| Objectives1.To understand the current situation of medical services in tertiary general hospitals in Chongqing in 2011 and 2016.2.To understand the development trend of the medical service capacity of the tertiary general hospital in chongqing in 2011 and 2016,and to master the advantages and disadvantages of the medical service capacity of the tertiary general hospital in chongqing.3.To define the functional orientation of the tertiary general hospital and promote the diagnosis and treatment service of the tertiary general hospital to adapt to the function orientation,and put forward some suggestions and suggestions for the improvement of the medical service ability of the tertiary general hospital in Chongqing in the future.MethodsLiterature research,expert consultation and questionnaire survey were adopted.The theory and experience are summarized on the basis of literature reading,and a questionnaire survey on the medical service abilityof all tertiary general hospitals and more than 500 county general hospitals in 38 districts and counties in Chongqing is carried out.Excel was used to build the database,data analysis was carried out by spss21.0,and counting data were calculated by frequency and mean.Results1.In the basic setting of chongqing tertiary general hospital,the total number of surgical beds in the city in 2011 was 80.56% compared with that of the hospital,and the target rate was 94.44% in 2016,with a growth rate of 17.24%.In 2011,the number of beds in the intensive care unit accounted for 55.56% of the actual open beds in hospital,and the rate reached 88.89%in 2016,with a growth rate of 60.00%.In 2011,the setting rate of primary diagnosis and treatment subjects was 84.70%,and the setting rate in 2016 was 93.90%,which increased by 10.86%.In 2011,the setting rate of the secondary diagnosis and treatment subjects was 62.50%,and the setting rate was 83.33% in 2016,which increased by 33.33%.In 2011,the setting rate of medical examination items in the city was 77%,and the setting rate was 87.29% in 2016,which increased by 13.36%.In 2011,the city medical imaging project setting rate was 67.50%,and the setting rate was 73.90% in2016,which increased by 9.48%.In 2011,the allocation rate of medical equipment was 61.09%,and the allocation rate was 80.82% in 2016,which increased by 32.29%.In 2011,the compliance rate of health technicians and the actual open beds reached 30.56%,and the target rate in 2016 was41.67%,increasing by 36.36%.In 2011,the rate of doctors and actual open beds in the city was 61.11%,and the rate was 80.56% in 2016,which increased by 31.82%.In 2011,the ratio of nursing staff to actual beds was63.89%,and the rate was 83.33% in 2016,increasing by 30.43%.In 2011,the ratio of nursing staff to doctors was 41.67%,and the rate reached63.89% in 2016,which increased by 53.33%.In 2011,the number of clinical pharmacists in the city was 27.78%,and the rate reached 47.22% in2016,which increased by 70%.In 2011,the setting rate of the information security protection standard of electronic medical record system was36.11%,and the setup rate was 94.44% in 2016,which increased by161.54%.In 2011,the setting rate of the information security protection system of electronic medical record system was 30.56%,and the setting rate of 2016 was 80.56%,which increased by 163.64%.In 2011,the rate of telemedicine development in the whole city was 33.33%,and the rate was77.78% in 2016,which increased by 133.33%.2.In 2011,the operation performance of the tertiary general hospital in Chongqing was 33.33%,and the rate of reaching the standard was 50.00%in 2016,which increased by 50.00%.In 2011,the rate of bed occupancy reached 38.89%,and the rate was 47.22% in 2016,which increased by21.43%.In 2011,the rate of hospital infection rate was 72.22%,the target rate was 88.89% in 2016,increasing by 23.08%.In 2011,the rate of underreporting rate of hospital infection was 66.67%,and the target ratewas 86.11% in 2016,which increased by 29.17%.3.Chongqing tertiary general hospital in 2011,the proportion of the basic project hospital for the diagnosis and treatment of severe clinical problems was 56.38%,and the proportion was 71.19% in 2016,which increased by26.28%.In 2011,the proportion of the recommended project hospital for the diagnosis and treatment of severe clinical problems was 32.40%,and the proportion was 45.54% in 2016,which increased by 40.57%.In 2011,the proportion of the key medical technology basic programs was 40.42%,and the proportion was 58.04% in 2016,which increased by 43.61%.In2011,the proportion of recommended hospitals in key clinical technology was 17.91%,and the proportion was 30.75% in 2016,which increased by71.62%.4.Chongqing tertiary general hospital in 2011,the proportion of the basic project hospital of the medical science and technology department was55.49%,and the proportion was 68.29% in 2016,increasing by 23.06%.In2011,the proportion of the hospital for the diagnosis and treatment of the medical science and technology department of the whole city was 12.01%,and the proportion was 24.39% in 2016,which increased by 103.16%.In2011,the proportion of key medical technology basic programs in the medical technology department was 70.20%,and in 2016,the proportion was 82.32%,which increased by 17.36%.In 2011,the proportion of key medical technology recommendation projects in the municipal medicaltechnology department was 31.48%,and the proportion was 38.58% in2016,which increased by 22.40%.Conclusions1.The medical service ability of the tertiary general hospitals in Chongqing is on the rise,and the medical service ability of the tertiary general hospitals in different regions is different,and the medical service ability of different types of grade tertiary general hospitals is different.2.Hospitals is not evenly distributed,the development of medical service ability is inadequate,the basic setup needs to be adjusted and improved,the operation performance needs to be further promoted,the clinical specialist medical service ability still needs to be enhanced,and the service ability of the medical science and technology department needs to be improved.3.It is suggested that rational allocation and optimization of medical resources,rational allocation of large medical equipment,increase the training and introduction of talent team,improve the level of information technology,develop telemedicine,strengthen the construction of medical service ability of clinical specialist and medical technical department,so as to improve the medical service ability of the tertiary general hospital in Chongqing. |
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