基于三环理论的三级医院科研建设研究

Study on scientific research construction of tertiary hospital based on three-ring theory

目的探讨以三环理论为指导的科研建设在学科建设开展以来的成效与不足,促进医院科研能力进一步提高。方法以南京鼓楼医院为例,2015年正式开展学科建设,研究起止时间为2018年1~7月。回顾学科建设开展以来科研建设知识体系、管理制度、资源要素3个环节的建设情况,对学科建设开展前(2013~2014年)与学科建设开展后(2016~2017年)的科研立项、产出分别进行分析。结果学科建设开展前后各级别立项课题数量间差异有统计学意义(P <0.05);学科建设前后SCI论文数量低分组、中分组、高分组间存在统计学差异(P <0.05);学科建设开展前后科技成果比较差异无统计学意义(P> 0.05);学科建设开展前后各类型专利比较差异有统计学意义(P <0.05)。结论学科建设开展以来,以三环理论为指导的科研建设取得一定成效,但高水平科技产出较少。应推进新技术创新与应用,加强学科建设与发展;加强科研信息化管理,完善科研管理评价体系;加大科学研究投入力度,保障科学研究实施条件;以"三环理论"为保障,引进精细化管理理念,提升科研能力,推进学科发展。

Objective To explore the effectiveness and shortcomings of scientific research construction guided by the three-ring theory since the development of the discipline construction, and to promote the further improvement of hospital scientific research capabilities. Methods The Nanjing Drum Tower Hospital was taken as an example, the subject construction was officially launched in 2015, and the research started and ended from January to July 2018. The construction of the three parts of the scientific research construction knowledge system, management system, and resource elements since the development of the discipline construction were reviewed. Scientific research projects and outputs before the construction of the discipline(2013-2014) and after the development of the discipline(2016-2017) were analyzed separately. Results There were statistically significant differences in the number of project projects before and after the discipline construction(P < 0.05). There was a statistical difference in the number of SCI papers before and after the discipline construction between the low, medium and high groups(P < 0.05). There was no statistically significant difference in scientific and technological achievements before and after the discipline construction(P > 0.05). Before and after the development of discipline construction, the differences between different types of patents were statistically significant(P < 0.05). Conclusion Since the construction of the discipline, the scientific research construction guided by the three-ring theory has achieved certain results, but the high-level scientific and technological output is relatively small. New technology innovation and application should be promoted to strengthen discipline construction and development;strengthen scientific research information management and improve the scientific research management evaluation system;increase scientific research investment to ensure the implementation conditions of scientific research;take the three-ring theory as a guarantee and introduce refined management concepts, enhance scientific research capabilities, and promote discipline development.