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中国结核病防治综合质量控制核查手册
$35.85
本书通过系统梳理结核病防治工作的核心关键环节、指标,结合医疗、疾控、基层防治机构的职责和工作实际情况,经历多次讨论、征求意见、现场调查和试点,形成了现有的针对四大类机构的核查清单。本书主要包括核查对象、核查频度、核查依据以及核查内容和方法,针对疾病预防控制机构、结核病定点医疗机构、结核病非定点医疗机构、基层医疗卫生机构考核内容和指标,考核方式及考核结果利用等内容。本书是推动全国结核病防治综合质量控制工作向前迈进的成果,在前期政策...
本书通过系统梳理结核病防治工作的核心关键环节、指标,结合医疗、疾控、基层防治机构的职责和工作实际情况,经历多次讨论、征求意见、现场调查和试点,形成了现有的针对四大类机构的核查清单。本书主要包括核查对象、核查频度、核查依据以及核查内容和方法,针对疾病预防控制机构、结核病定点医疗机构、结核病非定点医疗机构、基层医疗卫生机构考核内容和指标,考核方式及考核结果利用等内容。本书是推动全国结核病防治综合质量控制工作向前迈进的成果,在前期政策文件指明了质量控制向哪走、指南确定了质量控制做什么,在明晰了质量控制考什么的基础上,简明清楚地告诉各级结核病防控人员质量控制如何查。本书的主要特色是基层可以直接使用的标准化、统一化、规范化的工具清单。
李燕明,北京医院呼吸与危重症医学科主任,中国医师协会呼吸分会常委,中华医学会呼吸病学分会危重症学组委员、中华预防医学会呼吸病预防与控制专业委员会委员。
一、 核查目的 /1二、 核查对象 /1三、 核查频度 /1四、 核查例数 /2五、 核查依据 /2六、 核查内容与方法 /2(一) 定点医疗机构核查清单 /2(二) 疾病预防控制机构核查清单 /37(三) 综合医疗机构核查清单 /45(四) 基层医疗卫生机构核查清单 /52七、 核查结果的使用 /56八、 附件 /57附件1 现场核查指标名称和目标值汇总表 /57附件2 现场核查结果参考评分标准 /62附件3 现场核查结果参考打分表 /69
无论是面向个体患者的临床诊疗服务,还是以群体为干预对象的公共卫生服务,均应注重服务质量。狭义来讲,医疗质量是指医疗照护的安全性、有效性和及时性;广义来讲,医疗质量还包括患者的满意度、医疗工作效率、医疗技术经济效果,以及医疗的连续性和系统性等。医疗质量控制,目的是为患者带来治疗结局,并使利益化、风险小化,高效合理地利用资源,达到较高的患者满意度和健康状况,从而终实现卫生保健效果。2016 年,国家卫生计生委颁布了新的《医疗质量管理办法》,其中特别强调应当加强单病种质量管理与控制工作,建立单病种管理的指标体系,制定单病种医疗质量参考标准,促进医疗质量精细化管理。通过关注结构、过程和结果指标,推进医疗质量控制工作深入到医疗行为的全过程,针对问题推进质量的持续改进。2017 年国务院发布的《全国结核病防治规划(2011—2015 年)》也指出应加强结核病的医疗质量控制,要求各地区完善结核病医疗质量管理工作机制,根据本地实际制定结核病医疗质量管理相关制度、规范和具体实施方案,将结核病诊疗纳入医疗质量控制工作体系,并将评估结果作为对医院评价的重要依据,也可作为卫生监督机构实行业务督导、执法考核的参考依据。基于以上理念和政策性文件,中国疾病预防控制中心结核病预防控制中心组织开展了一系列构建结核病防治综合质量控制体系、促进全国结核病防治服务质量持续提升的活动,包括组建专家指导委员会、编写《中国结核病防治工作技术指南》(以下简称《指南》)、出版《中国结核病防治工作技术考核手册》(以下简称《考核手册》)、开展系列标准化培训等。《指南》确定了结核病防治的标准化操作流程,是质量控制的标准;《考核手册》凝练了核心的结核病质量控制考核指标,是衡量质量的标尺。本书简明清晰地梳理了结核病防治工作的核心关键环节,希望通过对过程的现场考核提升结核病防治质量。本书经历多次讨论、征求意见、现场调查和试点,形成了现有的针对四大类机构的核查清单,力求做到让质控工作的参与者、使用者一看就懂、上手可用、边查边记,成为一项实用工具。当然,由于各地结核病防治业务工作的实际情况不同,部分内容可能无法适合所有地区的工作现状,各地在使用过程中可根据本地需求适当调整。随着结核病防治新工具、新服务模式的发展,本书也需要在实际工作中不断丰富完善,在此也恳请各位使用者、专家提出宝贵意见,以供再版时修订。编 者2022 年4 月
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