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                                  医院公共卫生管理中PDCA管理模式的运用分析

                                  时间:2019-03-20 来源:中国医药指南 作者:鞠韧. 本文字数:2421字

                                    摘    要: 目的 探讨与分析个性化卫生管理模式对医院慢性疾病防控中的应用效果。方法 回顾分析于2018年1月至2019年1月期间对我市医疗卫生资源、经济水平医疗卫生环境、生活方式等相似的12家医院及136例公卫人员作为重点对象,并依据本次对医院基本公共卫生管理的不同模式划分为参照组(常规管理模式)及实验组(PDCA管理模式),各组为6/68,统计两组医院公卫人员管理后各个季度考核成绩、医疗文书书写合格率及全年考核成绩评分及书写合格率情况,并予以评估和总结。结果 实验组1~3月份、4~6月份、7~9月份、10~12月份和1年考核评分分别为(83.42±7.53)分、(87.97±5.79)分、(92.50±2.76)分、(98.16±0.73)分、(97.07±0.93)分,均显着优于参照组1~3月份、4~6月份、7~9月份、10~12月份和1年考核评分分别为(70.83±9.15)分、(74.58±8.06)分、(81.52±6.80)分、(86.46±6.24)分,差距显着(P <0.05);则实验组1年书写合格率为67(98.53)%高于参照组,差距显着(P <0.05)。结论 实施PDCA模式在医院基本公共卫生管理工作中获得的应用效果佳。

                                    关键词: PDCA模式; 医院; 基本公共卫生管理; 效果;

                                  星云棋牌官网下载   WOGUOYIYUANJIBENGONGGONGWEISHENGZISHISHIQILAI,HUODELEYIDINGDERENKEYUXIAOGUO。DANYINBUFENYIYUANGONGWEIRENYUANHAICHUYUZHONGYILIAO、QINGWEISHENGDECHUANTONGSIXIANG,CUSHIDUIGONGGONGWEISHENGFANGMIANSHIZHONGBAOYOUYINGFUDETAIDU,BUJINDUIRENMENSHENGHUOHUANJINGZAOCHENGZHIJIEYINGXIANG,TONGSHIYEDUISHENTIJIANKANGZAOCHENGYIDINGWEIHAI。YINCI,WEIQIUWANZHENG、ZHUNQUE、ZHENSHIDEJILUJUMINJIANKANGQINGKUANG,TISHENGYIYUANJIBENGONGGONGWEISHENGGUANLIGONGZUOSHUIPINGJIFUWUZHILIANG,ZHIDINGYIZHONGDAIYOUZHENDUIXINGQIANG、SHIXIAOXINGGAODEKEXUEGUANLIFANGAN,YICHENGWEIZHONGDUOXUEZHEXUYAOMIANLINJIEJUEDEZHONGDAWENTI[1]。BENWENJIANGPDCAGUANLIMOSHIYONGYUYIYUANJIBENGONGGONGWEISHENGGUANLIZHONGDEYINGYONGXIAOGUOJINXINGSHENRUTANTAO,BAODAORUXIA。

                                    1、 资料与方法

                                    1.1 、一般资料:

                                    SOUJI2018NIAN1YUEZHI2019NIAN1YUEJIANDUIWOSHI12JIASHISHIJIBENGONGGONGWEISHENGGUANLIXIANGMUDEYIYUANHE136LIGONGWEIRENYUANNARUBENCISHIYAN,ANZHAOCICIGUANLIFANGSHIDEBUTONGFENPEICHENGCANZHAOZU(n=6/68)、SHIYANZU(n=6/68)。QIZHONGCANZHAOZUNAN38LI、NV30LI。NIANLING26~35SUI,PINGJUNNIANLING(28.36±1.75)SUI;SHIYANZUNAN42LI,NV26LI,NIANLING28~38SUI,PINGJUNNIANLING(30.62±1.58)SUI;GEZUYIYUANGONGWEIRENYUANZILIAOJINXINGBIDUIBUCUNZAIXIANZHECHAYI,P>0.05,BUJUBEITONGJIXUEYIYI。

                                    1.2 、分组及管理办法:

                                  星云棋牌官网下载   CANZHAOZUSHISHICHANGGUIGUANLIMOSHI,GUANCHAZUSHISHIPDCAMOSHI,JIPWEIJIHUAJIEDUAN;DWEIZHIXINGJIEDUAN;CWEIJIANCHAJIEDUAN、AWEIZONGJIEJIEDUAN,JUTINEIRONGRUXIA:(1)ZHENDUIWEISHENGGUANLIGONGZUOZHONGCUNZAIDESHIJIWENTIJINXINGPINGGUHEFENXI。MUBIAODUIXIANGBAOKUOBUFENCUNZAIYINGFU、DIXUELIHUOZHISHISHUIPINGCHADEGONGZUORENYUANYIJIKAOHECHENGJI、GUANLIZHIDUHEJIANGCHENGZHIDUBUWANSHANDENGQINGKUANG,JIYUZHIDINGCHUYITAOKEXUE、HELIDEPEIXUNJIHUA。(2)LUOSHINEIRONGBAOKUOJIAQIANGTISHENGGONGGONGWEISHENGGUANLIGONGZUODERENZHISHUIPING、KUODABUFENSUZHIGAO、XUELIGAOQIEYEWUNENGLIHAODEGONGZUORENYUANDUIWU,YIBIANTIGAOZHENGTIGONGWEIRENYUANDESHUIPINGJISUZHI[2]。(3)YANGEANYAOQIUZHIXINGFENLEI、FENPIPEIXUN,BINGYIFUYOUBAOJIAN、GONGGONGWEISHENGJILINCHUANGYISHIDENGRENYUANWEIZHUYAOPEIXUNDUIXIANG,XIANCHANGZHIDAOXUNWENJIQIAOHEQUNZHONGDEGOUTONGFANGFA,BAOZHENGSUOYOURENYUANDUIYOUGUANZHISHIDESHULIANZHANGWODU。CIWAI,DINGQICAIQUYUEKAOZHIDU,BINGYOUFUZERENJINXINGBUDINGQIJIANCHABINGKAOHEXIANYOUDEWENTIJINXINGXIANCHANGZHIDAO,BINGJICHUJIANYIJINXINGSHIDANGDIAOZHENG[3]。(4)CAIQUZHIZHIDANJUFANGSHIXIANCHANGDUIMEIYUEDEZHILIANGJIANCHAJIEGUOHECUNZAIDEWENTIJIYUJISHIFANKUI,BINGJIANGYANCHENGJIANGFALUOSHISHICHU。ZAICIGUOCHENGZHONG,SUOYOURENYUANJINXINGHUIZONGWENTITAOLUNXINGSHIZONGJIEJINGYAN,CONGZHONGDUJUEZHONGFUWENTIDEFASHENG。

                                    1.3 、观察指标:

                                    统计两组医院经管理后(1~3月份、4~6月份、7~9月份、10~12月份、1年)考核成绩评分及各季度医疗文书合格率情况。
                                   

                                  医院公共卫生管理中PDCA管理模式的运用分析
                                   

                                    1.4、疗效判定:

                                    LIANGZUGONGWEIRENYUANDE(1~3YUEFEN、4~6YUEFEN、7~9YUEFEN、10~12YUEFEN、1NIAN)DEKAOHECHENGJIJIYILIAOSHUXIEHEGELVLIAOXIAOBIAOZHUN:(1)YIJUZHIDINGJIDUKAOHEBIAOZHUN,BINGYI4GEFANGMIAN,ZONGFENWEI100FEN,FENSHUYUEGAO,ZEDAIBIAOGONGWEIRENYUANNENGGOUSHULIANZHANGWOGONGGONGGUANLIWEISHENGXIANGGUANZHISHI。(2)YIJUZHIDINGJIDUKAOHEBIAOZHUN,BINGCHOUQU50ZHANGCHUFANGJI3GEBINGLIZUOWEIPINGFENBIAOZHUN,ZONGFENWEI100FEN,FENSHUYUEGAO,ZESHUOMINGYILIAOSHUXIEYUEGUIFAN。

                                    1.5、 统计方法:

                                  星云棋牌官网下载   BENCISHIYANSUOHUOQUDESUOYOUSHUJUJIEGUOJUNCAIYONGSPASS22.0TONGJIXUERUANJIAN,JILIANGZILIAOBIJIAOYINGYONGLIANGDULIYANGBENDEtJIANYAN,JISHUZILIAOBIJIAOSHIYONGLIANGDULIYANGBENDEχ2JIANYAN。JIANYANSHUIZHUNα=0.05。P<0.05JUYOUTONGJIXUECHAYI

                                    2 、结果

                                    BIJIAOLIANGZU2018NIAN1YUEDAO2019NIAN1YUEQUANNIANKAOHECHENGJIJIYILIAOSHUXIEHEGELVQINGKUANG,JIANBIAO1。

                                    3、 讨论

                                  星云棋牌官网下载   JINJINIAN,WOGUOMIANLINRIYIYANJUNMANXINGJIBINGDEKAOYAN,DAOZHIGONGGONGWEISHENGGUANLIFANGMIANCHENGWEISHEHUISHANGREMENHUATI。WEICI,JIAQIANGGONGZUORENYUANDEYOUGUANZHISHISHUIPINGJIZHENGTIGONGZUOSUYANG,KEBURONGHUAN。JUYOUGUANYANJIUFAXIAN,BUFENXIANGZHENWEISHENGYUANJISHEQUFUWUHECUNWEISHENGSHISHIZUOWEIKONGZHITIFAGONGGONGWEISHENGSHIJIANDESHOUYAOHUANJIE[4]。CHUANTONGGUANLIMOSHIYINCUNZAIZHUDUOLOUDONGJIBUZU,DAOZHIWUFASHIXIANJIEJUESHIJICUNZAIDESUOYOUWENTI,ERPDCAMOSHISHIYOUJIHUAJIEDUAN、ZHIXINGJIEDUAN、JIANCHAJIEDUAN、ZONGJIEJIEDUANZUCHENG,QIZHONGJIHUAJIEDUANWEIYIJUYOUGUANFALVGUIDING,WANSHANJIANDUGUANLIZHIDU,YIZUIGAOXIAOLVWANCHENGGEGEHUANJIEDEGUANLIGONGZUO;ZHIXINGJIEDUANWEIQUANLIXIEZHUGONGGONGWEISHENGSHIJIANDEBAOGAOJICHUZHI;JIANCHAJIEDUANWEIGONGGONGWEISHENGGUANLIGONGZUOZHONGDEZHONGYAOHUANJIE;ZONGJIEJIEDUANWEIYIJUKAOHEGUIDINGBIAOZHUNSHISHIJIANGFAZHIDU,BINGDUISUOYOUGONGWEIRENYUANTICHUDESUOYOUWENTIJINXINGHUIZONG,FENXI,JICHUXIANGYINGDEJIANYIJIDUIYINGCUOSHI[5]。

                                    表1 两组各季度及全年考核成绩评分及医疗文书书写合格率比对
                                  表1 两组各季度及全年考核成绩评分及医疗文书书写合格率比对

                                  星云棋牌官网下载   BENWENYANJIUCHANMINGLEYANJIUZUGEGEJIDUHEQUANNIANDEKAOHECHENGJIJUNJIAOCANZHAOZUGENGSHENGYICHOU,ZONGERYANZHI,TONGGUODUISUOYOUGONGWEIRENYUANSHISHIPDCAXUNHUANFA,CHONGFENDIAODONGGONGZUORENYUANDEJIJIXING,FAHUICHUGONGGONGWEISHENGGUANLIDEZERENXINYUZHIYEXIN。TONGSHIWANSHANLEGONGGONGWEISHENGDEGUANLITIXI,JINERYOUHUALEZHENGTIGUANLISHUIPINGJIFUWUZHILIANG,SHIXIANRENRENZHONGSHIZHILIANG、JIJICANYUGUANLIDELIANGHAOGONGGONGWEISHENGHUANJING。

                                    参考文献

                                    [1]纪培秀,王龙秀.PDCA模式在基本公共卫生服务管理中的应用[J].中国公共卫生管理,2014(6):799.
                                    [2]吴映耿.PDCA模式在国家基本公共卫生管理工作中的应用[J].中国城乡企业卫生,2017(6):141-142.
                                    [3]陶晓宇,佟园.我国医院感染管理中PDCA循环管理模式的应用[J].企业改革与管理,2016(13):217.
                                    [4]孙敏,景春风,陈道桢绩效考核在提升基本公共卫生服务质量中的应用[J].中国医药导报,2017,14(33):182.
                                    [5]黄炎.PDCA循环法在武汉市第四医院公共卫生病例上报中的应用[J].科技创业月刊,2017,30(7):136-138.

                                    鞠韧.PDCA模式下对医院基本公共卫生管理中的应用效果[J].中国医药指南,2020,18(03):388-389.
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