传染病医院转型发展实践路径与思考

Practice path and thinking of transformation and development of infectious disease hospital

长期以来,我国传染病医院的发展面临着病源少、人才缺、学科弱、运营难、竞争多的压力与挑战,伴随着历次重大公共卫生事件的发生和应对,传染病医院迎来了转型发展的机遇和调整。本文以南京市第二医院为例,从明确转型发展战略规划、全面启动学科平台建设、重点推进人才梯队培养、持续提升医疗服务水平、补齐追平科教发展洼地、逐步探索医院精细管理6个方面,详细阐述了传染病医院综合化转型发展实践路径。经过多年的实践发展,医院实现了规模体量的层级增长,医疗服务能力显著增强,学科品类建设齐全,亚专科发展特色鲜明,新技术新项目开展迅速,运营效率不断优化,患者满意度稳步提升。近5年门急诊量、出院患者人次、出院患者手术台数等均有显著增加,平均住院日和门诊均次费用则有明显下降,有效检验了转型发展路径的可行性。同时,在公立医院高质量发展的新时代背景下,对传染病医院综合化转型后新阶段的内涵发展也提出了思考。

For a long time,the development of infectious diseases hospitals in China has been faced with the pressure and challenges of few patients,lack of talents,weak disciplines,difficult operation,and more competition.With the occurrence and response of major public health events,infectious diseases hospitals are facing the opportunities and adjustments for transformation and development.Taking The Second Hospital of Nanjing for example,this manuscript elaborated the practice path of comprehensive transformation and development of infectious disease hospitals from six aspects:to clarify the transformation and development strategy,to fully launch the discipline platform construction,to focus on promoting talent echelon training,to continuously improve medical service level,to make up the depression of science and education development,and to gradually explore fine hospital management.After the practice and development for many years,the hospital has achieved the hierarchical growth in scale and volume,the significantly enhancement of comprehensive medical service ability,the complement of comprehensive discipline category construction,the distinct characteristics of sub-specialty development,the quick development of new technologies and projects,the continuous optimization of operation efficiency,and the persistent improvement of patients'satisfaction.In the past five years,there has been a significant increase in the number of outpatient and emergency departments,the number of discharged patients,and the number of surgical procedures performed on discharged patients;The average length of hospital stay and outpatient expenses have significantly decreased,which tested the feasibility of the transformation development path effectively.Under the high-quality development of public hospitals in the new era,the connotation development of infectious disease hospitals in the new stage after the comprehensive transformation is also proposed.