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中医“治未病”思想在质控管理中的思考 被引量:1

"Preventing Diseases"Thinkingof Traditional Chinese Medicinein Quality Control Management
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摘要 将"治未病"的防患未然与防胜于治思想运用于医院的医疗质量控制管理工作中,分析以未来为导向的发展趋势必要性、规划方案、标准化执行与实施方案。将中医临床治疗思想中"治未病"融合于复杂的管理工作中,为组织管理战略规划进行科学规划、及时应对,使医院发展过程中体现出整体观、预防观、全局观、科学统筹发展观。中医治疗体系中,从不等到病情延误或者病入膏肓的适合再出手相救,必当走在病情发展之前,去解决,去阻断,来治病救人。中医治疗体系中的全局观也是值得在科学管理的过程中借鉴。中医看病不会出现头痛医头脚痛医脚,在望闻问切四个步骤中,把各个脏器与气血津液之间的内在联系,检查的通透,治疗的及时,这在中医诊疗的过程中是医生的必修课,也是个人医术领悟的内在要求。在医学管理中,如果能有框架全局观念去处理管理过程中的四大步骤:计划组织领导控制。在这四个步骤中,能从大局观出发,设计有逻辑的管理流程,发出科学的管理指令,完善借鉴中医体系中,博大精深,源远流长的智慧结晶,最终形成与时俱进的"已病防变"的科学管理体系。 The idea of preventing before onset and preventing being more important than treating is applied to the management of medical quality control in the hospital,and the necessity of future oriented development trend,planning scheme,standardized implementation and implementation scheme are analyzed.In order to make scientific planning and timely response to the strategic planning of organization and management,we should integrate the idea of"treating disease before onset"into the complex management work.In the process of hospital development,it reflects the concept of overall,preventionand scientific overall development.In the treatment system of traditional Chinese medicine,we rescue patients never when the disease is developed orterminally serious.We must solve,block,treat and save people before the development of the disease.The overall view of TCM treatment system is also worthy of learning in the process of scientific management.TCM would not only treat head for headache or treat feet for foot.In the four steps of inspecting,smelling and listening,inquiring and pulse-taking,the internal connection between each organ and Qi,blood and body fluid,the transparency of examination and the timeliness of treatment are required courses for doctors in the process of diagnosis and treatment of traditional Chinese medicine,and also the internal requirements of personal medical skill understanding.In medical management,if there is a framework for the overall concept to deal with the four steps in the management process:planning,organization,leadership and control,we can start from the overall situation,design a logical management process,issue scientific management instructions,improve and learn from the TCM system,and finally form a scientific management system that keeps pace with the times.
作者 任梦迪 李国信 REN Mengdi;LI Guoxin(Graduate School of Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Academy of Traditional Chinese Medicine,Shenyang 110034,Liaoning,China)
出处 《实用中医内科杂志》 2020年第11期103-106,共4页 Journal of Practical Traditional Chinese Internal Medicine
关键词 治未病 质控管理 战略管理 防胜于治 全局观 预判机制 科学规划 防患未然 preventing disease quality control management strategic management prevention being better than treatment overall view prediction mechanism scientific planning preventing before onset
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