某大型公立医院学科高质量发展的建设实践

Construction Practice of High-Quality Development of Disciplines in a Large Public Hospital

学科建设是大型公立医院发展的首要任务,是医院核心竞争力所在。随着医改的逐渐深入,公立医院建设与发展已由重视规模效应的发展模式,转向以学科建设为核心的内涵式发展。近年来,淮安某大型公立医院积极探索学科建设的新思路新方法,包括通过态势分析(strengths,weaknesses, opportunities,threats,SWOT)精准把脉学科现状,构建学科排名考核评价体系,构建基础医疗质量评价体系、规范多学科协作诊疗管理、推动四大医师能力提升工程、推进学科平台化建设、以绩效激励驱动学科发展;同时以消化内科为例介绍了科室学科发展的实践探索,包括成立门诊消化系统疾病诊疗中心和消化医学中心,积极推动技术创新,最终学科建设取得了显著成效。学科建设的创新性举措有助于学科管理水平持续提升,突破学科建设发展瓶颈,巩固和提升医院主体地位,持续推进医院高质量发展。

Discipline construction is the primary task for the development of large-scale public hospitals,and it is the core competitiveness of hospitals.With the gradual deepening of the medical reform,the construction and development of public hospitals have shifted from the development mode of paying attention to the scale effect to the connotative development centred on discipline construction.In recent years,a large public hospital in Huai′an has actively explored new ideas and methods of discipline construction,including taking the pulse of the current situation of disciplines through SWOT analysis,constructing a discipline ranking assessment and evaluation system,constructing a quality evaluation system for basic medical care,standardizing the management of multidisciplinary collaborative diagnosis and treatment,promoting the four major physicians'competence enhancement projects,advancing the construction of discipline platforms,and driving the development of disciplines through performance incentives;at the same time,taking the Gastroenterology as an example,we introduce the practice of discipline development of the department.At the same time,the Department of Gastroenterology is introduced as an example of the practical exploration of the department's disciplinary development,including the establishment of the outpatient digestive disease diagnosis and treatment centre and digestive medicine centre,and the active promotion of technological innovation,and ultimately,the construction of disciplines has achieved remarkable results.The innovative initiatives of discipline construction will continuously improve the management level of the discipline,break through the bottleneck of discipline construction and development,consolidate and enhance the strategic development status of the hospital,and continue to promote the high-quality development of the hospital.