Evaluation of the Impact of Subspecialty Reform on the Core Medical Operation Indicators of a Clinical Department
- VernacularTitle:亚专科改革对临床科室核心医疗运行指标影响的评价
- Author:
Xiaohan LIU
1
;
Chenyang SHE
;
Jiaqi CAI
;
Xiaohong GAI
;
Hongwei CAI
Author Information
1. 西安交通大学第一附属医院 陕西西安 710061
- Keywords:
subspeciality;
clinical department;
core medical operation indicators
- From:
Chinese Hospital Management
2023;43(12):45-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the impact of hepatobiliary surgery in a tertiary public hospital on its core medical operation indicators after the implementation of subspecialty reform.Methods The Department of Hepatobiliary Sur-gery,which implemented the subspecialty reform,was the experimental group,and six surgical departments with-out subspecialties were the control group.Seven indicators in the dimensions of medical quality,medical efficiency,and rational use of medication were collected from September to December 2022,and the difference between the experimental group and the control group was analyzed by the differences-in-differences method using the Septem-ber data before the implementation of sub-specialty reform as the baseline value.Results After the subspecialty re-form,the changes of the indicators of the percentage of discharged patients for surgery,intensity of antimicrobial drug use and average hospital stay in hepatobiliary surgery were better than those of the control group;the percentage of discharged patients for minimally invasive surgery and the percentage of medical service revenue were inferior to those of the control group;the intergroup differences of the two indicators of the percentage of discharged patients for level IV surgery and the case-mix index were not significant.Conclusion By setting up similar control departments in the same period and excluding the influence of external confounding factors on the study results,overall,the core medical operation indexes of hepatobiliary surgery were slightly better than those of the control group,but the advantage was not obvious,which might be related to the short observation time after the subspecialty reform,and its long-term effects need to be continuously followed up and analyzed.
