医学教育管理 ›› 2018, Vol. 4 ›› Issue (2): 131-136.doi: 10.3969/j.issn.2096-045X.2018.02.012

• 技能中心建设 • 上一篇    下一篇

北京市产科住院医师规范化培训基地培训能力的研究

王晓颖1,2 ,付婷辉3 ,邓小虹4   

  1. 1. 首都医科大学卫生管理与教育学院,北京100069;2. 北京大学口腔医院,北京100081;3. 首都医科大学附
    属北京妇产医院教育处,北京100026;4. 北京医院管理研究所,北京100050
  • 收稿日期:2018-01-25 出版日期:2018-04-20
  • 通讯作者: 邓小虹

Analysis of training capability in standardized resident training bases of obstetrics in Beijing

Wang Xiaoying1,2,Fu Tinghui3,Deng Xiaohong4   

  1. 1. School of Health Administration and Education, Capital Medical University, Beijing 100069, China;2. Stomatology Hospital, Peking University, Beijing 100081, China; 3. Office of Education, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China; 4. Beijing Institute of Hospital Administration, Beijing 100050, China
  • Received:2018-01-25 Online:2018-04-20
  • Contact: Deng Xiaohong

摘要: 目的 通过对北京市产科住院医师范化培训基地病种、手术操作及DRGs 指标的分析,为建立科学合理的产科基地评审指标提供参考。方法 采集2014 ~ 2015 年北京市产科住院医师范化培训基地门诊、住院患者相关数据,与目前实施的《北京市住院医师规范化培训基地评审妇产科指标体系》进行比较。结果 培训基地DRGs 总权重与病种的达标情况基本一致,DRGs 方法可在医疗服务效率、诊治难度方面对培训基地进行评价。胎膜早破、瘢痕子宫等病种实际收治例数较多,但缺少相应要求。在病种方面培训基地仅有4 家全部达标,手术例数指标基本达标。J 医院、F 医院估计承载人数多于实际承载人数,可承载更多的住院医师培训任务。结论 可应用DRGs 的指标对住院医师规范化培训基地进行评价,《北京市住院医师规范化培训基地评审妇产科指标体系》的病种手术及数量需进一步完善,可动态调整培训基地及其承载人数。

Abstract: Objective To analyze the practical cases, operations and DRGs index in the residents training bases of obstetrics in Beijing, and to set appropriate scientific evaluation standards for those bases. Methods Based on medical record information from 2014 to 2015 in Beijing residents training bases, we compared the practical cases and operations of the residents with the evaluation index system of standardized resident training bases of obstetrics and gynecology in Beijing.Results The total weight of DRGs in training bases is basically the same as the standard of diseases, and DRGs index can evaluate the training bases in terms of medical service efficiency and the difficulty of diagnosis and treatment. Both premature rupture of membranes and scar uterus were the leading cases in obstetrics disease, yet there is no corresponding requirements in the system. In terms of disease category, only four training bases were all up to standard, and the number of surgical cases was basically up to standard. The estimated the number of patients in both F hospital and the J hospital. The F hospital is slightly higher than the actual number of bearing, indicating both hospitals can bear more residency training tasks. Conclusions DRGs can be used to evaluate the standardized training bases for residents, and the number of diseases and operations should be further improved in the evaluation index system of obstetrics. The training bases can dynamically adjust themselves and the carrying number of people also need adjust correspondingly.