Inter-division Consultation Collaborative Management Quality of care
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。
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.