基于矩阵式管理模式的三级综合医院行风建设探讨  

Practice and thinking of the hospital ethics development at tertiary general hospitals based on matrix management model

作　　者：胡龙军 张戟[2] 李济宇[3] 钱明平[1] Hu Longjun;Zhang Ji;Li Jiyu;Qian Mingping(Department of Professional Ethos Construction of Medical Affairs of Shanghai Tenth People′s Hospital,Shanghai 200072,China;Department of Medical Affairs of Shanghai Tenth People′s Hospital,Shanghai 200072,China;Office of Hospital Director of Shanghai Tenth People′s Hospital,Shanghai 200072,China)

机构地区：[1]上海市第十人民医院医务处行风建设办公室,200072 [2]上海市第十人民医院医务处,200072 [3]上海市第十人民医院院长办公室,200072

出　　处：《中华医院管理杂志》2020年第11期926-930,共5页Chinese Journal of Hospital Administration

基　　金：上海市卫生健康委员会项目(2020HP11);上海市第十人民医院党建课题(2020DJPY17)。

摘　　要：矩阵式管理模式作为一种成熟的管理方法,已在各领域广泛应用。作者介绍了某三级综合医院,将行风工作与医政管理、医疗服务行为规范相结合,并基于矩阵式管理模式开展行风建设工作的实践。通过梳理医院医务管理中可能存在的行风风险环节,确立责任事项和涉及部门,在行风培训、行风宣传、行风约谈、防统方、患者权益维护、医师多点执业管理、学术合作、行风巡查等领域形成8个稳定的矩阵式行风工作小组。作者认为,应用矩阵式管理方式既契合医院行风建设工作特点,又符合医院多部门协作发展要求,可提高行风建设工作效率。随着医院行风建设工作的推进及内涵不断发展,矩阵式管理可成为其常态管理模式。As a mature management method,the matrix management model has been embraced by various sectors at large.This article introduced the practice of a tertiary general hospital in combining hospital ethics with medical administration and code of conduct for medical service,leveraging the matrix management mode in hospital ethics construction.By sorting out the risk exposure in hospital ethics,the hospital identified specific responsibilities and departments involved.On such basis,eight stable matrix-based ethics working groups were established,namely hospital ethics training,hospital ethics publicity,hospital ethics interview,prevention against prescription statistics for drug rebate,patient rights protection,management of physician practice in other medical facilities,academic cooperation,and hospital ethics tour inspections.Matrix-based management meets the characteristics of hospital ethics development as it not only enables multi-department management needs,but also improves the efficiency.With the advancement and connotation enrichment of hospital ethics development,matrix management can become a regular management mode.

关 键 词：医政管理 行风建设 矩阵式管理 多部门协作 

分 类 号：R197.32[医药卫生—卫生事业管理]