浅谈妇幼保健质量管理与持续改进的策略及效果

The strategy and effect of women and children's health care quality management and continuous improvement

目的探讨湖南省妇幼保健院"四大业务部"保健质量管理与持续改进的主要做法及效果。方法从组织结构、制度职责、质量管理与持续改进的系统活动、结果等方面对湖南省妇幼保健院"四大业务部"保健质量管理的策略及效果进行全面总结分析。结果湖南省妇幼保健院采用了构建质量管理三级组织、规范保健制度职责、组织保健质量分析点评、定期组织保健查房、优化工作流程、培训与督导工作的持续改进等综合举措促进保健质量持续改进。2017年湖南省孕产妇死亡率、5岁以下儿童死亡率、婴儿死亡率分别为12.70/10万、4.89‰、3.10‰,均优于全国平均水平;2017年湖南省妇幼保健院保健科室服务对象满意度平均为94%,稳定在较高水平;2017年通过辖区业务督导的持续改进,督促基层整改50余个问题。结论湖南省妇幼保健院保健质量管理模式运行良好,有效提高了辖区群体保健及院内个体保健服务质量,促进了PDCA质量持续改进。

Objective To explore the main practices and effectivenesss of health care quality management and continuous improvement in the ＂four departments＂of The Maternal And Child Health（MCH） Hospital of Hunan Province. Methods The strategies and results of the health care quality management from the aspects of organizational structure,system and responsibilities,systemic activities of quality management and continuous improvement were comprehensively summarized and analyzed. Results MCH Hospital of Hunan Province promoted the continuous improvement of quality of health care by adopting comprehensive measures such as constructing the three-levels organization of quality management,regulating health care system and responsibilities,organizing health care quality analysis conferences,regularly organizing health care rounds,optimizing work process,and continuous improvement of training and supervision work. In 2017,the maternal mortality rate,the under-five-year-old child mortality rate and the infant mortality rate in Hunan were 12. 70/100 000,4. 89‰ and 3. 10‰,respectively,which were better than the national average. In 2017,the average degree of satisfaction was 94% of the department of health of The MCH Hospital of Hunan Province,and it was stable at a relatively high level. In 2017,through continuous improvement of supervision in the area,the primary health care institutions to rectify more than 50 problems were supervised. Conclusion The health care quality management model of The Hunan M CH Hospital performed well,effectively improved the service quality of group health care and individual health care,and promoted continuous quality improvement of PDCA.