摘要
卫生专业技术人员职称评审要突出评价业绩水平和实际贡献,应充分利用医疗卫生机构信息系统收集相关数据作为职称评价的重要依据。基于此,项目组建立了基于病案首页数据的临床工作评价方法,开发"临床工作数据提取系统",自住院病案首页提取临床医师执业能力评价相关指标计算所需的数据,并计算各指标数值;基于医院质量监测系统中的数据建立参比标尺;通过"卫生人才评价数据平台"实现单人临床工作评价数据及其与参比标尺和其他申报人数据对比结果的可视化呈现。在2021年度国家卫生健康委员会直属和联系单位以及四川、山东、重庆的医疗机构临床医学专业高级职称评审中,采用该方法对1416家医疗卫生机构中39个临床医学类评审专业的7833名申报人员进行了病案首页数据提取,最终完成6093人(77.79%)的临床工作评价指标数据计算。初步应用结果显示,基于病案首页数据对临床医师执业能力进行评价,在具备电子病案数据基础的各级各类医疗机构的职称评审中具备可行性,能够有效呈现申报人的业绩水平和实际贡献。
The professional title evaluation of health professionals needs to highlight the clinical performance and actual contribution,and make full use of the information system of medical and health institutions to collect relevant data as an important basis for such evaluation.Based on this,the project team innovatively developed a"clinical work data extraction system",to extract and calculate the performance indexes of clinicians using data from homepages of medical records.Meanwhile,the team established a reference scale based on the data in the hospital quality monitoring system;developed a"health workers evaluation data platform",visually presenting the comparison results between the clinical work performance evaluation data of a clinician,and the reference scale and the data of other applicants.In the 2021 annual evaluation of senior professional titles among some medical institutions directly under the National Health Commission and such provinces as Sichuan,Shandong and Chongqing,this method was used to extract homepage data of medical records of 7833 applicants from 39 medical specialties in 1416 medical institutions,and finally 6093 people(77.79%)completed the calculation of clinical work evaluation index data.The initial application results showed that the evaluation of senior clinicians′professional competence based on homepage data of the medical record was feasible in the senior professional title evaluation of various medical institutions at all levels equipped with the electronic medical record database system,and could effectively present the performance level and actual contribution of the applicant.
作者
蔡海燕
原慧玲
祎莉娜
王晔
张鑫金
王怡
Cai Haiyan;Yuan Huiling;Yi Lina;Wang Ye;Zhang Xinjin;Wang Yi(Health Human Resources Development Center,National Health Commission,Beijing 100097,China;Shanghai Digital Governance Research Institute,Shanghai 200072,China;Medical Records Department,Peking Union Medical College Hospital,Beijing 100730,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2022年第10期752-755,共4页
Chinese Journal of Hospital Administration
关键词
卫生人力
职称制度改革
病案首页
执业能力
高级职称评审
临床医师
Health manpower
Professional title system reform
Homepage of medical record
Practice competence
Senior professional title review
Clinician
