公立医院多院区一体化治理体系探索与实践

Exploration and practice of integrated governance system in hospital with multi-branches

针对多院区医院资源配置、成本控制、医疗护理质量同质化管理等问题, 宁夏回族自治区人民医院积极探索多院区一体化治理体系, 包括打造以支付结算为纽带的互联网医院、构建"一院多区"的信息一体化运行管理方式、健全"一院多区"组织架构和一体化运行体制、创新符合医疗行业特点的人事和岗位薪酬制度、实施新型诊疗组和护理病区服务模式、全面推行预算管理和成本核算管控、建立联防联控线上线下一体化疫情防控体系等方面。这些实践取得了良好的成效, 提高了医疗服务质量和效率, 有效控制了医疗服务费用, 同时提升了医院运营管理效率, 为多院区公立医院一体化管理提供了经验。

Aiming at the problems of resource allocation,cost control,homogenization management of medical and nursing quality and so on in a hospital with multi-campuses,People′s Hospital of Ningxia Hui Autonomous Region explored an integrated governance system.It incorporated a series of aspects,such as the establishment of Internet hospital platform using payment and settlement as the link,the construction of operation and management mode for integrating information of multiple branches,the completion of"one hospital,multiple branches"organizational structure and integrated operation system,the innovation of personnel and post compensation system in line with features of medical industry,the implementation of new service mode of diagnosis teams and inpatient wards,the execution of budget management and cost accounting control,and the establishment of integrated online and offline epidemic prevention and control system for the joint prevention and control.These practices achieved good effects that quality and efficiency of medical services were greatly improved,cost of medical services was effectively controlled,and the efficiency of hospital operation and management were enhanced.It provided valuable experience for the integrated management of public hospitals with multi-campuses.