我国医院评审中管理工具地应用研究.pdfVIP

摘 要 医院评审是卫生行政部门对医院服务质量进行监督评价的一种很重 要的手段。但是，评审内容涉及医院管理的各个方面，评审过程十分复杂 。如何使评审的过程更加规范公平，提高其公信力、科学性和权威性，发 挥好医院评审对公立医院改革发展的导向作用，从而更好地促进医院提 高管理水平和服务效率，持续改进服务质量，已经越来越受到社会各界的 关注，也是本项研究欲达到的目的。 本研究首先梳理了我国医院评审的历史过程和现状，然后分析了对 我国影响最大的美国JCI评审评价体系的理论基础，并以T医院为例分析 管理工具在新一轮医院评审中的应用效果,为更客观的评价及进行医院评 审工作提供恰当的方法学基础和建议。 本研究主要采用理论分析和实证研究相结合的方法。首先通过文献 分析开展理论研究,并在文献检索和临床资料收集的基础上,结合临床调 研和问卷调查等方法,以T医院为例，研究管理工具在新一轮医院评审过 程中的运用流程和实际效果。 结论：我国新一轮医院评审过程中引入管理工具,能促进“以评促建、 以评促改、评建并举、重在内涵”方针的贯彻,以泰安市某三甲医院进行实 证研究,证明管理工具的导入提高了住院患者的综合满意度,形成了质量 管理的良性循环体系,体现了“以患者为中心”的理念,达到了提升医院管 理水平和服务效率,持续改进服务质量的目的。 关键词：医院管理；医院评审；管理工具 万方数据 Abstract Hospital accreditation is an important method for health administrative departments and medical institutions to supervise and evaluate the quality and safety of medical service. It is also an important part of the public hospital reform. However, the accreditation involves all aspects of the hospital management, and the process is very complex. Thus it is becoming a social focus on guaranteeing the justice and equity, improving the credibility, scientific and authority of hospital accreditation and playing a guiding role in the development of public hospital reform. By doing this can we better strengthen the connotation construction, improve the hospital’s management and service efficiency as well as the quality of medical treatment. It is also the objective of this study. It firstly studied the history and current status of hospital accreditation in China. Then it analyzed the theoretical foundation of the United States JCI evaluation system which is of the greatest impact on China. It also provided appropriate methodoligical basis and suggestions on a more objecti