基于循证决策的公立医院精益运营管理模式构建  

A Lean Operation Management Model for Public Hospital is Constructed Based on Evidence Based Decision-Making

作　　者：赵要军 王雷超 李建军[2] 蒋帅 郑丽[1] 刘雯雯[1] 穆子涵 郭智萍 Zhao Yaojun;Wang Leichao;Li Jianjun;Guo Zhiping(Central China Fuwai hospital/Central China Fuwai Hospital of Zhengzhou University,Zhengzhou,Henan,451464,China;不详)

机构地区：[1]华中阜外医院·郑州大学华中阜外医院,河南郑州451464 [2]河南省人民医院,河南郑州450003 [3]郑州大学第一附属医院,河南郑州450052

出　　处：《中国医院管理》2024年第3期5-8,共4页Chinese Hospital Management

基　　金：河南省医院管理创新研究课题(HNYGCX-2023-04A,HNYGCX-2023-01B)。

摘　　要：全面提升公立医院高质量发展新效能是“十四五”时期深化公立医院改革的关键顶层设计。针对近年来药品耗材加成取消、支付方式改革的深度推进等公立医院面临的宏观环境变化,公立医院运营微观层面存在的诊疗业务与经济运行活动相分离、决策方式粗放、资源配置不合理以及流程亟待优化等突出问题,借鉴价值管理、精益管理和循证决策等理论,探索构建基于“业财融合、精益运营、循证决策”的三位一体公立医院精益运营管理模式。旨在打破临床诊疗业务与经济运营管理“双线”相对平行运作壁垒,探索形成业财融合直线参谋型管理新架构,充分发挥专家治院作用,将“技术型+管理型”双轮驱动的专业委员会制度纳入医院决策体系,为医院领导层科学决策提供循证支持。Comprehensively improving the new efficiency of high-quality development of public hospitals is the key top-level design for deepening the reform of public hospitals during the“14th Five-Year Plan”period.In view of the changes in the macro environment faced by public hospitals in recent years,such as the cancellation of the addition of pharmaceutical consumables and the deep promotion of the reform of payment methods,as well as the outstanding problems existing at the micro level of public hospital operation,such as the separation of diagnosis and treatment business from economic operation activities,extensive decision-making methods,unreasonable allocation of resources and urgent optimization of processes.By referring to relevant theories such as value management theory,a new“trinity”public hospital lean operation management model based on“integration of industry and finance,lean operation and evidence-based decision-making”is explored and constructed.It breaks the relatively parallel operation barriers of clinical diagnosis and treatment business and economic operation management,innovates a new method of linear staff management with the integration of industry and finance,gives full play to the role of experts in governing hospitals,and integrates the professional committee system driven by“technology+managemen”into the hospital decision-making staff system to provide data evidence-based basis for assisting the hospital leadership to make scientific decisions.

关 键 词：公立医院 循证决策 精益管理 运营管理 

分 类 号：R197.322[医药卫生—卫生事业管理]