CAJ | 학술논문

目的：探索中医医疗管理质量管理模式对于开展中医医疗服务的不同类别医疗机构的作用，评估中医医疗管理质量管理模式的成效。方法上海市将浦东新区医疗服务机构划分为二、三级中医类医疗机构、二、三级非中医类医疗机构、社区卫生服务中心3类采用普查方法进行调查。在2012年至2013年内对不同类别医疗机构开展中医医疗质量管理，根据管理年末的打分，评估管理质量管理模式的成效。结果中医医疗管理质量管理模式对于中医类医疗机构在“发挥特色优势”、“临床科室建设”、“重点中医专科设置”、“中药药事管理”等领域具有积极影响（发挥特色ρ=0.033、科室建设ρ=0.001、重点专科ρ=0.004、药事管理ρ=0.024、适宜技术ρ=0.003）；对于非中医类机构在科研教育、中医文化建设、中医预防保健领域的提升具有积极成效（科研教育p=0.028、文化建设ρ=0.006、预防保健ρ=0.022）；对于社区卫生服务中心在站点中医覆盖、适宜技术、中医预防保健等领域具有改善效果（站点中医覆盖ρ=0.001、中医适宜技术ρ=0.016、中医预防保健ρ=0.012）。结论中医医疗管理质量管理模式在中医类、非中医类、社区卫生服务类医疗机构内运用对于其中医医疗的发展与开拓均具有积极作用，且不同类别的医疗机构所体现出的管理效果也各不相同。
목적：탐색중의의료관리질량관리모식대우개전중의의료복무적불동유별의료궤구적작용，평고중의의료관리질량관리모식적성효。방법상해시장포동신구의료복무궤구화분위이、삼급중의류의료궤구、이、삼급비중의류의료궤구、사구위생복무중심3류채용보사방법진행조사。재2012년지2013년내대불동유별의료궤구개전중의의료질량관리，근거관리년말적타분，평고관리질량관리모식적성효。결과중의의료관리질량관리모식대우중의류의료궤구재“발휘특색우세”、“림상과실건설”、“중점중의전과설치”、“중약약사관리”등영역구유적겁영향（발휘특색ρ=0.033、과실건설ρ=0.001、중점전과ρ=0.004、약사관리ρ=0.024、괄의기술ρ=0.003）；대우비중의류궤구재과연교육、중의문화건설、중의예방보건영역적제승구유적겁성효（과연교육p=0.028、문화건설ρ=0.006、예방보건ρ=0.022）；대우사구위생복무중심재참점중의복개、괄의기술、중의예방보건등영역구유개선효과（참점중의복개ρ=0.001、중의괄의기술ρ=0.016、중의예방보건ρ=0.012）。결론중의의료관리질량관리모식재중의류、비중의류、사구위생복무류의료궤구내운용대우기중의의료적발전여개탁균구유적겁작용，차불동유별적의료궤구소체현출적관리효과야각불상동。
Objective To explore the effect of traditional Chinese medicine medical quality supervision for the different categories of medical institutions of traditional Chinese medicine services, evaluation of medical quality supervision mode effect. Methods The Pudong New Area medical service mechanism is classified as level Chinese class medical institutions, two or three grade two or three non Chinese medical institutions, community health service center 3 census method was used to investigate. In 2012 to 2013 in different hey don't medical institutions to carry out medical quality control of tradi?tional Chinese medicine, according to regulatory assessm ent results of quality supervision mode. Results Medical quality supervision mode for traditional Chinese medical institutions in the"play special advantage","clinical departments build?ing", "focus on specialist settings", "Chinese medicine pharmacy management" has a positive effect(Give full play to the characteristics p=0.033, construction of departments p=0.001, focus on specialist p=0.004, pharmacy management p=0.024, appropriate technology p=0.003);Has positive effect for non Chinese institutions in scientific research and educa?tion, traditional Chinese culture, traditional Chinese medicine prevention and health care field(scientific research and edu?cation p=0.028, cultural construction p=0.006, prevention and health care p=0.022);For community health service center in the site coverage, appropriate technology, traditional Chinese medicine TCM preventive health care and other fields has improvement effect(the site coverage p=0.001, traditional Chinese medicine TCM p=0.016, TCM preventive care p=0.012). Conclusion Medical quality supervision mode of TCM in the Chinese class, non community health service class medical in?stitutions of traditional Chinese medicines, usage has a positive effect on the Chinese medical development and pioneering, reflects the different categories of medical institutions and the regulatory effect also each are not identical.