重庆市松散型医联体服务能力分析  

Analysis on the service capacity of the loose medical associations in Chongqing

作　　者：张立斌[1] 马弗愚 田杰[2] 何于一 何永宏[4] 陈波 罗勇[6] 吕富荣[6] ZHANG Libin;MA Fuyu;TIAN Jie;HE Yuyi;HE Yonghong;CHEN Bo;LUO Yong;LYU Furong(Office of the Party Committee,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;The Library of The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;The Office of Chongqing Municipal Health and Health Committee,Chongqing 401120,China;Department of Medical Records Statistics,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Performance Office,Chongqing Emergency Medical Center,Chongqing 400016,China;Office of the Director,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院党委办公室,400016 [2]重庆医科大学附属第一医院图书馆,400016 [3]重庆市卫生健康委员会办公室,401120 [4]重庆医科大学附属第一医院病案统计科,400016 [5]重庆市急救中心绩效办公室,400016 [6]重庆医科大学附属第一医院院长办公室,400016

出　　处：《重庆医学》2023年第6期947-950,共4页Chongqing medicine

基　　金：重庆市渝中区软科学研究项目(20150203)。

摘　　要：目的探讨重庆市松散型医联体服务能力,为进一步推进医联体建设提供参考。方法综合评价重庆市4个松散型医联体22家医疗机构的服务能力,包括医联体的4家牵头医院及其托管的18家成员单位,对加入医联体前后的年门诊人次、年出院人次、年住院手术例数、床位使用率、平均住院日、危重症比例进行分析。结果加入医联体后,18家成员单位中11家年门诊人次增长,15家年出院人次增长,11家年住院手术例数增长,10家床位使用率增长,12家平均住院日下降,6家危重症比例增长。4家牵头单位年门诊人次、年出院人次、年住院手术例数增长,平均住院日减少1.70 d,2家床位使用率增长。结论松散型医联体模式助推了医疗机构服务能力的提升。Objective To explore the service capacity of loose medical associations in Chongqing,and provide reference for further promoting the construction of medical associations.Methods The service capacity of 22 medical institutions in four loose medical associations in Chongqing was comparatively evaluated,including four leading hospitals of medical associations and 18 member units entrusted by them.The annual outpatient visits,annual discharge visits,annual hospitalization cases,bed utilization rate,average hospitalization days and critical illness ratio before and after joining the medical association were analyzed.Results After joining the medical association,the number of outpatient visits increased in 11 of the 18 member units,the number of discharged visits increased in 15,the number of hospitalized operations increased in 11,the bed utilization rate increased in ten,the average hospitalization days decreased in 12,and the proportion of critically ill patients increased in six.The number of annual outpatient visits,annual discharge visits and annual hospitalization cases of the four leading units increased,the average hospitalization days decreased by 1.70 d,and the bed utilization rate of the two units increased.Conclusion The loose medical association has promoted the service capacity of medical institutions.

关 键 词：松散型医联体 服务能力 双向转诊 分级诊疗 医疗服务体系 

分 类 号：R197.3[医药卫生—卫生事业管理]