集团化医院学科集约化管理的实践探讨

Practice of the intensive disciplines management for a hospitals group

系统归纳了集团化医院学科集约化管理的内涵和运行机制，并总结了集团化医院实施学科集约化管理的实际做法，对比学科集约化管理实施前后科室服务能力、服务质量、学科建设和患者满意度方面的差异。在实践中，学科集约化管理科室门诊人次、住院人次和手术人次明显增加，在整个集团中所占的比重也高于实施前，治愈好转率（74．5％）和疑难重症抢救成功率（54．7％）均明显高于实施前（P〈0．05）。拥有8个省级医药卫生重点专业，其中5个是学科集约化管理科室。拥有8个省级临床重点专科，其中2个属于学科集约化管理科室。患者对学科集约化管理科室就诊的总体满意度为92．1％，其中就诊方便程度满意度为84．4％，服务质量满意度为90．0％，服务态度满意度为92．5％，就医感受满意度为89．5％，都明显高于入院时的满意度（P〈0．05）。实施学科集约化管理之后，院区间同一专业内外科的统一管理，整合了内外科以及相关医技科室的力量，提高科室服务能力和质量，增强学科实力，方便患者就诊，提高患者的满意度和就医感受，效果较好。

A systematic summary of the concept and operational mechanism of the intensive disciplines management in a hospitals group, and that of the intensive disciplines management for hospitals groups, as well as a comparison of the differences found in department service capacity, service quality, discipline development and patient satisfaction before and after the intensive discipline management is in place. The practice proved that the departments practicing intensive management have witnessed significant rise in outpatient headcount, hospitalization headcount and surgical operation headcount. Their weight in the group is also higher. For example, their curative rate and rescue success rate of dubious and acute diseases higher than before （P〈0. 05）. The Group has 8 provincial key medicine-specialties, including 5 intensive management departments. It has 8 provincial key clinicaldisciplines, including 2 intensive management departments. The overall patient satisfaction for service of such departments is 92. 1%, the satisfaction for convenience is 84. 4%, that for service quality 90. 0%, that for service attitude 92. 5%, and that for medical service experience is 89. 5%. All of which are significantly higher than that those on their admission to the hospital. The intensive management has enabled unified management of internal medicine and surgery of the same profession in the campus, integrated workforces of both internal medicine and surgery department along with those of medical technicians. In addition, it has enhanced departmental service capacity and quality, discipline competence, as well as outpatients＇ convenience, patients~ satisfaction and medical experience.