引用本文:倪步东,钱东福,严友德.[cn_title][J].[journal_cn_name],2021,[volume]([issue]):612-616.[点击复制]
NI Budong,QIAN Dongfu,YAN Youde.[en_title][J].[journal_en_name],2021,[volume]([issue]):612-616.[点击复制]
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基于科间会诊分析的临床科室协同治理策略研究
倪步东,钱东福,严友德
0
(南京医科大学医政学院;宿迁市第一人民医院医务处)
摘要:
目的:通过对某三甲综合医院科间会诊情况的统计分析,研究医院临床科室之间协同治理策略。方法:收集医院2020年院内科间会诊的数据,通过归纳处理,了解各临床科室之间协同合作及协同发展现状。结果:该院37个临床科室中17个科室为会诊正向需求科室,15个科室为会诊逆向需求科室,5个科室为相对平衡科室。心血管内科、神经内科、消化内科、骨科、内分泌科等20个科室为全院主要会诊科室,都至少有1个双向协同科室。结论:对于会诊正向需求科室建议采取主动的协同治理策略;对于会诊逆向需求科室建议采取选择性的协同治理策略;对于双向协同科室建议采取全面深入的协同治理策略。
关键词:  科间会诊  协同治理  医疗质量
DOI:
基金项目:
Research on the Collaborative Governance Strategy between Clinical Departments based on Inter-Division Consultation
NI Budong,QIAN Dongfu,YAN Youde
(School of Health & Management,Nanjing Medical University;Medical Department,Suqian First People’s Hospital)
Abstract:
Objective:This article uses a statistical analysis of inter-division consultationsina generalCertainGrade-A Tertiary Hospitalto study the collaborative governance strategy between clinical departments in the hospital. Methods:Collect the data of the hospital's inter-hospital internal consultations from January to December 2020,and through certain inductive processing,clarify the situation of collaborative cooperation and exchange and the needs of collaborative development between clinical departments. Results:There are 37 clinical departments in the hospital,of which 17 departments are consultation departments with forward demand,15 departments are consultation departments with reverse demand,and 5 departments are relative balance departments. Twenty departments,including Cardiovascular Medicine,Neurology,Gastroenterology,Orthopedics,and Endocrinology,are the main consultation departments in the hospital. Each of the 20 main departments has at least one two-way collaboration department. Conclusion:It is recommended to adopt an active collaborative management strategy for the consultation department with positive demand;For the consultation department with a reverse demand,a selective collaborative management strategy is recommended;For the two-way collaborative department,a comprehensive and in-depth collaborative management strategy is recommended.
Key words:  Inter-division Consultation  Collaborative Management  Quality of care

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