医学重点学科与专科建设投入与产出现状分析与思考——以杭州市级9所公立医院实证为例

Analysis and reflections on investment and outcome in key clinical disciplines and specialty construction of medicine-demonstration examples from 9 public hospitals in Hangzhou

目的对某市9所公立医院近三年科研能力和重点学科建设进行研究，根据调查结果提出针对性建议。方法设计调查表包括医学重点学科人才队伍建设、实验室基础设施投入、科研立项和资助、论文与专著、工作效率与经济收入、自然基金项目与获奖，比较投入与产出。结果杭州市医学重点学科人才1200多人，拥有18个省市重点学科，实验室面积超过9000m。，仪器设备总投资超过6900万元，重点学科的国家级、省部级和厅市级课题立项，分别占医院立项总数的7l｜7％、66．1％和53．66％，市级医院承担建设的重点学（专）科共发表论文1842篇。结论杭州市卫生系统医学科技资源投入不少，但仍显不足，且推动学科人才建设的办法较少，领先于全国的重点学科群不多，显示出核心竞争力不强，创新体系和管理机制有待完善。

Objective Investigate the research capacity and key discipline construction of 9 public hospitals of Hangzhou health system in the past three years, provide suggestions based on survey findings. Methods The questionnaire designed include following information： construction of talent team in key disciplines of medicine, laboratory infrastructure investment, research projects approval and funding, papers and monographs, work efficiency and financial income, NSF funding projects and awards, and comparison of input and output. Results Key disciplines of medicine in Hangzhou health system has more than 1 200 scientific research personnel, 18 provincial or municipal key disciplines, the laboratory equipment area was more than 9 000 m2 and total investment in lab facilities was more than 69 million RMB, the national, provincial and municipal funded project of medical key disciplines accounted for total hospital project were 71.7% , 66. 1% and 53. 66%. 1 842 papers in total were published in the medical key （specialized） disciplines of municipal hospital. Conclusions Hangzhou health system has invested a lot of resources in medical science and technology, but is still insufficient, and there are few ways to promote the construction of talent team in key disciplines of medicine and not many leading disciplines in the country. This situation shows that the core competitiveness is not strong, and the innovation system and management mechanism need to be improved.