基于信息化的医师不良行为积分管理和执业行为定期考核的探讨

Discussion on the Management of Doctor’s Bad Behavior Points and Regular Assessment of Practice Behavior Based on Information

目的:探讨医师不良行为综合管理与医师定期考核管理的有效整合,规范临床执业行为,提高医疗管理质量。方法:将某三甲医院2019年868位医师分成实验组(使用医师不良行为积分管理后)和对照组(使用医师不良行为积分管理前),依据群众(病人及媒体)反馈、医疗行政管理部门和专家检查反馈、执法机构裁决意见、政府或医院考评、上级行政部门表彰及应急救援管理等项目的权重积分(扣分或加分)累积来开展医师定期考核。结果:统计结果显示实验组的管理效率明显高于对照组(P≤0.05)。结论:运用医师不良行为积分管理系统可以有效规范执业医师的行为,具备推广应用价值。

Objective:To explore the effective integration of integral management of physician’s bad behavior and periodic assessment management of physicians,standardize the practice of clinical practitioners and improve the quality of medical management.Methods:868 physicians ina CertainGrade-A Tertiary Hospitalwere randomly divided into experimental group(after using doctor’s bad behavior integral management)and control group(before using doctor’s bad behavior integral management).Doctors are assessed regularly according to points.According to the feedback from the public(patients and media),medical administrative departments and experts’inspection feedback,law enforcement agencies’ruling opinions,government or hospital evaluation,higher administrative departments’commendation and emergency rescue management and other projects weight points(points deducted or points added)accumulated to carry out regular assessment of doctors.Results:The statistical results showed that the management efficiency of the experimental group was significantly higher than that of the control group(P≤0.05).Conclusion:The use of physician’s bad behavior score management system can effectively regulate the behavior of practicing physicians,which is worthy of clinical popularization and application.