The Quantitative Classification Management In Shaoxing Municipal Grassroots Medical Institutions

Background:Grassroots medical institutions provide convenience for the masses of urban and rural residents in the basic medical service, but they still have a lot of deficiencies. Supervision department of the grassroots medical institutions lack of effective supervision of normalized regulatory model, regulatory efficiency is not high. Quantitative classification management mode in food and other industries has obtained certain achievements, but in the healthcare is still in pilot stage.Objective:Evaluate the effect of quantitative classification management in Shaoxing municipal grassroots medical institutions and propose the corresponding optimization suggestionsMethods:By gathering in recent6years of rating data, analysis of the variation of2008-2013general grade distribution. For the same medical institutions, the use of different scale, analysis of the quantitative score difference. Analysis of factors affecting agencies rating of key projects. Local regulatory status of grassroots medical institutions and compare the existing regulatory approaches. Results:Compare the municipal grassroots medical institutions ratings distribution, there was no significant difference in2008-2011(P>0.05),but there are significant differences In2011-2013(P<0.05);To compare the same grassroots medical institutions to use a different scale, in addition to the outpatient department of quantitative score there was no significant difference (P>0.05), and other types of grassroots medical institutions quantitative score had significant difference (P<0.05);Logistic regression analysis showed that staff qualifications, daily management, medical waste score three items are affected in2012and2013, the grass-roots level medical institutions of the key factors. The key factors of2012, subject setting, the medical quality, infectious diseases, are no longer the key factors of2013, disinfection score projects become the new key.Conclusion:Using a quantitative grading evaluation scale1certain management achievements. Scale2did make up accord with the actual situation of grassroots medical institutions based on scale1. Present quantitative classification management index design is not perfect, lack of follow-up supervision link, etc. Quantitative classification management than other management methods have certain advantages, but need to perfect the quantitative scoring system within the framework of law and streamline the each link.