| 袁 吉,钱稳吉,陈 钰,等.高质量发展视域下三级甲等肿瘤专科医院的发展情况——基于2020—2023年13家医院的数据分析[J].中国肿瘤,2025,34(7):546-551. |
| 高质量发展视域下三级甲等肿瘤专科医院的发展情况——基于2020—2023年13家医院的数据分析 |
| Assessing Development of Grade-A Tertiary Cancer Hospitals Under High-Quality Development Initiatives： a 13 Hospitals Analysis in China from 2020 to 2023 |
| 投稿时间：2025-03-21 |
| DOI：10.11735/j.issn.1004-0242.2025.07.A007 |
|
 |
| 中文关键词: 肿瘤专科医院 三级甲等医院 高质量发展 卫生政策 广义估计方程 |
| 英文关键词:specialized cancer hospital grade-A tertiary hospital high quality development health policy generalized estimating equation |
| 基金项目:上海市医院协会2024年医院管理课题（X2024111） |
|
| 摘要点击次数: 38 |
| 全文下载次数: 18 |
| 中文摘要: |
| 摘 要：［目的］ 分析我国三级甲等肿瘤专科医院高质量发展工作取得的成效及面临的挑战。 ［方法］ 采用便利抽样方法，选择13家三级甲等肿瘤专科医院，收集2020—2023年共4个维度、8项指标数据，其中门诊量、住院量、手术量反映服务能级；平均住院日反映服务效率；开放床位数反映物质要素；职工数、医护比、高级职称人员占比反映人才要素。采用广义估计方程对推动公立医院高质量发展相关政策实施前后数据进行对比分析。［结果］ 相比较于2020年，2023年13家三级甲等肿瘤专科医院平均门诊量增长55.47%、住院量增长50.25%、手术量增长46.17%，平均住院日缩短18.98%，开放床位数增长10.02%，职工数增长13.03%，差异均具有统计学意义（P均<0.05）；但医护比、高级职称人员占比的差异无统计学意义（P均>0.05）。［结论］ 2020—2023年三级甲等肿瘤专科医院总体的服务能级和服务效率均稳步提升，资源配置逐渐从物质要素向人才要素倾斜，投入少、产出高，高质量发展初见成效。未来需重点优化人员结构，增加护士配备，加强对高层次人才的培养。 |
| 英文摘要: |
| Abstract： ［Purpose］ To evaluate the progress and challenges of grade-A tertiary cancer hospitals in China with the implementation of high-quality development. ［Methods］ The convenience sampling method was employed to select 13 grade-A tertiary cancer hospitals in China as the study sites. Data were collected over 4 consecutive years (2020—2023)， including 8 indicators across 4 dimensions： number of outpatient visits， inpatient admissions and surgical procedures; average length of hospital stay; open bed capacity; and staff number， physician-to-nurse ratio， and percentage of senior clinical staff. The changes in annual data before and after the implementation of policies to promote the high-quality development of public hospitals were analyzed using the gene-ralized estimating equations (GEE) statistical method. ［Results］ Compared with 2020， in 2023， the numbers of outpatient visits (55.47%)， inpatient admissions (50.25%) and surgical procedures (46.17%)， open bed capacity (10.02%)， staff number (13.03%) were significantly increased in 13 hospitals， with a reduction of length of hospital stay (18.98%) (all P<0.05). However， no significant change was observed in physician-to-nurse ratios or percentages of senior clinical staff during this period (both P>0.05). ［Conclusion］ The analysis reveals that from 2020 to 2023， grade-A tertiary cancer hospitals in China have achieved marked improvements in overall service capacity and service efficiency， with resource allocation progressively shifting from material inputs to talent-focused investments， yielding higher outputs with minimal incremental inputs—a clear indicator of preliminary success in high-quality development. Future initiatives should prioritize workforce structure optimization， increasing nurse staffing levels， and enhancing cultivation of high-quality clinical professionals. |
|
在线阅读
查看全文 查看/发表评论 下载PDF阅读器 |