北京市属医院儿科紧密型医联体成员医院在医联体改革前后综合效益分析  

Comprehensive benefits of member hospitals before and after reform in pediatric compact medical alliance of Beijing municipal hospitals

作　　者：王晓瑜 王晨 牛雅萌[1] 赵成松[1] 李豫川[1] Wang Xiaoyu;Wang Chen;Niu Yameng;Zhao Chengsong;Li Yuchuan(National Center for Children’s Health,China,Beijing Children’s Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院,北京100045

出　　处：《中华临床医师杂志(电子版)》2024年第11期1054-1060,共7页Chinese Journal of Clinicians(Electronic Edition)

基　　金：首都医科大学医院管理研究所开放性课题(2022年、2023年)

摘　　要：目的分析以首都医科大学附属北京儿童医院为核心医院的北京市属医院儿科紧密型医联体成员医院在医联体改革前后的综合效益,为北京市乃至全国儿科医联体的进一步改革提供理论依据。方法应用优劣解距离法(TOPSIS)对北京市属医院紧密型儿科医联体成员医院在改革前1年、改革当年、改革后1年和2023年反映社会效益、经济效益和患者就诊满意度的11项指标进行综合评价。结果以首都医科大学附属北京天坛医院为首的综合医院在2023年的综合效益最好,在改革当年的综合效益最差,2023年的综合效益较改革前1年的综合效益增长不是非常明显。在妇幼保健院和儿童医院进行紧密型儿科医联体改革后综合效益均有所提高,改革当年的综合效益明显高于改革前1年。结论儿科紧密型医联体改革促进了医联体成员医院综合效益的提升,尤其是妇幼保健院和儿童医院。Objective To assess the social and economic benefits as well as the patient’s satisfaction in the member hospitals before and after the reform in pediatric compact medical alliance of Beijing municipal hospitals,in order to provide a theoretical basis for the further reform of compact pediatric medical alliance in Beijing and in China.Methods Eleven indicators,which reflect social and economic benefits as well as the patient’s satisfaction in the member hospitals of the pediatric compact medical alliance in the year before the reform,the year of the reform,a year after the reform,and in 2023 were assessed by the method of Technique for Order Preference by Similarity to Ideal Solution(TOPSIS).Results The comprehensive benefits of general hospitals(e.g.,Beijing Tiantan Hospital,Capital Medical University)in the pediatric compact medical alliance all improved after the reform,with the best and worst comprehensive benefits observed in 2023 and the year of the reform,respectively.The comprehensive benefits of maternal and child care service centres as well as pediatric hospitals in the pediatric compact medical alliance all observably improved after the reform,and comprehensive benefits in the year of the reform was greater than that in the year before the reform.Conclusion The reform of pediatric compact medical alliance improves the comprehensive benefits of its member hospitals,especially in maternal and child care service centres and pediatric hospitals.

关 键 词：儿科紧密型医联体 医院改革 综合效益评价 

分 类 号：R197.3[医药卫生—卫生事业管理]