difference in the annual expenditure rate(P>0.05).Conclusion Regional clinical laboratory quality management system could integrate public data sharing,sample collection barcode and other processes into information management,so as to improve the savings of medical institutions and reduce t

关 键 词：区域临床检验 质量管理 网络建设 

分 类 号：R446.1[医药卫生—诊断学]