通过主诊医师负责制提升医疗质量管理水平

主诊医师负责制是提升医疗质量和推进医院精细化管理的重要手段。以促进亚专业建设发展为目标，通过明确科主任责权、遴选诊疗组长、细化考核指标、强化信息化支撑等措施，推行主诊医师负责制下的诊疗小组工作模式。实践后，相比2019年4月—10月，2021年4月—10月医院门急诊工作量增加40.9％，出院人次数增长17.9％，平均住院日由9.08 d缩短至8.67 d，学科综合实力不断增强，心血管内科CMI值由1.12上升至1.17，DRG组数由184个增加至223个。推行主诊医师负责制应重点关注信息化建设、责权分配、绩效考核等问题，以实现精细化管理，提升医疗质量管理水平。

Improving Medical Quality Management Through Attending Physician Responsibility System

The attending physician responsibility system is an important means to improve the medical quality and promote the hospital fine management. Aiming at promoting the construction and development of sub-specialties, the working mode of diagnosis and treatment group under the responsibility of the leading physician was implemented by clarifying the responsibilities and powers of the department director, selecting the leader of the diagnosis and treatment group, refining the assessment indicators and strengthening the information support. After practice, from April to October 2021, compared with April to October 2019, the workload of outpatient and emergency services increased by 40.9%, the number of discharged patients increased by 17.9%, the average length of stay was shortened from 9.08 days to 8.67 days, and the comprehensive strength of the discipline was constantly enhanced. The CMI value of Cardiovascular Department increased from 1.12 to 1.17. The number of DRG groups increased from 184 to 223. In order to realize fine management and improve medical quality, the system should focus on information construction, responsibility and power distribution and performance assessment.