某大型公立医院一院多区阶梯式学科发展策略研究  

Research on the strategy of"laddering"discipline development in a large public hospital with multiple districts

作　　者：路阳[1] 马宁 韩斯宇[1] 乔铮[3] 张艳敏[1] Lu Yang;Ma Ning;Han Siyu;Qiao Zheng;Zhang Yanmin(Scientific Research and Education Center,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,Xinjiang Uygur Autonomous Region,China;Neurological Center of Karamay Hospital,People's Hospital of Xinjiang Uygur Autonomous Region;Department of Nuclear Medicine,Affiliated Cancer Hospital,Xinjiang Medical University)

机构地区：[1]新疆维吾尔自治区人民医院科研教育中心,乌鲁木齐830001 [2]新疆维吾尔自治区人民医院克拉玛依医院神经中心 [3]新疆医科大学附属肿瘤医院核医学科

出　　处：《中国医疗管理科学》2025年第2期34-38,共5页Chinese Journal Of Medical Management Sciences

基　　金：国家卫生健康委医院管理研究所“我国公立医院'一院多区'管理现状与发展策略研究项目”(NIHA24YYDQ36);新疆维吾尔自治区“天山英才”医药卫生高层次人才培养计划(2024-2026)。

摘　　要：目的为推进一院多区学科高效协同发展进行实践探索,以期为多院区医院学科建设与发展提供启示与借鉴。方法以新疆维吾尔自治区人民医院为样本医院,根据3个院区建设时间、功能定位、建设面积、床位数、服务人群的不同,科学规划多院区学科布局与定位,提出并实施从强基固本到错位互补,再到协同发展的“阶梯式”学科发展策略。结果样本医院积极探索构建多院区可持续发展的学科竞争优势格局,A、B院区已完成错位互补的学科差异化布局2.0阶段,而开业初期的C院区正处在学科分阶段布局时期,预期未来10年左右可实现3个院区从1.0~3.0版的学科协同发展进阶。结论“阶梯式”学科发展策略符合多院区医院实际,但尚在实践初期,成效仍有待观察。在各院区均完成学科布局后,仍需适时调整学科发展方向,以最大化利用院区资源为主旨,保障医院的医疗需求和学科可持续发展。Objective To promote the efficient synergistic development of one hospital with multiple districts,thus providing inspiration and reference for the discipline construction and development of hospitals with multiple districts.Methods Taking the People's Hospital of Xinjiang Uygur Autonomous Region as a sample,a laddering discipline development from the strong and solid foundation to misplaced complementarity and collaborative development was established based on the actual situations(differences in the construction time,functional positioning,construction area,number of beds,and service population of three districts)and scientific planning of discipline layout and positioning in multiple districts.Results In the sample hospital,the construction of a disciplinary competitive advantage pattern for sustainable development in multiple districts was actively explored.The 2.0 stage of differentiated discipline layout with complementary complementation achieved in District A and B.District C developed in the early stage of opening and phased layout of disciplines.An advanced collaborative development of disciplines from 1.0 to 3.0 stage was expected to achieve in the next decade of all the three districts.Conclusion The"laddering"discipline development strategy proposed in this study is in line with the reality of hospitals with multiple districts,but it is still in the early stage of practice with an expected effectiveness to be foreseeable.After the completion of the discipline layout in each district,it is still necessary to adjust the direction of discipline development in a timely manner,in order to maximize the use of resources in the districts,and ensure the medical needs of the hospital and the sustainable development of disciplines.

关 键 词：公立医院 一院多区 多院区 阶梯式发展 学科协同发展 

分 类 号：R197[医药卫生—卫生事业管理]