基于五项核心指标的公立医院高质量发展内涵探析  

Research on the features of public hospital high-quality development based on five core indicators

作　　者：陈浩[1] 陈欣妤[2] 夏小哲 周花燕 雷贤禹 Chen Hao;Chen Xinyu;Xia Xiaozhe;Zhou Huayan;Lei Xianyu(Hospital Office,Xiangya Hospital Central South University,Changsha 410008,China;Scientific Research Management Department,Xiangya Hospital Central South University,Changsha 410008,China;Medical Affairs Department,Xiangya Hospital Central South University,Changsha 410008,China;System Reform Department,Hunan Provincial Health Commission,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院办公室,长沙410008 [2]中南大学湘雅医院科研部,长沙410008 [3]中南大学湘雅医院医务部,长沙410008 [4]湖南省卫生健康委员会体制改革处,长沙410008

出　　处：《中华医院管理杂志》2022年第6期401-405,共5页Chinese Journal of Hospital Administration

基　　金：湖南省卫生健康委员会委托课题(2021年)。

摘　　要：通过分析病例组合指数、四级手术占比、技术服务收入占医疗收入的比例、人员支出占业务支出的比例以及人员薪酬中固定部分占比5项核心指标, 探讨其在公立医院高质量发展中"关注医疗水平、强化功能定位、体现技术价值、突出以人为本、保障持续发展"的导向意义, 结合一所委省共建高质量发展试点医院现状, 阐释公立医院普遍存在的功能定位不准、创新能力不强、收支结构不佳、薪酬制度不优、人才关注不够等瓶颈, 认为高质量发展是深化改革、创新驱动、结构优化、人才为本、人民至上、党建引领的发展, 并提出有针对性的路径, 为做好高质量发展试点工作提供参考。Based on the five core indicators(the case mix index,the proportion of level-4 surgery,the proportion of technical service income in medical income,the proportion of personnel expenditure in business expenditure,and the proportion of fixed part in personnel salary),the authors discussed the guiding significance of"paying attention to the medical level,strengthening the functional orientation,reflecting the technical value,highlighting people-orientation,and ensuring sustainable development"in the high-quality development of public hospitals.In combination with the current situation of a pilot hospital of high-quality development with the corporate supports of National Health Commission and Province Government,the authors explained the common bottlenecks of public hospitals,such as inaccurate functional positioning,weak innovation ability,poor finance structure,poor salary system and insufficient attention to talents.In the last,the authors pointed out that high-quality development was the development of deepening reform,innovation driven,structural optimization,talent oriented,people-oriented and under the leadership of the Communist Party of China,and put forward targeted implementation paths to provide reference for the pilot work.

关 键 词：医院 公立 高质量发展 核心指标 导向意义 内涵 

分 类 号：R197.32[医药卫生—卫生事业管理]