摘要
随着医药卫生体制改革的深入推进,公立医院高质量发展对现代化管理体系提出了更高要求。文章以淮安某三甲医院为例,探讨了大型公立医院构建科主任目标管理体系的实践路径与成效。研究通过构建多维度学科评价体系、推进重点专科建设、创建“三位一体”医疗质量管理体系、加强质控中心建设,并结合个性化目标管理责任状与优秀科主任评选机制,实现了管理效能的全面提升。实施3年来,医院关键指标如重点专科数量、CMI值、四级手术占比、平均住院日等显著优化。研究表明,该体系通过目标导向与绩效激励的协同作用,有效促进了学科建设、医疗质量与运营效率的协同发展,为公立医院实现从规模扩张向内涵提升转型提供了可借鉴的管理范式。
With the deepening of the reform of the medical and health system,the high-quality development of public hospitals has put forward higher requirements for the modern management system.This article takes a top-tier hospital in Huai’an as an example to explore the practical path and effectiveness of constructing a target management system for department directors in large public hospitals.The research achieved a comprehensive improvement in management efficiency by building a multi-dimensional discipline evaluation system,promoting the construction of key specialties,creating a‘trinity’medical quality management system,strengthening the construction of quality control centers,and combining personalized target management responsibility agreements with the selection mechanism for outstanding department directors.Over the three years of implementation,key indicators of the hospital,such as the number of key specialties,CMI value,proportion of fourth-level surgeries,and average length of stay,have significantly improved.The research shows that this system,through the synergistic effect of goal orientation and performance incentives,effectively promotes the coordinated development of discipline construction,medical quality,and operational efficiency,providing a reference management paradigm for public hospitals to transition from scale expansion to connotation enhancement.
作者
苏凌璎
周立涛
张红
吴金声
SU Lingying;ZHOU Litao;ZHANG Hong;WU Jinsheng(The Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University,Huai’an 223300,China)
出处
《现代医院》
2025年第9期1375-1377,共3页
Modern Hospitals
基金
江苏省医院协会医院管理创新研究课题(JSYGY-3-2024-591)。
关键词
公立医院
现代医院管理
科主任管理
目标管理
医疗质量
学科建设
Public hospitals
Modern hospital management
Management for department heads
Target management
Medical quality
Discipline construction
