国家儿童区域医疗中心管理体制与运行机制的实践探索  

Exploration of the construction mode,management system and operation mechanism of national children′s regional medical center

作　　者：吴红燕 张晓敏[2] 高静[3] 陈昊彬 成怡冰 罗淑颖 于映映 周崇臣 Wu Hongyan;Zhang Xiaomin;Gao Jing;Chen Haobin;Cheng Yibing;Luo Shuying;Yu Yingying;Zhou Chongchen(Children′s Hospital Affiliated to Zhengzhou University,Henan Children′s Hospital Zhengzhou Children′s Hospital,Zhengzhou 450018,China;Regional Central Office,Children′s Hospital Affiliated to Zhengzhou University,Henan Children′s Hospital Zhengzhou Children′s Hospital,Zhengzhou 450018,China;Hospital Administrative Office,Children′s Hospital Affiliated to Zhengzhou University,Henan Children′s Hospital Zhengzhou Children′s Hospital,Zhengzhou 450018,China;Emergency and Critical Care Medicine,Children′s Hospital Affiliated to Zhengzhou University,Henan Children′s Hospital Zhengzhou Children′s Hospital,Zhengzhou 450018,China;Research Management Office,Children′s Hospital Affiliated to Zhengzhou University,Henan Children′s Hospital Zhengzhou Children′s Hospital,Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院郑州儿童医院,郑州450018 [2]郑州大学附属儿童医院/河南省儿童医院郑州儿童医院区域中心办公室,郑州450018 [3]郑州大学附属儿童医院/河南省儿童医院郑州儿童医院院办公室,郑州450018 [4]郑州大学附属儿童医院/河南省儿童医院郑州儿童医院急诊科,郑州450018 [5]郑州大学附属儿童医院/河南省儿童医院郑州儿童医院科研办,郑州450018

出　　处：《中华医院管理杂志》2024年第4期241-247,共7页Chinese Journal of Hospital Administration

基　　金：河南省哲学社会科学规划项目(2019BSH014,2020BSH016);河南省软科学研究计划项目(212400410143)。

摘　　要：党的二十大报告对促进优质医疗资源扩容和区域均衡布局进行了重大部署,国家区域医疗中心建设是落实落地的重要举措。河南省儿童医院郑州儿童医院(北京儿童医院郑州医院)国家儿童区域医疗中心在"三个共建"建立的国家、省、市多重管理体制下,系统梳理了中心的内外部议事决策机制,建立了管理、人才、学科、体系四大方面的管理体制和运行机制,并在人才引进培养、薪酬分配、双向交流、考核激励、学科建设、技术应用、科技创新共享评价、院校科教联动融合、分级诊疗体系构建等方面进行了探索。文章从因地制宜建设、加强内部协同、优化外部保障等方面提出建议,以期为其他国家区域医疗中心建设项目的深入推进提供实践参考。The report of the 20th National Congress of the Communist Party of China has made a major deployment to promote the expansion of high-quality medical resources and balanced regional layout,and the construction of national regional medical centers is an important measure to implement the landing.By analyzing the"three co-construction"mode of the National Children′s Regional Medical Center of Henan Children′s Hospital(Beijing Children′s Hospital Zhengzhou Hospital),this paper systematically introduced the internal and external decision-making,management and operation of the regional medical center from four aspects:management,talent,discipline and system.The practice and effectiveness in talent introduction and training,salary distribution,two-way communication,assessment and incentive,discipline construction,technology application,sharing and evaluation of scientific and technological innovation,institutional linkage and integration,as well as the construction of a hierarchical diagnosis and treatment system,were put forward.Suggestions such as construction according to local conditions,strengthening internal coordination,and optimizing external guarantee were put forward,so as to provide practical reference for the in-depth promotion of other national regional medical center construction projects.

关 键 词：医院 公立 国家区域医疗中心 医院 儿科 管理体制 运行机制 

分 类 号：R197.5[医药卫生—卫生事业管理]