本文主要采用了案例分析的方法,对新津县人民医院进行了深入地研究,并参考
了设计学派基本模型,使用PEST分析法从政策、经济、文化等几个方面介绍了新津县
人民医院的医疗卫生环境;然后在医院现状的基础上分析了医院内部的优势、劣势、
机会和挑战;再通过确立医院的医改原则和使命,明确医院的战略发展方向,提出适
宜医院发展的医改具体实施措施,特别是在医院新的发展理念和精细化管理模式上更
是做了很多的努力;最后对医院医改战略实施后的一些阶段性成果做了简单地介绍和
说明。本文所提的医改战略,实质上是希望新津县人民医院通过实施基础设施完善、
专科科室优化配置、全面服务质量提升、满意度管理、人才引进、信息化建设、文化
建设等各项发展性战略来推动医院医改的实现。事实证明,新津县人民医院在实施这
些战略后,确实得到了很大地发展,因此,本文的研究总结具有一定的实践意义和参
考价值。
关键字:医疗卫生;新津县人民医院;医疗改革;发展战略
Abstract
With the medical reform strategies proposed,people are highly anticipated to the major
livelihood project whose goal is Everyone will have access to basic medical and health
services. As a core part of the project, the development of country hospitals is attracting
everyone&39;s attention. The people&39;s hospital of Xinjin was founded in 1942,more than 70
years of developing history, is the only one large-scale comprehensive country hospital in
Xinjin. Under the call of medical reform, the government stepped up efforts to support
country hospitals, which made the development of country hospitals have a new strong
driving force. And the people&39;s hospital of Xinjin actively implements each development
strategies to overcome its predicament, realizing a profit. With the improvement of medical
service level, the development of the hospital has been promoted.
This article takes the people&39;s hospital of Xinjin as an example to have a deep research,
and uses the basic model of the design school as a reference. First it introduces the external
factors such as politics, economy and culture. Then based on the current situation,it analyzes
the internal situation such as strengths, weaknesses,opportunities and threats. Next it
indicates the direction of the hospital and the specific medical reform strategies through
putting forward medical reform principles and the hospital&39;s mission. Finally, it introduces
and explains the stage results after implementing the medical reforms of the hospital. The
medical reform strategies in this article, in fact, are as to realize promoting the hospital&39;s
implementation of medical reform through completing the infrastructures, optimizing the
allocation of specialist departments, raising the overall quality of service, introducing the
medical talents, constructing an information system and other developing strategies. In fact,
the medical reform strategies of the people&39;s hospital of Xinjin are practical significance and
reference value.
Key Words: health care; the People&39;s Hospital of Xinjin Country; Medical Reform;
Developing Strategy
第1章绪论
1. 1研究背景
我国卫生部提出未来的医疗卫生工作要点将是优先发展县级医院,这标志着县级
医院是医疗改革工作的重中之重。医疗卫生服务改革关系到国计民生。如何破解医疗
资源局限造成的“看病难、看病贵”是一个尚待解决的世界性难题。在我国,为数最
少的城市大医院占有最优质的医疗资源,而数量较多的中小型城市却不及其十分之一,
这种资源的不合理分配使得患者及家属养成了只要有病就会去大医院的就医习惯,造
成本应承担疑难重病诊疗的市级以上大医院不堪重负,医疗服务质量大打折扣。
县级医院在我国医疗服务体系中起着承上启下的作用,向上接省市级优质医疗资
源,下连乡镇卫生院和社区服务中心。这样一个特殊的地位,使得县级医院成为了全
国医疗卫生机构体系的网络节点。因此,发挥县级医院的城乡联动纽带作用和县域龙
头作用,通过与省级医院和基层医疗卫生机构的合作,提高县域医疗服务体系的整体
效率,使县级以下小地方的常见病、多发病85%90%的患者需求都能够在县级医院就
得到解决,降低医院外转诊率,将会对合理医疗分层体系的建立和缓解看病闲难等问
题起到积极的作用,真正做到“小病不出乡,大病不出县”,缓解“看病难、看病贵”
的问题,使患者及家属“病有所医”,真正解决后顾之忧。
目前,县级医院存在人才、设备、技术、服务水平和质量等方面的问题。这些问
题又引起了看病难、医疗纠纷多、医疗成本居高不下等一系列医疗卫生问题。然而,
医改是一项极其复杂且艰巨的工作,不但需要政府加大投入,出台相应政策支持,更
是需要医院管理者认真地分析自身的问题和对医疗服务改革的认识,以及选择自己正
确的发展战略并贯彻落实。对于覆盖人群最多,可获得的资源又相对较少,医疗水平
偏低的县级医院改革,对于以满足人民群众日益增长的医疗需求为目的的中国医改而
言,是重中之重,也是决定医改成败的根本所在。
新津县人民医院是新津县内唯一一家综合性二级甲等综合医院,位于四川盆地西
部、成都南部,距成都市区仅有28公里。目前医院编制床位320张,幵放床位499张。
医院开设临床专业,下设心血管内科、呼吸内科、内心泌科、肾内科、肿瘤科、儿科、
耳鼻咽喉科、康复医学科、泌尿外科、脑外科、胸外科、骨外科、妇科、重症医学科、
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