Effect of organizational management mode and regional medical resource allocation on the thrombolysis rate of stroke
10.3760/cma.j.issn.1000-6672.2020.02.018
- VernacularTitle:组织管理模式与区域医疗资源配置对急性脑梗死溶栓率的影响
- Author:
Yanan XIE
1
;
Kun FANG
;
Jianqing ZHU
;
Yi WANG
;
Huiying WANG
;
Xin MA
;
Hong WU
;
Shensheng TAN
;
Qiang DONG
;
Zhiyuan QIU
Author Information
1. 复旦大学附属华山医院神经内科，上海 200040
- From:
Chinese Journal of Hospital Administration
2020;36(2):165-168
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influence of organizational management mode and regional medical resource allocation on thrombolysis rate of stroke.Methods:A cross-sectional study was carried out in 61 thrombolytic units distributed at 16 administrative districts of Shanghai to collect information including the number of imaging equipment, neurologists and nurses, hospital organization and management mode, thrombolytic rate, etc. Using SPSS 19.0 statistical software, simple linear regression analysis and chi square test were used to analyze the correlation between related indexes and thrombolysis rate.Results:There was no linear correlation between imaging equipment, human resources and regional thrombolysis rate. The key factor to improve thrombolysis rate was the organizational management of stroke( OR=1.488, 95% CI=1.357-1.631, P<0.001). Conclusions:An effective hospital organization and management model, including the establishment of multi department cooperation, stroke emergency team, stroke green channel, can significantly improve the thrombolysis rate of stroke.
