新时期医疗质量管理的现状与思考.pdfVIP

32 重庆医学200 8 年1 月第37 卷第1 期 1 1 2 雷 震 , 杨 强 , 孙梯业 ( 1. 空军总医院医务部医疗科, 北京 100085; 2. 第三军医大学西南医院, 重庆4000 38) : 随着医疗市场的 争, 医疗服务质量的含义发生了新的变化, 新的医疗服务质量管理理论方法也被不断引进本文 分析了目前医院医疗质量管理的现状是医疗保险制度的实施对医患产生重大影响市场机制引入使医疗行业 争加剧医院的运 行机制和管理存在不足医疗期望值和客观现实的反差增加了医患矛盾收入的多元化产生了不同层次医疗需求在对医疗质量 管理进行分析讨论的基础上, 对进一步加强医院医疗质量的管理提出了一些见解 : 医疗服务; 质量管理; 现状; 措施 : R197 . 322 : A : 167 1834 8( 200 8) 0100 3203 Opinions on current situations on quality management of medical service 1 1 2 L EI Zhen , YA N G Qiang , S UN T iy e ( 1. D ep artment of M ed i al Af f airs, General H osp ital of A ir For e of PL A , Beij ing 100085, China; 2. D ep artment of H osp ital Af f airs , Southwest H osp ital, Third M ilitary M ed i al University , Cho ngqi ng 400038, China) Abstract: W ith the co mpetit ion o f medica market , the meaning of medica ser vice qua ity has chang ed gr eat y , new theo ries and methods of medica service qua ity manag ement have been intr oduced co nstant y. T he curr ent qua it y management o f medica car e is f aced w ith sev era pro b em s, fo r ex amp e, the intr oductio n of medica refor ming has bro ug ht impo rtant inf uences o n the phy sicianpatient re atio nship , the intro duction of market mechanism has pr omo ted the competit ion in medica pro f ession , def ects are st i present in the r unning mechanism and manag ement o f hospita , the co ntr ast betw een ex pectatio n to medica care and rea istic eve increased the co ntr adict ion betw een doctor s and patients, the indiv idua s w ith diff erent inco me eve s have diff er ent medica re quirements. Based on the inv est igat ion and ana y sis, sev era issues