9F, Zhongrui Jumei Building, 68 Jiuzhang Road, Suzhou Industrial Park, Jiangsu Province
9F, Zhongrui Jumei Building, 68 Jiuzhang Road, Suzhou Industrial Park, Jiangsu Province
On August 21, the 2019 China Hospital Science and Technology Value and 2019 China Medical College Science and Technology Value (STEM) sponsored by the Chinese Academy of Medical Sciences were released
On July 1, the National Health Commission issued the "Notice on the National Monitoring and Analysis of the Performance Appraisal of National Level 3 Public Hospitals in 2018". As of the end of 2018, a total of 2398 level 3 public hospitals nationwide (including 1289 general hospitals, 576 specialized hospitals, and 533 traditional Chinese medicine hospitals) participated in the 2018 performance appraisal. In addition, the ranking of Fudan Chinese hospitals, which began in 2010, has also received widespread attention from various hospitals
These three evaluation systems have their own goals and priorities, which together can provide a more comprehensive understanding of hospital rankings
According to the latest ranking of the three evaluation systems, among the top ten hospitals (military hospitals do not participate in the ranking, and the ranking is replaced by subsequent hospitals), except for the Peking Union Hospital of the Chinese Academy of Medical Sciences and the West China Hospital of Sichuan University, which are ranked single and second in the list, the Sun Yat-sen Hospital affiliated to Fudan University, the Third Hospital of Peking University, and the First Hospital of Peking University are also stable in the top ten, while other hospitals have changed
It is easy to understand that different evaluation systems have different results. From the perspective of the three evaluation systems:
The evaluation of national public hospitals is the most comprehensive, more like" "Three Good Students";,
Medical science and technology evaluation is the most specific, reflecting the hospital's ability in clinical research, more like" Class Representative"
However, from the perspective of the development goals of public hospitals, the ranking still illustrates some issues
1. Incoordination between clinical service capability and management level
This is reflected in the difference between the national level 3 public hospital evaluation and the Fudan List and medical technology evaluation. From the perspective of the positioning of public hospitals, the results of the national level 3 public hospital evaluation are even more desirable
Its assessment aims to strengthen and improve the management of public hospitals, guide tertiary public hospitals to further implement their functional positioning, and continuously improve the quality and efficiency of medical services. The assessment indicator system includes medical quality, operational efficiency, sustainable development, and satisfaction evaluation, comprehensively evaluating the operation and management level of hospitals, which is the development goal of public hospitals and the direction of medical reform
2. Incoordination between scientific research level and clinical medical service capacity
This is reflected in the difference between the medical technology evaluation and the Fudan list. One important reason why the two lists are not completely consistent is that the level of clinical research is still insufficient, and it is far from reaching the stage of effective transformation between clinical service capabilities
Medical science and technology evaluation is a wind vane that guides medical science and technology innovation and discipline development. It is necessary to establish a comprehensive, multi-angle, three-dimensional evaluation system that reflects the scientific and technological capabilities of Chinese hospitals and medical colleges in accordance with development realities, and guide the direction of medical research in China
The evaluation of medical science and technology is mainly based on clinical research results. The indicator system of the Fudan List is relatively comprehensive, and the hospitals on the list are composed of" Specialist Reputation Score (Reputation Ranking)" And" Scientific Research Academic Score" It consists of two parts, where" Specialist Reputation Score" Invite experts to comprehensively consider key factors such as discipline construction, clinical technology, medical quality, and scientific research level of each hospital, and nominate and rank the top 10 hospitals in relevant specialties The "Best Hospital Ranking List" is based on the reputation of each hospital's specialties, combined with the hospital's" Academic score of hospital scientific research", Form the overall score of the hospital
Level 3 public hospitals, with the highest quality clinical and medical research capabilities in the country, are the main force of medical reform and the main research force for medical progress. Undoubtedly, among the three ranking systems, the results of the national level 3 public hospital evaluation are more valued by public hospital managers
Therefore, it is suggested that in this system, indicators reflecting the progress of clinical research can be set up, which can truly promote the improvement of clinical capabilities through assessment, while controlling the growth of unreasonable costs. This may be the path to sustainable development of China's medical and health industry
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