构建医院“三重一大”集体决策流程评分体系研究  

Construction of a scoring system for the'Three Major and One Large'collective decision-making process in hospitals

作　　者：刘慧明 陆嘉惠[1] 唐晓丹[1] 罗云[1] 曹芳[1] 邹雨婷 LIU Huiming;LU Jiahui;TANG Xiaodan;LUO Yun;CAO Fang;ZOU Yuting(Shanghai Municipal Hospital of Traditional Chinese Medicine,affiliated with Shanghai University of Traditional Chinese Medicine,Shanghai,200071,PRC)

机构地区：[1]上海中医药大学附属市中医医院(上海市中医医院),上海市200071

出　　处：《中国医院》2024年第4期60-64,共5页Chinese Hospitals

基　　金：2023年度上海市卫生健康委党建课题(wj2023064);上海市进一步加快中医药传承创新发展三年行动计划项目[ZY(2021-2023)-0204-06]。

摘　　要：本研究以文献研究、专家咨询为基础,通过对上海市8所市级医院开展深度访谈,全面梳理“三重一大”决策流程各关键环节和特色经验,最终聚焦“前期论证”“沟通酝酿”“协调督办”等9个主要环节构建评分体系,确定25项评分指标,实现“三重一大”集体决策流程的量化与评估。通过评分积累,有针对性地解决个性化科室问题与共性化薄弱环节;通过持续梳理改进、良性循环,强化“三重一大”过程管理和反馈机制建设,推进民主科学决策规范化开展。This study,based on literature research and expert consultation,conducted in-depth interviews with eight municipal hospitals in Shanghai to comprehensively sort out the key links and characteristic experiences in the'Three Major and One Large'decision-making process.The study ultimately focused on nine main phases including'preliminary demonstration,''communication and brewing,'and'coordination and supervision'to construct a scoring system,identifying 25 scoring indicators to quantify and assess the collective decisionmaking process of'Three Major and One Large.'By accumulating scores,the system aims to address specific departmental issues and common weaknesses;through continuous refinement and a positive cycle,it enhances the process management and feedback mechanisms of'Three Major and One Large,'advancing the standardized development of democratic and scientific decision-making.

关 键 词：医院 “三重一大” 议事规则 过程管理 评分体系 

分 类 号：R197.3[医药卫生—卫生事业管理]