基于患者需求的国外医疗服务信息公开现状及启示

Current situation and enlightenment of overseas medical service information disclosure based on patient needs

医疗服务信息公开是帮助患者做好就医决策、提高医疗服务质量和加强医院监管的重要工具,其有效性在于公开信息满足患者需求。国外医疗服务信息公开起步较早,为加强医疗服务信息与患者需求的契合度,一些发达国家将患者体验调查、患者满意度调查和患者就医报告等作为公开信息来源之一,通过官方统一的发布平台和流程,将医疗质量、医患反馈和社会责任等信息进行公开发布,同时建立多元化和制度化的监管机制,为患者决策、服务质量改进和政府监管创造良好的信息公开体制机制。笔者通过借鉴发达国家医疗服务信息公开经验,提出我国应开展全面的患者需求调查,搭建便捷透明的信息公开平台,以及建立科学完善的监管机制,为推动我国建立以患者需求为导向的医疗服务信息公开机制提供参考。

The disclosure of medical service information is an important tool to help patients make medical decisions,improve the quality of medical services,and strengthen hospital supervision.The effectiveness of disclosing medical service information lies in meeting the needs of patients.The disclosure of medical service information in foreign countries started earlier that China.In order to strengthen the compatibility between medical service information and patient needs,some developed countries had used patient experience surveys,patient satisfaction surveys,and patient medical reports as the sources of public information.These countries publicly released information on medical quality,doctor-patient feedback,and social responsibility through official unified release platforms and processes,while establishing diversified and institutionalized regulatory mechanisms to create a good information disclosure system and mechanism for patient decision-making,service quality improvement,and government regulation.By drawing on the experience of medical service information disclosure in developed countries,the author proposed that we should carry out a comprehensive survey of patient needs,establish a convenient and transparent information disclosure platform,and establish a sound scientific regulatory mechanism,so as to provide reference for promoting the establishment of a patient demand oriented medical service information disclosure mechanism in China.