行政多学科协作联合网格化管理提升医疗效率的实践  

Practice of administration multi-disciplinary team combined with grid management to improve medical efficiency

作　　者：李强 王思思 王诙译 程晓英[3] 陈朔晖[4] 汪伟[2] Li Qiang;Wang Sisi;Wang Huiyi;Cheng Xiaoying;Chen Shuohui;Wang Wei(Administration Office,Children′s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;Medical Service Department,Children′s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;Quality Improvement Department,Children′s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;Infection Control Department,Children′s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院党政办公室,杭州310052 [2]浙江大学医学院附属儿童医院医务部,杭州310052 [3]浙江大学医学院附属儿童医院质量管理办公室,杭州310052 [4]浙江大学医学院附属儿童医院医院感染管理部,杭州310052

出　　处：《中华医院管理杂志》2024年第4期276-280,共5页Chinese Journal of Hospital Administration

摘　　要：行政MDT是多个行政职能部门联合推动办公,解决跨职能系统性问题的高效管理方式。网格化管理通过构建三级管理网络,高效传递信息和协调资源,提高管理效率。2021年起,浙江大学医学院附属儿童医院采用行政MDT与网格化管理相结合的形式,以平均住院日为抓手开展医疗效率管理,针对事前、事中、事后3个阶段,从技术革新、信息化建设、团队协作等环节重构流程,缩短无效住院日。经过3年的实践,医院平均住院日由6.41 d缩短至5.54 d,实现了保障医疗质量和安全前提下的服务效率提升。Administrative multi-disciplinary team(MDT)is an efficient management approach that involves multiple administrative departments working together to solve cross functional systemic problems.Grid management improves management efficiency by constructing a three-level management network,efficiently transmitting information and coordinating resources.Starting from 2021,Children′s Hospital,Zhejiang University School of Medicine has adopted a combination of administrative MDT and grid management,with the average length of stay as the starting point to carry out medical efficiency management.Through the three stages of pre-,during-,and post-treatment,the hospital has reconstructed processes from technological innovation,information construction,team collaboration,and other aspects to shorten ineffective length of stay.After 3 years of practice,the average length of stay has been reduced from 6.41 d to 5.54 d,achieving an improvement in service efficiency while ensuring medical quality and safety.

关 键 词：医院 公立 医院管理 平均住院日 医疗效率 持续改进 

分 类 号：R197.32[医药卫生—卫生事业管理]