肿瘤专科医院的多院区医疗质量同质化管理实践与探讨——以中山大学肿瘤防治中心为例

Exploration and discussion on homogeneous development of medical quality across multiple campuses in cancer specialty hospitals—a case study of sun yat-sen university cancer center

目的 总结国内外多院区医院管理难点,梳理多院区医务管理经验,结合中山大学肿瘤防治中心实践,提出“中肿”多院区医务管理模式,供国内同行参考和借鉴。方法 采取文献研究和案例分析等方法,通过关键人物访谈、专家咨询等方式,总结凝练多院区医务管理经验,提出政策建议。结果 中山大学肿瘤防治中心通过垂直与属地管理相结合的组织体系、学科集群与特色专科布局、多渠道引流措施、医疗资源动态调整、医疗质量同质化、信息手段助力运营六大措施,进行多院区医务管理。实现各专科错位发展、提高资源利用效率、医疗服务同质增量、信息系统运行流畅、新业务稳步有序开展的高质量发展目标。结论 国内公立专科医院可通过精简组织架构提高管理效率,优化专科布局实现各专科错位发展,严控标准保障医疗质量,以动态调整为指挥棒引导各专科有序竞争,借力信息系统服务于多院区同质化建设等手段,逐步实现多院区的同质化管理和高质量发展。

Objective To summarize the management challenges faced by multi-campus hospitals both domestically and internationally,to delineate the experiences in medical administration across multiple campuses,and to propose the“Zhongzhong”multi-campus medical management pattern based on the practices of Sun Yat-sen University Cancer Center,aiming to provide reference and evidence for domestic peers in the field.Methods This study uses the methods of literature research and case study analysis,and summarizes and condenses the experience of medical management in multi-campus and provides policy suggestions through key person interviews and expert consultation.Results SYSUCC carries out multi-campus medical management through six major measures,namely,the organizational system combining vertical and territorial management,the layout of disciplinary clusters and specialties,multi-channel flow attraction measures,the dynamic adjustment of medical resources,the homogenization of medical quality,and the high-effective information system.It achieves the high-quality development goals with differential development of various specialties,improved resource utilization efficiency,homogeneous and incremental medical services,smooth operation of information system,and steady and orderly development of new techniques.Conclusion Domestic public specialized hospitals can achieve homogeneous management and high-quality development across multiple campuses through streamlined organizational structures to enhance management efficiency,optimizing the layout of specialized departments to promote coordinated development,strict control of standards to ensure medical quality,using dynamic adjustments to guide orderly competition among specialized departments,and leveraging information systems to support homogeneous development across multiple campuses.