胡盛寿院士:推进中国心血管外科质量改善

2017-12-15 胡盛寿 (中国医学科学院阜外医院 ) 中华医学信息导报

随着时代的进步,患者对医疗服务的需求在不断变化,已由片面需求发展为全方位需要,已由有病可治和治好病发展为通过高质量的医疗服务回归身体与心理的双重健康。面对这一变化,我们不得不对当前医疗服务进行思考:为患者提供的技术是患者的最佳选择吗?为患者提供的服务是行业的最佳品质吗?为患者提供的诊疗有最佳的近远期效益吗?我们是否满足了患者对医疗服务的需求?


胡盛寿院士

随着时代的进步,患者对医疗服务的需求在不断变化,已由片面需求发展为全方位需要,已由有病可治和治好病发展为通过高质量的医疗服务回归身体与心理的双重健康。面对这一变化,我们不得不对当前医疗服务进行思考:为患者提供的技术是患者的最佳选择吗?为患者提供的服务是行业的最佳品质吗?为患者提供的诊疗有最佳的近远期效益吗?我们是否满足了患者对医疗服务的需求?

而在过去的10年中,心外科规模快速扩增,服务能力和质量问题愈发凸显。主要问题包括:(1)发展不均衡;(2)医疗质量参差不齐;(3)关键技术使用不规范;(4)微创技术普及不够;(5)疑难复杂疾病救治能力不足;(6)诊疗质控监控体系不完整;(7)专科培训体系不完善。

如何推进中国心血管外科质量改善?工作理念上,我们一要坚持构造学习型医疗体系,提升“个人-科室-医院-学科”的自我审视和自我完善能力;二要坚持建立医疗质量控制与改善循环系统,系统要求信息化、高效率、高质量。

目前,国家卫生计生委医政管理局已委托国家心血管病中心、中国医学科院阜外医院组织开展心血管病专业(含心内科、心外科)国家级质控中心的建立工作。我们的目标是依托省级质控中心开展科学、全面的质控工作。具体而言,工作将围绕建体系、建队伍、建标准、建平台、见实效,及打通医师培养最后环节6部分开展。

建体系,即建立“国家—省级—医院”三级质控体系及双向联络合作机制。工作中,明确分工,建立章程,组建专业化质控团队。建队伍,即建立一支有专家委员和专业质控人员的工作队伍。在顶层设计上,要坚持涵盖多领域、多学科的专家队伍,层次分明的组织结构,项目设计与实施的全程参与,高效多样的工作形式;在专业实施上,要坚持统一部署、明确分工。建标准,即根据最佳临床证据,建立关键质量评价指标体系和标准化诊疗流程,完善关键质量评价指标相关变量数据的定义、采集、清洗和校正标准。建平台,即建设一个多维度的质控数据平台,整合现有数据,实现诊疗实践和质量的全面、快速评价。这一平台的建设与完善将大大提高注册登记数据的真实性、完整性和准确性。见实效,即根据平台数据分析结果进行针对性反馈,形成质量改善环路,实现医疗质量稳步提高。同时开展有针对性的质量干预行为,解决突出的质量问题。打通医师培养最后环节意味着我们要建立、完善专科医师规范化培训体系,包括建设标准的培训基地、建立健全的考核制度、完善统一的认证标准。

总之,我们要坚持以质量控制为核心,多种质量改善方式共同发力,推进中国心血管外科的健康化、高水平发展。

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    2018-09-29 zblhy
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    2017-12-15 榄枷檬

    谢谢分享

    0

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    2017-12-15 jyzxjiangqin

    推进中国心血管外科质量改善.

    0

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    2017-12-15 明月清辉

    谢谢分享.学习了

    0

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    2017-12-15 yjs木玉

    好好好好好好好好

    0

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    2017-12-15 1209e435m98(暂无昵称)

    学习了.谢谢分享!

    0

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