全面质量管理在县域医共体中的应用探索:以庐江县人民医院医疗集团为例

目的研究全面质量管理在县域医共体中的应用效果。方法建立健全覆盖全员、全方位、全过程的医疗质量与安全管理共同体，实行集团内人、财、物共享，实施以质量控制为核心的持续改进，对比实施前后基层医疗服务能力、管理水平及患者满意度。结果改革后医共体内基本形成有序的就医格局，医疗卫生服务能力持续提升，医院的业务量、门诊服务人次、住院服务人次、手术总服务台次、收支结余实现了“四增长一下降”，提高了医疗质量同质化水平，患者满意度高于改革前。

Total Quality Management in County Medical Community: A Case Study of Lujiang County People's Hospital Medical Group

ObjectiveTo study the application effect of Total Quality Management (TQM) in county medical community.MethodsA medical quality and safety management community covering all staff, all-round and whole process was established and improved, the sharing of human, financial and material resources within the group was strengthened, the continuous improvement with quality control as the core was implemented. The primary medical service ability, management level and patient satisfaction were compared before and after the implementation of TQM. ResultsAfter the reform, an orderly medical treatment pattern was basically formed. The medical and health service capacity had been continuously improved. The number of hospital business, outpatient service, inpatient service, total surgical service desk and income and expenditure balance achieved four growth and one decrease, which improved the level of homogenization of medical quality. The patient satisfaction was higher than before the reform.