北京市属医院研究型病房建设现状及策略分析

Current situation and strategy analysis of research ward construction in Beijing municipal hospitals

目的:了解北京市属医院研究型病房建设现状及存在问题,并提出相应建议,为研究型医院建设探索路径。方法:2020年3月至2021年5月,通过问卷调查和专家访谈相结合的方法,深入分析22家北京市属医院研究型病房的床位和人员配置、承担项目、审查效率情况及面临的问题。结果:82%(18/22)的市属医院探索开展研究型病房建设,27%(6/22)为北京市示范性研究型病房建设单位。2020年,研究型病房建设总体表现为临床研究资源投入增加,临床研究能力提升,服务北京企业能力提升,审查效率提高,临床研究(含临床试验)入组率降低。目前面临的主要问题集中在投入、人员和信息化方面。结论:北京市属医院研究型病房建设呈稳定发展态势,但仍存在缺少临床研究人才,绩效激励、保障有待加强等问题。未来应加强临床研究人才培养,完善激励保障机制,推进产学研一体化,加速临床研究信息系统建设等,进一步医院临床研究能力与水平,为研究型医院建设积累经验。

Objective To understand the current situation and problems in the construction of research wards in Beijing municipal hospitals,and put forward corresponding strategies and suggestions to explore the path for the construction of research hospitals.Methods From March 2020 to May 2021,through the method of questionnaire and expert interview,the bed and personnel allocation,projects undertaken,review efficiency and problems faced by the research wards of 22 Beijing municipal hospitals were analyzed in depth.Results 82%(18/22)of the municipal hospitals explored the construction of research wards,and 27%(6/22)were Beijing Demonstration research wards construction units.In 2020,the overall performance of the construction of research ward was as follows:the investment of clinical research resources was increased,the ability of clinical research was enhanced,the ability to serve enterprises in Beijing was improved,the efficiency of examination was improved,but the enrollment rate of clinical research(including clinical trials)was reduced.At present,the main problems were focused on investment,personnel and informatization.Conclusions The construction of research wards in Beijing municipal hospitals is developing steadily,but there are still some problems,such as lack of clinical research talents,performance incentive and guarantee to be strengthened.In the future,we should strengthen the training of clinical research talents,improve the incentive and guarantee mechanism,promote the integration of industry,university and research,accelerate the construction of clinical research information system,further improve the hospital′s clinical research ability and level,and accumulate experience for the construction of research hospitals.