医德档案:医院管理新坐标

Medical Ethics Archive:a New Coordinate for Hospital Management

医德档案制度是医疗职业道德建设载体的新探索。以"医德档案"普及率、认可度调查结果为切入点,着手对"医德档案"推广阶段的决策、传播、教育、控制、测评、关联等环节的实践进行回顾分析,提出医德档案系统化建设中的八个着眼点,即制高点:以"素质工程"的目标追求,统领绩效考核系统;切入点:以"职业精神"为引领,建立职业行为"痕迹管理";关键点:坚持"充分尊重"原则,规避医务人员群体心理逆反;控制点:以"联席办公"机制,催生便捷互认共管效应;测评点:以多层的采集信息平台,形成客观具体多级管理系统;转化点:以"自律"为根本,营造自我道德情操提升空间;区别点:以"阳光"定位,测评结果向本人透明;延伸点:以"开放"为原则,融入人力资源综合管理体系等需要特别关注的问题及解决方案。

Medical ethics archive system is a new exploration of the construction of carrier of medical ethics. Began with the survey results of popularizing rate and approval degree of ＂medical ethics archive＂, the authors ana- lyzed the decision - making, transmission, education, control, evaluation, associated aspects of the ＂medical eth ics archive＂ in its promotion stage. Eight points were put forward to the systematic construction of the medical eth ics archive, namely, the commanding heights： conducting performance appraisal system by the goals of ＂ quality project＂ to the establishment of ＂ professional traces management＂; key points ： adhere to the ＂full respect ＂principle, avoiding the psychological antagonistic of employees ; control points ： the mechanism of the＂ joint office ＂, giving birth to a convenient mutual recognition of co - management effects ; e- valuation point ： forming an objective multi level management systems by the multi layered collection of information platform ; transition point ： taking self discipline as the foundation and forming a platform for self moral improvement ; difference point ： the survey results are open to everyone ; extension point ： based on the open principle, participating in human resources management and solving some other problems.