实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2014年
3期
224-227,228
,共5页
李鸿浩%郑尚维%彭文涛%姜洁%文进%昝懿恒
李鴻浩%鄭尚維%彭文濤%薑潔%文進%昝懿恆
리홍호%정상유%팽문도%강길%문진%잠의항
医院分院%现状调查%建设
醫院分院%現狀調查%建設
의원분원%현상조사%건설
Hospital branches%Situation analysis%Construction
目的:通过对我国医院分院建设现状分析,为我国医院分院设立与建设提供实证依据。方法检索我国部属部管医院、2013年度复旦大学最佳医院及美国梅奥综合医学中心、日本德洲会医疗集团、台湾长庚医院官方网站及中国生物医学文献光盘数据库( CBMdisc)、中国期刊全文数据库( CNKI)数据库、维普( VIP)、万方、国际性综合生物医学信息书目数据库( Medline)。提取有关分院设立的资金、人员、经营模式等数据并进行描述性分析。结果①本研究调查的地方医院共73家,其中36家开设了分院(45%);②北部和东部地区在开设分院的医院数量、开设分院数量分别位居前2位;③分院等级主要为二级医院,有25家(32%),主要分布于东部和西部,分别为12家(48%)、7家(28%);④综合型分院有31家(40%);专科型分院有16家(20%);⑤本部外派结合社会招聘,也开展内部选拔和外部引进,16家(20%)分院由本部派出结合社会招聘,派出方式包括定期不定期地派遣、常驻等;⑥19家(24%)分院采取托管;⑦地方政府制定的有关医疗体制改革的发展规划是分院建设的政策依据。结论目前所开办的各种类型分院托管是现有主要运营模式,分院人员组成方式灵活多样,以本部派出结合社会招聘为主,根据当地疾病诊治需求进行科室设置,以二级医院为主,将综合和特色专科相结合。应深入探索有效实施途径,积极争取政策支持,大力开展分院建设。
目的:通過對我國醫院分院建設現狀分析,為我國醫院分院設立與建設提供實證依據。方法檢索我國部屬部管醫院、2013年度複旦大學最佳醫院及美國梅奧綜閤醫學中心、日本德洲會醫療集糰、檯灣長庚醫院官方網站及中國生物醫學文獻光盤數據庫( CBMdisc)、中國期刊全文數據庫( CNKI)數據庫、維普( VIP)、萬方、國際性綜閤生物醫學信息書目數據庫( Medline)。提取有關分院設立的資金、人員、經營模式等數據併進行描述性分析。結果①本研究調查的地方醫院共73傢,其中36傢開設瞭分院(45%);②北部和東部地區在開設分院的醫院數量、開設分院數量分彆位居前2位;③分院等級主要為二級醫院,有25傢(32%),主要分佈于東部和西部,分彆為12傢(48%)、7傢(28%);④綜閤型分院有31傢(40%);專科型分院有16傢(20%);⑤本部外派結閤社會招聘,也開展內部選拔和外部引進,16傢(20%)分院由本部派齣結閤社會招聘,派齣方式包括定期不定期地派遣、常駐等;⑥19傢(24%)分院採取託管;⑦地方政府製定的有關醫療體製改革的髮展規劃是分院建設的政策依據。結論目前所開辦的各種類型分院託管是現有主要運營模式,分院人員組成方式靈活多樣,以本部派齣結閤社會招聘為主,根據噹地疾病診治需求進行科室設置,以二級醫院為主,將綜閤和特色專科相結閤。應深入探索有效實施途徑,積極爭取政策支持,大力開展分院建設。
목적:통과대아국의원분원건설현상분석,위아국의원분원설립여건설제공실증의거。방법검색아국부속부관의원、2013년도복단대학최가의원급미국매오종합의학중심、일본덕주회의료집단、태만장경의원관방망참급중국생물의학문헌광반수거고( CBMdisc)、중국기간전문수거고( CNKI)수거고、유보( VIP)、만방、국제성종합생물의학신식서목수거고( Medline)。제취유관분원설립적자금、인원、경영모식등수거병진행묘술성분석。결과①본연구조사적지방의원공73가,기중36가개설료분원(45%);②북부화동부지구재개설분원적의원수량、개설분원수량분별위거전2위;③분원등급주요위이급의원,유25가(32%),주요분포우동부화서부,분별위12가(48%)、7가(28%);④종합형분원유31가(40%);전과형분원유16가(20%);⑤본부외파결합사회초빙,야개전내부선발화외부인진,16가(20%)분원유본부파출결합사회초빙,파출방식포괄정기불정기지파견、상주등;⑥19가(24%)분원채취탁관;⑦지방정부제정적유관의료체제개혁적발전규화시분원건설적정책의거。결론목전소개판적각충류형분원탁관시현유주요운영모식,분원인원조성방식령활다양,이본부파출결합사회초빙위주,근거당지질병진치수구진행과실설치,이이급의원위주,장종합화특색전과상결합。응심입탐색유효실시도경,적겁쟁취정책지지,대력개전분원건설。
Objective To analyze the current situation of hospital branches in China ,and thus,to provide a reference for es-tablishment and construction of hospital branches .Methods Data were retrieved from multiple sources including the official website of affiliated hospital in China,the 2013 annual best hospitals of Fudan University ,the Mayo Clinic,the Japan's Texas Medical Group,the Chang-Gung Memorial Hospital in Taiwan,the Chinese biomedical literature CD-rom database(CBMdisc),the China journal full-text database(CNKI),the VIP database,the Wanfang database and Medline .Extract data about funds ,personnel,business pattern of hospital branches and descriptive analysis was used for this survey .Results ①Seventy-three local hospitals was included in this study .Of these hospitals,36 hospitals(45%) had branches.②Northern and eastern area ranked top two in the number of hospitals establishing bran -ches and the number of branches ,respectively.③The majority of hospital branch are second-class hospitals,in which 25 second-class hospitals(32%) were locate in the eastern and southern area 12(48%) in the eastern area and 7(28%) in the southern area,respec-tively).④There were 31(40%) comprehensive hospital branches and 16(20%) specialist hospital branches.⑤16(20%) hospital branches were department external assignments combined with social recruitment .The assignments also included regularly or irregularly sending and resident,and so on.⑥The 24%of the branches were taken trusteeship .⑦The development planning about healthcare re-form set by local government is the policy for hospital branch's construction .Conclusion The trusteeship is the major operation mode for the current hospital branches .Branch staffs are organized with flexible manner:department external assignments combined with social recruitment .The departments were set-up according to local demands .The most branches are most secondary-class hospitals combined with comprehensive and characteristic specialized subject .We should further explore the effective implementation ways ,strive the policy support and vigorously carry out the constructions .