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目的通过开展个体诊所卫生监督量化分级管理,探索在各级各类医疗机构中开展量化分级管理的可行性,开创柳州市医疗卫生监管的新模式,更好地保障医疗安全。方法确定个体诊所卫生监督量化评分指标及评分标准,对柳州市范围内276家个体诊所进行量化分级管理。结果经过评分,获得A级的个体诊所为9.06%,B级的个体诊所为39.49%,C级的个体诊所为47.83%,D级的个体诊所占3.62%。其中,诊疗科目为中医内科的诊所A、B级比例较高,总体量化分级评分平均分比其他诊疗科目的平均分要高。结论对个体诊所实施量化分级管理对促进医疗机构的管理有积极作用,但必须针对不同的诊疗科目的诊所进一步完善评分标准,并与公示制度结合起来,推进柳州市各级各类医疗机构的量化分级管理工作。
Objective To explore the feasibility of carrying out quantitative and hierarchical management in all kinds of medical institutions at all levels by means of quantitative and hierarchical management of health supervision of individual clinics and to create a new mode of medical and health supervision in Liuzhou so as to better ensure medical safety. Methods The quantitative evaluation index and the scoring standard of health supervision of individual clinics were determined, and 276 individual clinics in Liuzhou city were quantitatively and hierarchically managed. Results After grading, the number of individual clinics that received Grade A was 9.06%, that of Grade B individuals was 39.49%, that of Grade C was 47.83%, and that of Grade D was 3.62%. Among them, the treatment subjects for the Chinese medicine clinic Clinic A, B higher proportion of the overall quantitative graded average score higher than the average score of other medical subjects. Conclusion The implementation of quantitative and hierarchical management of individual clinics has a positive effect on the promotion of the management of medical institutions. However, it is necessary to further improve the scoring standards for clinics in different clinical departments and combine with publicity to promote the quantification of various medical institutions at all levels in Liuzhou Hierarchical management.