医院中层管理人员对学科建设与多学科协作诊疗认知评价研究  

Cognitive Evaluation Research of Coordinated Development of Discipline Construction and MDT among Middle Managers in Hospital

作　　者：周亚旭 王春鸣[1] 周莹[1] 李瑾[1] 戴慧莉[1] 李卫平[1] ZHOU Ya-xu;WANG Chun-ming;ZHOU Ying(Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai,200127,China;不详)

机构地区：[1]上海交通大学医学院附属仁济医院,上海200127

出　　处：《中国医院管理》2021年第10期46-50,共5页Chinese Hospital Management

基　　金：上海申康医院发展中心临床管理优化项目(SHDC2016613);上海交通大学医学院医学技术转移战略研究项目(Z201601)。

摘　　要：目的了解医院中层管理人员对医院学科建设及多学科协作诊疗(multi-disciplinary diagnosis and treatment,MDT)的认知现状及影响要素,挖掘两者联动发展的共同点,为其联动发展提供针对性建议。方法自制结构式问卷,以医院中层管理人员为调查对象。运用方差分析、χ2检验、描述性统计等方法对数据进行统计分析。结果学科建设的资源投入要素主要为平台建设和人才经费,成果产出要素主要为专科声誉和科研成果。80%以上的调查对象对于MDT的理解和源动力集中于疑难杂症的诊疗。调查对象对于MDT难点的选择比较分散,仅"医生等人员(精力)的短缺"和"MDT的文化氛围"选择占比超过了50%。临床科主任对于将MDT纳入科主任考核和学科建设评价指标的认同度得分分别为3.53和3.59分,低于另外两类人员。结论平台建设和人才经费是学科建设和MDT联动发展的共同要素。MDT应纳入医院层面考核评价体系和院内优势学科的学科建设评价指标。Objective Based on the perspective of the hospital’s middle managers,it aimed to grasp the development status and influencing factors of discipline construction and multi-disciplinary diagnosis and treatment(MDT),discover the common elements of the linkage development,and put forward relevant policy recommendations. Methods A self-made structured questionnaire was used,with middle-level cadres in general hospitals as the survey object. Statistical analysis was performed by variance analysis,chi square test and descriptive statistics. Results The resource input elements of discipline construction were mainly platform construction and talent funding,and the output elements were mainly professional reputation and scientific research results. More than 80% of the respondents had the perspective that the understanding and motivation for MDT focused on the diagnosis and treatment of intractable diseases. Respondents’ choices for the difficulty of MDT were relatively scattered,only "physician manpower(energy) shortage" and "the cultural atmosphere of multidisciplinary collaborative diagnosis and treatment"accounted for more than 50%. The clinical department director’s recognition scores for the inclusion of the implementation of MDT into the department director’s assessment and discipline construction evaluation indicators were 3.53 and 3.59,respectively,which were lower than those of other two sequences. Conclusion Platform construction and talent funding were the common elements for the joint development of discipline construction and MDT. MDT should be included in the hospital-level assessment and evaluation system and be more targeted into the evaluation indicators of discipline construction of superior disciplines in the hospital.

关 键 词：学科建设 多学科协作诊疗 医院 中层管理人员 

分 类 号：R197.323.2[医药卫生—卫生事业管理]