基于专业服务视角的医疗质量控制策略分析

Analysis of Medical Quality Control Strategy Based on the Perspective of Professional Services

为加深对医疗质量管控工作的理解,本文从专业服务视角出发,指出医疗服务具有"专业化"基因,因此医疗质量模糊性是质控的重点与难点。继而,文章借鉴控制相关理论,探讨医疗质量控制的策略选择。本文从控制模式切入,认为医疗质量控制可划分为正式和非正式两种控制类别,行为、结果、自我和群聚四种控制模式。在空间维度中,综合考虑医疗机构科层制监管能力和医疗服务专业性两因素的影响,可联合使用四种控制模式。在时间维度中,医疗组织不同成长阶段需要采用不同的控制方式并关注不同重点。

In order to get a further understanding of medical control management, the article starts from the perspective of professional service, indicating the medical service enjoys the "professionalism", thus the medical quality ambiguity is supposed to be the key points and difficulty of the quality control. Furthermore, it draws on relevant control theories, discussing about the tactical choice of medical quality. The article mainly discusses the application of control modes. It points out that the medical quality control could be divided into two categories "formal and informal" as well as four control modes "behavior, outcome, self and clan". In the Spatial dimension, the co-existence and joint utilization of the four control modes under the influence of the two factors(supervision capacity of bureaucratic medical institutions and the professionalism of medical services) is comprehensively elaborated. In the time dimension, the medical organization ought to adopt different control methods and pay attention to different key points according to the different growth phase.