基于质量管理与绩效评价平台的《浙江省手术分级目录(绩效版)》的建立与应用  

Development and application of Zhejiang Province Surgical Grading Directory(Performance Version)based on a quality management and performance evaluation platform

作　　者：蔡栋[1] 朱晓华[1] 付铁红 Cai Dong;Zhu Xiaohua;Fu Tiehong(The Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,Zhejiang Province,China;Health Commission of Zhejiang Province)

机构地区：[1]浙江大学医学院附属第二医院,浙江杭州310009 [2]浙江省卫生健康委员会

出　　处：《中国医疗管理科学》2021年第5期66-69,共4页Chinese Journal Of Medical Management Sciences

基　　金：浙江省康恩贝医院管理软科学研究项目(2019ZHA-KEB102)。

摘　　要：浙江省卫生健康委制定和发布了《浙江省手术分级目录(绩效版)》,用于指导医院构建院内手术分级绩效考核体系。二级医院依托医联体内上级医院的指导,三、四级手术占比明显提高,促进了分级诊疗和医疗资源有效配置。该目录集合了浙江省临床专家和疾病分类编码专家的集体智慧,符合浙江省临床实际,能够适用于全省医院绩效考核评价,同时也促进了上级医院构筑医学高峰,与手术资质精细化管理相结合,真正实现了全省范围内的"双下沉、两提升",其成效显著。The Health Commission of Zhejiang Province has developed and released the Zhejiang Province Surgical Grading Directory(Performance Version)to guide hospitals in Zhejiang Province to construct their hospital-level surgical grading performance assessment system.Under the guidance of the higher-level hospitals within the medical alliances,the proportions of grades 3 and 4 surgeries have been increasingly performed in secondary hospitals,promoting the development of hierarchical diagnosis and treatment systems and the efficient allocation of medical resources.The Directory embodies the joint efforts and wisdom of clinicians and disease classification/coding experts from Zhejiang Province,and conforms to the clinical practice in Zhejiang Province and can be applied to the surgical grading in the hospital performance assessment inside the province.It also helps to promote the construction of"medical peaks"in higher-level hospitals,which,when combined with the refined management of surgical qualifications,truly realizes the rational layout of high-quality medical resources,by which both medical talents and urban hospitals provide guidance for lowerlevel hospitals and improve both medical service capacity in grassroots hospitals and patient satisfaction,and has made significant achievements.

关 键 词：手术分级 绩效管理 质量管理 浙江省 

分 类 号：R197.3[医药卫生—卫生事业管理]