Recently, the National Health Commission announced the results of the 2022 annual performance appraisal of ** public hospitals, and a total of 2,112 ** public hospitals across the country participated in this assessment, of which 1,415 hospitals participated in the evaluation, a total of 15 A++ hospitals and 127 A+ hospitals. The list of 15 A++ hospitals is as follows
The performance appraisal of the national public hospitals, also known as the "national examination" of the national public hospitalsIt is an authoritative yardstick for testing and evaluating the effectiveness of high-quality development of public hospitals, and a "gold standard", "baton" and "wind vane" for testing the comprehensive capacity and level of regional medical care, which fully demonstrates the "hard core power" of ** public hospitals. The "national examination" promotes the high-quality development of public hospitals
The performance appraisal of public hospitals has entered its fifth year, and it has continuously promoted the high-quality development of public hospitals in China.
It is reported that the performance appraisal of public hospitals is carried out by:Medical quality, operational efficiency, sustainable development, satisfactionThese four first-level indicators are composed of, including 14 second-level indicators and 55+1 ** indicators, of which,Twenty-six are national monitoring indicators
It is worth mentioningThe performance appraisal of public hospitals has become an important window to observe the effectiveness of medical reform and development。In the past five years, the quality of medical care in the country's leading public hospitals has achieved an all-round improvement. The case combination index and the proportion of fourth-level surgery in discharged patients were respectively10% and 235%。In terms of medical service model innovation, the proportion of minimally invasive surgery and day surgery in elective surgery in discharged patients were respectivelyThat's an increase of 46 and 67 percentage points。In order to promote the construction of a hierarchical diagnosis and treatment system, in the past five years, the number of inpatients transferred from ** public hospitals to hospitals within the medical alliance has increased by nearly 5 years2 million passengers.
Major breakthroughs have also been made in the reform of the operation mode and resource allocation of public hospitals, and the data has shown a clear trend in the past five years:83% of the ** public hospitals have an electronic medical record application level of 4 or aboveto achieve hospital-wide information sharing; The average increase in outpatient and inpatient expenses was less than 5%, and the unreasonable growth of medical expenses was effectively controlled. The number and proportion of anesthesia, pediatrics, and critical care physicians in the country's leading public hospitals have increased, and the allocation of clinical pharmacists and medical care is more reasonable; The proportion of medical service income has increased, and the labor value of medical staff has been further highlighted. Look at the rankings rationally,
Let the assessment "score" fall on the health of the people
In recent years, the influence of the "national examination" results of public hospitals on society has been increasing. More and more places are beginning to pay attention to the "national examination" results of hospitalsAnd this achievement is also gradually closely linked to the hospital's financial subsidies, medical insurance allocation, hospital leadership evaluation, and total performance salary。Working in the health system,The results of the "national examination" have a significant impact on the hospital's application for national medical centers and regional medical center construction projects。Therefore, this result has been paid more and more attention by hospitals, and the "baton" effect of assessment has gradually emerged, and many hospitals have benchmarked and refined indicators, adjusted development directions and discipline settings.
However, we must not be overly obsessed with metrics. The results of the "national examination" are closely related to the structure of the hospital itself. For example, for some specialized hospitals or hospitals that do not specialize in surgery, the indicator of surgical level 4 surgery (high degree of difficulty) may result in a loss of points. So, should we pursue areas that we are not good at? Jin Chunlin, director of the Shanghai Municipal Health and Health Development Research Center, emphasized:"The 'national examination' and its indicators should become an important reference for hospital benchmarking and tables, but not 'only indicators' and 'only rankings', each hospital has its own uniqueness. ”
Jin Chunlin said:"If this is a collective pulse, the ranking is mainly for 'diagnosis', to find out the strengths of excellent hospitals, their own shortcomings and what can be improved. If the score of the fourth-level surgery is high, and the fourth-level surgery is blindly pursued, then the importance of the ** surgery will not be reduced? This is obviously not in line with the original intention of the 'national examination'. ”
Jiao Yahui, director of the Department of Medical Affairs of the National Health Commission, also remindedAll public hospitals should change from "focusing on assessment rankings" to "thinking about internal improvement", and look at the results of performance appraisal with a scientific attitude. Through the results of performance appraisal, problems are identified, analyzed, and solved, and a "patient-centered" hospital culture is established, and efforts are made to achieve "three transformations and three improvements".
Only by integrating the goals of the four dimensions of the "national examination" into the daily work of public hospitals can we better make up for shortcomings, strengthen advantages, build peaks, and make every effort to improve the modernization level of hospital governance system and governance capacity. As Jiao Yahui said,"What the people need, what kind of services will be provided by public hospitals, and what kind of indicators will be assessed in performance appraisal.
Public hospitals should continue to play the role of the baton of performance appraisal, provide reasonable guidance in terms of medical quality, operational efficiency, sustainable development, satisfaction evaluation, etc., and strive to transform the development achievements of public hospitals into a sense of gain, happiness and security for the people to see a doctor. This is the original meaning of the "national examination"!