国家级医疗质量控制中心在医疗质量管理中的作用机制研究

The Function Mechanism of National Medical Quality Control Center in Medical Quality Management

目的从我国医疗质量管理体系建设和公立医院高质量发展新体系建设两个主要任务的层面,研究国家级医疗质量控制中心在两个体系中的作用机制,旨在服务于医疗质量管理资源的高效配置。方法应用机制设计理论分析国家质控中心在两个体系建设中的作用机制,以及国家质控中心与其他质控主体之间的协同机制。结果国家质控中心的设置是中国特色医疗质量管理的制度安排,从机制设计理论视角,其满足了参与性约束条件和激励相容约束条件,是一项有效的制度安排。结论在医疗质量管理体系建设中,国家质控中心发挥了参与主体的重要作用;在公立医院高质量发展新体系建设中,国家质控中心应与国家医学中心、国家临床医学研究中心等其他中心协同发展,将对医疗质量资源高效配置和均衡布局产生正性影响。

Objective From the perspective of two main tasks of constructing China's medical quality management system and a new system of high-quality development of public hospitals,this paper studied the mechanism of national medical quality control center in the two systems,aiming to serve the efficient allocation of medical quality management resources.Methods The mechanism design theory was used to analyze the functional mechanism of national quality control center in the construction of those two systems,as well as the collaboration mechanism between national quality control center and other quality control organizations.Results The establishment of national quality control center is an institutional arrangement of medical quality management with Chinese characteristics,which meets the participatory constraints and incentive compatibility constraints from the perspective of mechanism design theory,and is an effective institutional arrangement.Conclusion In the construction of medical quality management system,national quality control center has played an important role as participating entities.In the construction of a new system of high-quality development of public hospitals,national quality control centers should develop in coordination with other centers,such as national medical centers and national clinical research centers,which will have a positive impact on the efficient allocation and balanced distribution of medical quality resources.