某院"金字塔"分层学科评估体系构建与应用  

Construction and application of the"pyramid"hierarchical discipline evaluation system in a hospital

作　　者：吕国悦[1] 刘彬[1] 魏锋[2] 李艳春[2] 王雪[2] 于家傲[1] Lyu Guoyue;Liu Bin;Wei Feng;Li Yanchun;Wang Xue;Yu Jia′ao(First Hospital of Jilin University,Jilin 130021,China;Medical Department,First Hospital of Jilin University,Jilin 130021,China)

机构地区：[1]吉林大学第一医院,吉林130021 [2]吉林大学第一医院医务部,吉林130021

出　　处：《中华医院管理杂志》2024年第6期405-409,共5页Chinese Journal of Hospital Administration

基　　金：吉林大学医院管理研究项目(2022)。

摘　　要：精准评估和定位学科发展现状,有助于医院制定针对性的学科发展策略,实现学科发展目标。2022年3月,某大型三级甲等公立医院基于马斯洛需求层次理论,建立了以学科需求为导向的"金字塔"分层学科评估体系,从低至高依次设置医疗质量安全、科室运营、亚专业建设、科教成果、平台建设和人才培养6个层次评估指标(包含6项一级指标、21项二级指标和44项三级指标)。通过应用该评估体系,并以"学科诊断报告"和"学科评估大会"的形式反馈评估结果,医院学科建设在6个层次均得到提升。其中,2022—2023年医院新增5个国家临床重点专科;亚专业建设学科由2021年的18个增至2023年的61个,患者满意度由94.64%升至96.25%。该评估体系能够较客观地反映学科发展水平,引领学科高质量发展,可为其他公立医院推动学科发展提供借鉴。Accurately assessing and positioning the current development status of disciplines can help hospitals formulate targeted disciplinary development strategies and achieve disciplinary development goals.In 2022,a large tertiary public hospital established a discipline-demand-oriented"pyramid"hierarchical discipline evaluation system based on Maslow's need-hierarchy theory.The discipline evaluation system set six levels of evaluation indicators from low to high,including medical quality and safety,department operation,sub specialty construction,scientific and educational achievements,platform construction,and talent cultivation(including 6 primary indicators,21 secondary indicators,and 44 tertiary indicators).By applying the evaluation system and providing feedback on the evaluation results in the form of"disciplinary diagnostic reports"and"disciplinary evaluation conferences,"the hospital's discipline construction had been improved at six levels.From 2022 to 2023,the hospital added five national clinical key specialties;The number of sub major construction disciplines increased from 18 in 2021 to 61 in 2023,and patient satisfaction increased from 94.64% to 96.25%.This evaluation system could objectively reflect the level of discipline development,lead the high-quality development of disciplines,and provide references for other public hospitals to promote discipline development.

关 键 词：学科建设 学科评估 需求层次理论 综合医院 医院管理 

分 类 号：R197.32[医药卫生—卫生事业管理]