呼吸与危重症医学科规范化建设的探索  

Exploration of standardized development of pulmonary and critical care medicine discipline

作　　者：贾存波[1] 李杉 张春瑜[1] 方方[1] 罗楠 王辰[3] Jia Cunbo;Li Shan;Zhang Chunyu;Fang Fang;Luo Nan;Wang Chen(Healthcare Reform and Development Office,China-Japan Friendship Hospital,Beijing 100029,China;Quality Management Department,Shenzhen People’s Hospital,Shenzhen 518020,China;Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中日友好医院医改与医疗发展办公室,北京100029 [2]深圳市人民医院质量管理科,518020 [3]中国医学科学院北京协和医学院,100730

出　　处：《中华医院管理杂志》2021年第2期117-120,共4页Chinese Journal of Hospital Administration

摘　　要：目的通过总结呼吸与危重症医学科规范化建设项目实施成效,为二、三级医疗机构完善呼吸学科建设、促进学科同质化发展提供借鉴。方法2019年12月,采用自制问卷对364所参与呼吸与危重症医学科规范化建设项目的二、三级医疗机构进行网络调查。问卷内容包括医疗机构在进行规范化建设中的资金及人力资源投入和关键医疗技术提升情况等。数据分析采用描述性统计分析方法。结果二、三级医疗机构为开展科室规范化建设工作新增资金投入11.16亿元,新增人力资源投入包括医生1164名,护士2535名,技师334名。关键医疗技术方面,有58所三级医疗机构及45所二级医疗机构在开展规范化建设后达到国家《呼吸学科医疗服务能力指南(2018年版)》基本标准。结论应继续加强呼吸学科与危重症医学交融发展意识,以规范化建设项目为纽带,持续以评促建,提升呼吸系统疾病诊疗能力。Objective To summarize the achievements in standardized development of pulmonary and critical care medicine discipline,for references of developing respiratory discipline at secondary and tertiary hospitals.Methods Questionnaire survey was used to understand the input and technical promotion of the secondary and tertiary medical institutions in the standardized construction.Results The secondary and tertiary medical institutions invested 1.116 billion yuan to carry out standardized development of the discipline,recruiting 1164 doctors,2535 nurses and 334 technicians.In terms of key medical technologies,58 tertiary medical institutions and 45 secondary medical institutions meet the basic standards of"guidance on medical service capacity of respiratory discipline(2018 edition)"after carrying out standardized development.Conclusions The discipline of pulmonary and critical care medicine should continue to strengthen its input in the development of respiratory and critical medical integration,with standardized development projects as the breakthrough.Evaluation should be carried out persistently so as to promote the development,for the purpose of improving the prevention and treatment capability of pulmonary and critical care medicine.

关 键 词：学科建设 呼吸与危重症医学科 规范化建设 关键医疗技术 以评促建 

分 类 号：R197.32[医药卫生—卫生事业管理]