2015年至2018年"青苗"计划获批情况与医院重点专科数量关系分析

Relationship analysis of the application and approval for the Youth Program with the hospitals grouped according to the number of key clinical specialty from 2015 to 2018

目的分析北京市医院管理中心"青苗"计划中依据医院重点专科数量分组的各组医院的申请与资助情况,并对未来医院发展提出建议。方法使用2015年至2018年北京市医院管理中心汇总的申报和获批"青苗"计划的数据,根据国家临床重点专科和国家中医药管理局重点专科数量,将22家市属医院分为重点专科集中组、重点专科较少组和无重点专科组(简称为集中组、较少组和无重点专科组),采用χ^(2)检验比较3组医院项目申报人员基线情况、获批率和获批项目类型分布等。结果2015年至2018年共申报"青苗"计划1128人次。集中组、较少组和无重点专科组各有医院7家、10家和5家。集中组中,工作时间小于5年的申报人员占比为40.93%,高于其他两组(χ^(2)=13.794,P=0.032),且博士申请者比例(80.31%)高于其他两组(χ^(2)=116.611,P<0.001)。重点专科所在科室整体项目获批率为36.09%(166/460),高于非重点专科(29.04%,194/668),差异有统计学意义(χ^(2)=6.222,P=0.013)。其中,集中组获批率为37.82%,高于较少组和无重点专科组(分别为31.82%和21.50%),差异有统计学意义(χ^(2)=16.897,P<0.001)。但在各组医院内,重点专科获批率与非重点专科获批率差异无统计学意义(P>0.05)。各组内医疗类项目比例均高于非医疗类(科研、医技、管理和护理等)。结论重点专科的"青苗"计划申请获批率较高,体现学科优势,同时在医院科研创新建设中可起到一定的带动作用。未来需进一步加强专科辐射作用,积极带动其他专科创新人才培养,以期在临床、科研、医技、管理和护理等方面全方位推进研究型医院建设。

Objective To analyze the application for and funding for individual key clinical specialties under the Youth Program at the approved hospital groups,for suggestions on future development of hospitals.Methods Based on the Youth Program data of the applications and approval as summarized by Beijing Hospitals Authority from year 2015 through 2018,22 municipal hospitals were classified into three groups with more,less and none key clinical specialties respectively(the more group,the less group and the non group for short).The categories were made according to the number of state key clinical specialties approved by National Health Commission and key specialties approved by the National Administration of Traditional Chinese Medicine.χ^(2)test was used to compare the baseline situation,the approval rate of project applications,and the categories of approved project among the three hospital groups.Results During 2015—2018 period,the number of applicants for Youth Program was 1128 persons/cases.The groups with more,less,and none key clinical specialties were 7,10,5 respectively.In the more specialties group,the applicants of seniority less than five years accounted for 40.93%,who had higher than those of the other two groups(χ^(2)=13.794,P=0.032),and higher doctoral degree applicants(80.31%)as well.The difference was statistically significant(χ^(2)=116.611,P<0.001).The approval rate of the Youth Program in 2015—2018 in the group with key clinical specialties vs.the group with none key clinical specialties was 36.09%(166/460)rersus.29.04%(194/668)with significant difference(χ^(2)=6.222,P=0.013).The approval rate of the departments with more key clinical specialties was 37.82%,higher than those of less and none key clinical specialties(approval rate at 31.82%and 21.50%,respectively),with significant difference(χ^(2)=16.897,P<0.001).However,there was no significant difference between the approval rates of key specialties group and non-key specialties in each hospital group(P>0.05).Of the three groups,the proportion of clinical medical projects in each group was all higher than such other types as scientific research,medical technology,hospital administration and nursing.Conclusions The applications and approval rate of key specialties under the Youth Program were higher than the rest,reflecting the discipline advantage.At the same time,it can play an important leading role in the construction of research-oriented hospitals.It is necessary to further strengthen the showcase role of specialties,for encouraging innovative talents cultivation of other specialties,in the hope for promoting the construction of research-oriented hospitals in their clinical,scientific research,medical technology,management and nursing comprehensively.