摘要
目的了解我国公立医院健康管理服务能力现状,据此提出改进健康管理服务的对策建议。方法设计调查问卷,采用多阶段随机抽样的方法,发函至各省医院协会组织75家公立综合医院填报问卷,对健康管理服务情况进行描述性和推断性分析。结果公立医院健康管理机构间开展的体检项目参差不齐,与医院共享开展项目的情况较为普遍;仍有21家机构未建立健康管理信息化系统,其中11家是三级机构;能够提供全过程健康管理服务的机构有55家,主要是三级机构;仅28家机构承担科研课题,主要承担省市科研项目,85.71%的机构有人才培养与科研指导需求。结论健康管理(体检)机构的服务能力较弱。建议加大健康管理的人、财、物投入,加快培养健康管理人才,完善信息化系统,促进健康体检与健康管理相融合。加强健康管理学科建设,建立完善的管理流程与监督体系,不断提高机构健康管理服务能力。
Objective To understand the current status of health management service capability of public hospitals in China andpropose suggestions for improving health management service.Methods A questionnaire was conducted using a multi-stage random sampling method.Letters were sent to hospital associations in each province,requesting 75 public general hospitals to fill out the questionnaire.Descriptive and inferential analyses were performed on the collected data regarding the health management service.Results The physical examination items carried out by different health management institutions in public hospitals varied greatly,and the institutions more commonly shared the items with the hospitals they were affiliated to.Among them,21 institutions had not established a health management information system,of which 11 were tertiary institutions.Fifty-five of tertiary institutions could provide whole-process health management service.Only 28 institutions undertook scientific research projects,mainly of provincial and municipal levels.85.71%of the institutions had a demand for talent cultivation and scientific research guidance.Conclusion The service capability of health management(or physical examination)institutions is weak.It is suggested to increase the investment of human,financial and material resources for health management,accelerate the cultivation of health management talents,improve the information system,promote the integration of health examination and health management,strengthen the construction of health management discipline,establish a sound management process and supervision system,and continuously improve the health management service capability of the institutions.
作者
陆芬
罗杰峰
朱平华
LU Fen;LUO Jiefeng;ZHU Pinghua(School of Information and Management,Guangxi Medical University,Nanning 530021,China;The Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,China;School of Humanities and Social Sciences,Guangxi Medical University,Nanning 530021,China)
出处
《现代医院》
2023年第8期1169-1172,共4页
Modern Hospitals
基金
中国医院协会委托项目“公立医院开展健康管理现状与发展趋势调研”(CHA20220401)。
关键词
公立医院
健康管理
服务能力
Public hospitals
Health management
Service capability
