临床精细化管理的四种意识

Four awareness of clinical lean management

随着我国医院的创新发展，医疗水平与西方发达国家的差距正逐渐缩小，目前最大差距在于人文关怀及医护人员的临床精细化意识。精细化管理是一种广泛用于提高技术质量的方法，最初在汽车制造业兴起，近年来在医疗行业应用较为普遍[1]。临床精细化管理可以提高医疗质量、增强患者对医师的信任度、缩短患者候诊时间以及减少患者就诊费用，其最重要的理念便是精益求精，持续提升质量、追求完美[2]。要想实现临床精细化管理，首先需要改变医院的文化，并需在领导层面达成共识，全面贯彻该理念，才会使全员的行为发生改变，共同实施精细化行动[3]。培养医务人员的临床精细化意识并渗透医学的人文精神，是目前我国医药卫生体制改革背景下，提高医疗服务能力及服务水平的重要手段。临床精细化管理的意识包括很多要素及内容，本文主要强调责任意识、数字意识、

Along with changes of medical model, hospitals need to provide best outcome with lowest cost and best patient′s experience rather than merely medical treatments. It is the cultivation of lean awareness to the doctors that could acquire such outcome. The healthcare lean awareness can be summarized as responsibility awareness, digitalized awareness, detail awareness, and outstanding awareness. Through the cultivation of lean awareness, humanism can immerse into the doctors′practice, which is conducive to train for the great masters of the medicine.