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摘要
精细化管理是新医改形势下，医疗机构的战略性发展方向。精细化管理作为
科学、有效、先进的管理手段，被越来越多的医疗机构所关注并引入医院内部管
理中。但精细化管理效果具体如何，是一个值得研究和探讨的问题，本论文以此
为切入点展开研究
本研究以M医院为例，通过建立公立医院精细化管理评价指标体系，对M医
院近五年各项评价指标进行针对性分析，对M医院开展的精细化管理举措进行评
价，探讨精细化管理中存在的不足并提出改进建议
本研究通过文献研究了解国内外精细化管理的发展进程及研究不足，整合、
梳理公立医院指标体系，为构建精细化管理评价指标体系奠定基础；通过专家访
谈对公立医院精细化管理指标体系进行指标打分评价及筛选，最终确定评价指标；
通过实地调研了解M医院精细化管理实施情况，通过表格调查，根据构建的评价
指标体系去相关数据管理部门提取指标数值并进行分析
从评价结果看，M医院精细化管理成果较好，资源配置趋于合理，工作负荷有
所减轻，工作效率、服务质量均有较高提升，用药管理尤其是药占比控制有显著
成效，患者负担减轻，患者满意度稳步提升。但仍需加强医院职工对精细化管理
的认知，加强医疗服务细节管理，建立专门的绩效考核管理部门，培育医院核心
竞争力，建立精细化管理评价考核体系，持续坚持医院的精细化管理
关键词：精细化管理评价，公立医院，指标体系
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Abstract
Meticulous management is the strategic development direction of medical
institutions under the new medical reform situation. Meticulous management, as a
scientific, effective and advanced means of management, has been concerned by more
and more medical institutions and has been introduced into the internal management of
hospitals. However, what is the specific effect of meticulous management is a question
worthy of research and discussion.
This study takes the M hospital as an example. By means of establishment of the
evaluation index system for the fine management of public hospitals, this essay is to
analyse the evaluation indexes of M hospital for the last five years, to evaluate the
meticulous management measures carried out in the M hospital, to probe into the
shortcomings in the meticulous management and to put forward some suggestions for
the improvement.
Through out literature research, this study understands the development process
and the lack of research of meticulous management domestic and international ,
integrates and combs the index system of public hospitals, and lays the foundation for
the construction of meticulous management evaluation index system. By means of
expert interview, index system for the meticulous is evaluated and filtered, and the
evaluation index is finally determined. Through the field study, the implementation of
the meticulous management in M hospital is understood, and through the table survey,
the relevant data of evaluation index system is extracted and analyzed from related
management department.
From the results of the evaluation, meticulous management of M hospital affected
greatly. The allocation of resources tended to be reasonable, the work load was reduced,
the work efficiency and the service quality had been improved. The drug administration,
especially the drug control, had significant effect, the patient's burden was lightened,
and the patient's satisfaction was steadily improved. However, it was still necessary to
strengthen the cognition of the meticulous management among the hospital staff ,
tighten up the detail management of medical services, establish a special performance
appraisal management department, cultivate the core competitiveness of the hospital,
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establish a meticulous management evaluation system, and continue to implement the
meticulous management of the hospital.
Key words: evaluation of meticulous management, public hospitals, index system。