公立医院数字化转型与医院质量安全管理的关联分析  

Analysis of Association between Digital Transformation and Management of Quality and Safety in Public Hospitals

作　　者：韩啸 刘心怡 余松轩 侯冷晨 李国红[1,2] Han Xiao;Liu Xinyi;Yu Songxuan;Li Guohong(School of Public Health,Shanghai Jiao Tong University,Shanghai,200025,China;不详)

机构地区：[1]上海交通大学公共卫生学院,上海200025 [2]上海交通大学中国医院发展研究院,上海200025 [3]上海申康医院发展中心,上海200041

出　　处：《中国医院管理》2025年第2期14-17,共4页Chinese Hospital Management

基　　金：国家自然科学基金项目(72404183);上海申康医院发展中心项目(SHDC12024603);中国博士后科学基金第75批面上项目(2024M752063)。

摘　　要：目的 探讨公立医院数字化转型与医院质量安全管理的关联,为医院数字化转型发展和政策制定提供证据。方法 提取上海市级医院管理数据,通过问卷收集医院数字化转型现况,采用时间固定效应面板回归分析2023年1月—2024年5月共8家上海市级医院的各数字化转型变量与质量安全表现的相关性。结果 医院数字化体系建设、数字化服务水平、数字化投入和科研的数字化支持与患者安全和服务效率正相关,与重返、静脉血栓栓塞症、非计划再次手术等方面的负性安全事件发生率负相关。数字化服务水平与更短的平均住院日相关。数字化投入的增加与药占比减少相关,但也与耗占比和其他相关费用支出、次均费用上升相关。结论 数字化转型在改善医院医疗质量和安全的同时,存在增加患者疾病负担的风险,因此需要更多证据分析不同数字化转型路径的经济性。Objective To explore the relationship between the digital transformation of public hospitals and hospital quality and safety management, providing evidence for hospital digital transformation development and policy formulation. Methods Hospital management data from Shanghai municipal hospitals were collected, and a questionnaire was used to assess the current state of digital transformation. A panel regression of time-fixed effects analysis was performed to examine the correlation between various digital transformation variables and quality and safety performance in 8 Shanghai municipal hospitals from January 2023 to May 2024. Results Hospital digital system construction,digital service level,digital investment and digital research are significantly positively correlated with patient safety and service efficiency, and negatively correlated with the incidence of negative safety events in readmissions, venous thromboembolism and unplanned reoperation. The level of digital services was associated with a reduction in average length of stay. Increased digital investment was associated with not only decreased proportion of medication costs, but also an increase in the proportion of consumable costs, other categories of expenditures,and finally average costs. Conclusion While digital transformation improves hospital quality and safety,it also leads to an increased disease burden for patients. Therefore,further evidence is needed to analyze the costeffectiveness of different digital transformation pathways.

关 键 词：数字化转型 公立医院 医疗质量 患者安全 

分 类 号：R197.323.1[医药卫生—卫生事业管理]