北京市属医院手术分级管理现状调查与分析

Investigation and Analysis of Current Status of Surgery Grading Management Among Municipal Hospitals in Beijing

目的了解北京市医院管理局所属22家市属医院现有手术分级管理工作开展现状,探讨其在运行中出现的问题,并提出改进意见。方法采用问卷普查的方法,发放《市属医院手术分级管理现况调查表》对22家市属医院进行调研,通过被调查机构的相关负责人员填写收集数据。结果 22家市属医院除3家因专业特色未开展手术分级管理,其余19家医院均已进行,但手术分级目录、医师授权、动态管理工作进展各异。各家医院在制定手术分级目录时参照的标准不统一;84.2%的医院是按照手术级别对医师进行授权,参考指标为职称、手术级别和手术技能;14家医院已对手术分级进行信息化管理。结论统一手术分级目录、扩充医师授权体系、完善分级管理信息系统是加强手术分级管理进一步落实的重要举措。

Objective To understand current situation of surgery grading management in 22 hospitals from Beijing Municipal Administration of Hospitals,also to discuss the problems and to make suggestions for better application and management. Methods This paper is based on general survey about surgery grading conditions of all municipal hospitals. Results Except for 3 specialty hospitals, 19 hospitals have launched the surgery grading management, while they are in different steps of implementing hierarchical directory, surgeon permission, and dynamic management. These hospitals have different reference standards of making hierarchical directory. 84.2% hospitals give surgeons authorities according to levels of operation, evaluated by professional title, surgery grade and doctors’ technical skills. There are 14 hospitals apply information management on surgery grading. Conclusion Uniform criteria of hierarchical directory, extension of surgeon permission system, and implementation of surgery grading information management will contribute to regulation fulfillment.