公立医院临床专科高质量发展内外联动机制研究  

Research on Internal and External Linkage Mechanism to Promote the High-quality Development of Clinical Specialties in Public Hospitals

作　　者：陈欢欢 丁玺鸣 江蒙喜 Chen Huanhuan;Ding Ximing;Jiang Mengxi(China National Health Development Research Center,Beijing,100032,China;不详)

机构地区：[1]国家卫生健康委卫生发展研究中心,北京100032 [2]国家癌症中心·国家肿瘤临床医学研究中心·中国医学科学院北京协和医学院肿瘤医院,北京100021

出　　处：《中国医院管理》2025年第1期20-24,32,共6页Chinese Hospital Management

摘　　要：当前,公立医院临床专科发展面临着内外部运行压力大、内涵建设滞后、可持续发展动力不足、专科发展自主权落实不到位等内外部叠加问题,需要从构建内外联动机制视角出发,将公立医院外部治理政策与内部管理措施有效衔接、协同发力,推动临床专科从高速发展向高质量发展转变。其中,提升专病诊治技术能力、保障区域群众健康是根本目标,人才与技术双轮驱动是关键,业务发展与价值产出导向的人事薪酬管理是动力,外部治理机制变革和资源有效配置是保障,绩效评价与监督管理是手段,连续性医疗服务体系是依托,为公立医院临床专科高质量发展提供根本保证。At present,the development of clinical specialties in public hospitals is faced with internal and external superposition problems such as high internal and external operating pressure,lagging connotation construction,insufficient driving force for sustainable development,and inadequate implementation of the autonomy of specialty development.In this regard,from the perspective of building an internal and external linkage mechanism,external governance policies and internal management measures of public hospitals should be effectively linked and coordinated to promote the transformation of clinical specialties from high-speed development to high-quality development.Among them,improving the technical ability of diagnosis and treatment of special diseases and ensuring the health of regional people is the fundamental goal,the dual-wheel drive of talent and technology is the key,the personnel and salary management oriented by business development and value output is the driving force,the reform of external governance mechanism and the effective allocation of resources is the guarantee,the performance evaluation and supervision and management is the means,and the continuous medical service system is the support.To provide a fundamental guarantee for the high-quality development of clinical specialties in public hospitals.

关 键 词：公立医院 临床专科 高质量发展 内外联动机制 

分 类 号：R197.3[医药卫生—卫生事业管理]