信息化在卫生行政监管中的应用探讨

目的充分利用现有的信息平台和信息收集渠道,对医疗机构、医务人员、医疗行为进行监管,实现全程、动态、精准的信息化监管,探索建立医疗服务综合监管的四川省"医疗三监管"制度与模式.方法总结"医疗三监管"工作开展情况,认真分析各个环节和特点,针对指标制定优化质控规则,根据行政管理需求和医疗机构自身改进需求进行平台功能设计.从"医疗三监管"工作的推进情况、成效、监管模式及机制、存在的问题、计划等5个方面进行阐述.结果接入省级公立医院32所,市级公立医院84所,县级公立医院424所,民营医院720所,基层医疗机构3124个,累计采集数据35亿余条,追查医生问题行为1321例次.结论四川省"医疗三监管"新模式规范了监管规则及指标,有助于对医疗机构、医务人员、医疗行为进行更好的监管,为促进医疗机构落实功能定位、医务人员严格规范执业、医疗行为合理奠定了有效的基础.

Discussion on the Application of Informatization in Health Administrative Supervision in Sichuan Province

Objective Make full use of the existing information platform and information collection channels to supervise medical institutions,medical personnel and medical behaviors,realize whole-process,dynamic and accurate information-based supervision,and explore and establish Sichuan province's"three medical supervision"system for comprehensive medical service supervision.Methods Summarize the implementation of the"three medical supervisions"work,analyze its various links and characteristics,formulate the optimized quality control rules for indicators,and design platform functions based on administrative management needs and medical institutions'needs.The progress,effectiveness,supervision mode and mechanism,existing problems,and plans of the"three medical supervisions"work was introduced.Results The system has access to 32 provincial public hospitals,84 municipal public hospitals,424 county public hospitals,720 private hospitals,3124 primary medical institutions,collected more than 3.5 billion pieces of data,and traced 1321 cases.Conclusion The new"Three Medical Supervisions,,model in Sichuan Province has improved the rules and indicators,which has helped to better supervise medical institutions,medical personnel,and medical behavior.