基于风险防控的现代医院管理核心制度研究

Core regulations of modern hospital management： a risk-prevention based study

目的探索建立权责清晰、管理科学、治理完善、运行高效、监督有力的现代医院管理制度。方法2017年6—11月，对上海市37所三级甲等医院的医院管理制度进行模拟性观察、调查研究和定量分析，以重要度和风险性指标为依据，进行核心制度筛选和管理风险防控等级划分。结果共筛选出现代医院管理核心制度109项，并划分红色（包含67项制度）、黄色（包含16项制度）、蓝色（包含26项制度）3个管理风险防控等级。结论构建基于风险防控的现代医院管理核心制度基本框架，并基于信息化手段分级防控现代医院管理风险，强化综合监管平台构建和运行，可实现对现代医院管理风险的动态监管和有效防控。

Objective To establish a modem hospital management system with clear rights and responsibilities, scientific management, perfect management, efficient operation and strong supervision. Methods 37 tertiary hospitals in Shanghai were subject to a simulation of observation, questionnaire investigation and quantitative analysis. On such basis, core regulations were pinpointed and management risk prevention grades identified according to their importance and risk indexes. Results 109 core regulations of modem hospital management were selected along with three management risk prevention and control levels of red（67 regulations ）, yellow （ 16 regulations ）, and blue （ 26 regulations ）. Conclusions The basic framework of management risk prevention and control system is thus built for modem hospitals, and IT-based means were put in place against such risks. These measures can help enhance the supervision platform, for dynamic supervision and effective control of modem hospital management risks.