区级三甲医院托管二甲医院科室发展的效果评价

Effectiveness Evaluation of Departments Development of District Level Third-Class A Hospital Trusteeship Second-Class Hospital

摘要: 目的：评价区级三甲医院全面托管县市级二甲医院科室管理的效果。方法：对比医院托管前及托管后三年妇科在收治病种，手术台次，手术级别的变化。结果：托管前二甲医院以人工流产、稽留流产、月经失调、盆腔炎性疾病为主要病种，托管后子宫肌瘤、子宫腺肌病、子宫内膜息肉、宫颈炎性疾病比例不断上升，手术台次逐年增加，三、四级手术增加，科室综合能力不断提升，促进科室发展。结论：由三级医院派驻管理和业务专家下沉至县级医院，三甲医院专家团队发挥品牌响应，吸引患者就医诊治。托管模式下三甲医院专家团队的帮扶有利于提高县级医院医疗质量和综合水平，是一种值得推行的合作发展模式。

Abstract: Objective: To evaluate the effect of district-level top three hospitals in the overall management of county-level and municipal-level dimethyl hospital departments. Methods: Comparing the change of gynecological diseases, operation table and operation level three years before and after hospital trusteeship. Results: Artificial abortion, missed abortion, menstrual disorder and pelvic in-flammatory diseases are the main diseases before trusteeship. The proportion of uterine leio-myoma, adenomyosis, endometrial polyps and cervical inflammatory diseases is increasing after trusteeship. The number of operating tables has increased year by year, the number of third and fourth-grade operations has increased, and the comprehensive ability of departments has been continuously improved to promote the development of departments. Conclusion: Management and business experts from three-level hospitals are stationed to sink to county hospitals, and the team of experts in third-level hospitals plays a brand response to attract patients to seek medical treatment. The help of hospital expert team from Triple-A under Trusteeship Mode is helpful to improve the medical quality and comprehensive level of county hospitals, and it is a cooperative development model worth promoting.