某三级公立医院新冠疫情前后医疗运营情况分析  

Analysis of Medical Operation of a Tertiary Public Hospital Before and After COVID-19 Epidemic

作　　者：田军[1] 黎媛媛[1] 牛喜信[1] 周伟[1] 常旭红 TIAN Jun;LI Yuan-yuan;NIU Xi-xin;ZHOU Wei;CHANG Xu-hong(Gansu Provincial Hospital of TCM)

机构地区：[1]甘肃省中医院

出　　处：《医院管理论坛》2025年第1期22-24,共3页Hospital Management Forum

基　　金：甘肃省中医药科研课题,编号:GZKP-2022-40;2022年兰州市科技发展指导性计划项目,编号:2022-ZD-74;国家中医药管理局监测统计中心2024年度深化医改中医药政策研究自选课题,编号:YGZXKT2024366。

摘　　要：目的比较分析新冠疫情前后某三甲公立医院临床科室医疗相关指标,用数据量化评估新冠疫情对公立医院产生的影响,为后疫情时代公立医院运营管理提供对策建议。方法选取2018—2021年某三级甲等公立医院所有临床科室医疗相关数据,比较分析新冠疫情对该院医疗服务相关数据的影响。结果该院临床科室疫情后(2020—2021)门急诊人次均高于疫情前(p<0.05),但平均住院日、病床周转次数、床位使用率、每医师住院工作负担、每医护人员住院工作负担均低于疫情前(p<0.05);出院人数、手术量、死亡人数、医师年均门诊工作负担和护士年均住院工作负担五项指标疫情前后无统计学意义(p﹥0.05)。结论新冠疫情对该院临床科室医疗服务能力和医疗服务效率都产生了显著影响,医疗服务需求的增长和患者结构的变化,导致留守医院的医务人员工作负担反而较疫情前更重。建议医院根据疫情形势变化及时调整运营策略,优化现有医务人员结构。政府应适当增加医院的财政投入,鼓励医院进一步完善互联网医疗服务。Objective To compare and analyze the medical-related indicators of the clinical departments of a tertiary public hospital before and after the COVID-19 epidemic,quantitatively evaluate the impact of COVID-19 on public hospitals,and provide countermeasures for the operation and management of public hospitals in the post-COVID-19 era.Methods Medical-related data of all clinical departments of a tertiary public hospital from 2018 to 2021 were selected to compare and analyze the impact of COVID-19 on medical services-related data of the hospital.Results The number of outpatient and emergency visits in the clinical departments of the hospital after the epidemic(2020-2021)was higher than that before the epidemic(p<0.05),but the average length of stay,the number of bed turnover,the bed utilization rate,the hospitalization workload of each physician,and the hospitalization workload of each medical staff were lower than those before the epidemic(p<0.05).There were no significant differences in the number of discharged patients,the number of surgeries,the number of deaths,the average annual outpatient workload of doctors and the average annual inpatient workload of nurses before and after the epidemic(p>0.05).Conclusion The COVID-19 epidemic has had a significant impact on the medical service capacity and efficiency of the hospital's clinical departments.The growth of medical service demand and the change of patient structure have led to heavier workload for medical staff in the hospitals left behind than before the epidemic.It is recommended that the hospital should adjust its operation strategy in time according to the changes of the epidemic situation,and optimize the structure of the existing medical staff.The government should appropriately increase the financial input of hospitals and encourage them to further improve online medical services.

关 键 词：新冠疫情 公立医院 医疗服务 

分 类 号：R197.5[医药卫生—卫生事业管理]