【作者】 张静；

【导师】 王学军；

【作者基本信息】 兰州大学 ， 公共管理硕士（专业学位）， 2023， 硕士

【副题名】以X医院为例

【摘要】 我国公立医院信息化建设经过三十多年的发展,从最初单一的信息系统建设,到目前的互联网医院、智慧医院、区域医疗等的建设,信息化已成为推动医疗卫生事业高质量、高效率发展的主要动力,也是重塑医疗管理及服务模式,实现政府决策科学化、社会治理精准化、公共服务高效化的重要支撑。X医院信息化建设开展至今,已完成了基础化建设,实现了基本的互联互通,开展了互联网医院业务,进入智慧化建设阶段。但由于医院信息化建设资金不足、专业人才匮乏、缺乏统筹规划和统一布局等原因,目前医院信息化建设碎片化,业务协同程度和智慧化程度不高,信息化建设及应用效果欠佳,信息化对医院管理及决策的支持也明显不足,信息化建设效能整体不高,医院综合服务能力的提升也极其有限。本文以政府绩效管理理论和新公共服务理论为基础,运用平衡计分卡工具,德尔菲法、层次分析法等方法,构建了X医院信息化建设的评价体系,从信息化基础建设、信息化效能、信息化服务、信息化建设能力四个维度对医院信息化现状进行了全面评价和分析,发现短板并深入剖析其原因,进而提出我国公立医院信息化建设应以提升公共卫生服务水平为宗旨,以患者为中心的建设原则;应采取多渠道筹集资金;提高人才吸引力和培养能力;统筹规划,统一布局,并加强标准化建设,对老系统进行升级改造,打造信息化一体化体系;加大政策支持,大力推进信息化建设等措施,以提升医院信息化建设效能,促进医院信息化事业健康、持续、高效发展,促进信息化服务体系化、集约化、精细化发展。更多还原

【Abstract】 After more than 30 years of development,from the initial construction of a single information system to the current construction of Internet hospitals,intelligent hospitals and regional medical care,informatization has become the main driving force for the high-quality and efficient development of medical and health undertakings,and it is also an important support for reshaping the medical management and service model and realizing scientific government decision-making,accurate social governance and efficient public services.Since the information construction of X hospital has been carried out,it has completed the basic construction,realized the basic interconnection,carried out the Internet hospital business,and entered the intelligent construction stage.However,due to the lack of funds for hospital information construction,lack of professionals,lack of overall planning and unified layout and other reasons,the current hospital information construction is fragmented,the degree of business coordination and intelligence is not high,and the effect of information construction and application is not satisfactory.the support of informatization to hospital management and decision-making is obviously insufficient,the overall efficiency of information construction is not high,and the improvement of hospital comprehensive service capacity is also extremely limited.Based on the government performance management theory and the new public service theory,this paper constructs the evaluation system of X hospital informatization construction by using balanced Scorecard tools,Delphi method and Analytic hierarchy process(AHP).This paper comprehensively evaluates and analyzes the current situation of hospital informatization from the four dimensions of informatization infrastructure construction,informatization efficiency,informatization service and informatization construction ability,finds the deficiency and analyzes its reasons deeply.Furthermore,it is put forward that the information construction of public hospitals in China should aim at improving the level of public health services and take patients as the center.We should raise funds through multiple channels to improve the attractiveness and training ability of talents,make overall planning,unify the layout,strengthen the construction of standardization,upgrade and transform the old system,and build an integrated information system.Increase policy support,vigorously promote information construction and other measures,in order to enhance the efficiency of hospital information construction,promote the healthy,sustained and efficient development of hospital information,and promote the systematic,intensive and refined development of information services.更多还原