互动式治理视域下医疗质量管理评价实践探索

Exploration of the evaluation practice of medical quality management from the perspective of interactive governance

现代医疗质量管理具有专业性、连续性和综合性,需加强卫生健康行政部门、医疗机构与专业人员间的沟通协作。2011年以来,浙江省基于互动式治理理论,以治理界面为平台,针对医疗质量管理领域存在的发展不平衡、不充分等矛盾,探索建立相对独立的第三方医疗质量管理评价服务组织。通过组织界面、管理界面、服务界面、信息界面和方法界面的互动,浙江省在医疗质量管理领域初步实现了跨层级的对角治理,将传统条块管理关系转变为互动关系,在完善质控工作网络、更新管理方式、提高医疗质量安全水平等方面取得良好成效,为提升我国医疗质量安全管理水平提供参考。

Modern medical quality management is characterized by professionalism,continuity and comprehensiveness.It is necessary to strengthen the communication and cooperation among health administrative authorities,medical institutions and professionals.Since 2011,based on the guidance of the interactive governance theory and the governance interface as a platform,Zhejiang Province had explored and established a relatively independent third-party quality evaluation service organization,which aimed to correct such setbacks as the imbalance and inadequacy of medical quality management.Through the interaction of organization interface,management interface,service interface,information interface and method interface,the province had initially achieved the multi-level diagonal governance in medical quality management,and transformed the traditional management relationship into an interactive relationship.This practice had achieved desirable results in improving the quality control work network,updating management methods,and improving medical quality and safety,serving as reference in upgrading the medical quality and safety management of medical institutions in China.