面向全生命周期的医疗质量安全管理与资源优化配置

The project aims at meeting the need of Chinese new health innovation. The healthcare quality/safety management and resources deployment & optimization will be explored using modern management theories and big data analysis methods. With assistance of Shanghai Trauma Center, the project will focus on the trauma care management innovation through theoretical study and practical verification. According to the chain of care theory, the project will pay attentions to every phase of the whole life-cycle of trauma care, including pro-hospital emergency care, emergency operations, specialist treatments, and rehabilitation. The quality and safety assurance system will be established from three layers, naming quality system, care process, and resources deployment. And five subtopics will be explored systematically entitled as: 1)the root causes analysis of quality/safety problems and the quality assurance system design; 2)the design of chain of care and clinic pathways; 3)the decision optimization of key procedures in chain of care; 4) resources deployment optimization for chain of care; 5) the network design for pre-hospital emergency care. The project is proposed according to the new trends of healthcare development. Multi-disciplines integration and information technology are utilized to solve the key practical difficulties and critical scientific problems. The expected results could radically change the old management style of trauma care and improve the quality and safety level significantly. Meanwhile, the project can also provide insights and directions for the new healthcare innovation in China.

课题结合我国新医改需求，应用现代管理理论和大数据分析方法，研究我国医疗质量安全管理和资源优化配置问题。课题研究注重理论联系实际，依托上海创伤救治中心，探索创伤救治的科学管理模式。课题研究从诊疗链角度出发，关注包含院前急救、急诊手术、专科诊疗和康复治疗在内的全生命周期管理，从质量体系、治疗流程和资源配置三个层次，分五个专题系统深入研究创伤救治的质量安全保证方法。具体研究专题包括：1）质量安全事故根源分析与保证体系设计；2）诊疗链与临床路径设计；3）诊疗链关键环节决策优化；4）诊疗链资源配置优化；5）院前急救网络优化。本课题研究符合医疗发展新趋势，注重多学科交叉和信息技术应用，通过理论和实证分析，解决我国医疗管理的重大实践需求和关键科学问题。研究成果可望根本改变落后的创伤救治管理模式，大幅提升创伤救治的质量安全水平和资源效率，为我国医疗管理体制和机制改革提供指导和借鉴。