摘要
Abstract
Objective This study aims to analyze the status of tertiary public hospitals in Shanghai from 2023 to 2025 across multiple dimensions,including construction of hierarchical diagnosis and treatment system,clinical diagnosis and treatment ability,medical quality and safety,rational medication use,medical service efficiency,information support,workforce structure,patient satisfaction,and medical staff satisfaction,and to compare the operation status of general hospitals and specialist hospitals,providing reference for the precision management and high-quality development of public hospitals.Methods A total of 57 tertiary public hospitals in Shanghai were included.Research indicators were selected with reference to the 2023 National Tertiary Public Hospital Performance Monitoring and Analysis Bulletin.Data of the Shanghai Healthcare Service Monitoring and Evaluation System(SHVMS)from 2023 to 2025 were extracted,bar charts and radar charts were used to visualize the operational status and trends of tertiary public hospitals in Shanghai.Results Tertiary public hospitals in Shanghai showed an overall positive development trend.The proportion of discharged patients undergoing surgery remained stable at approximately 39.40%;the proportion undergoing minimally invasive surgery increased from 24.79%to 26.55%;the mortality rate in the DRG low-risk group declined from 0.68‰ to 0.33‰;and the numbers of healthcare technicians and nurses increased by 6,000 and 3,900,respectively.General hospitals and specialist hospitals each demonstrated distinct strengths overall.The proportion of discharged patients undergoing grade IV surgery in general hospitals remained stable at approximately 24.50%over the study period,while the corresponding proportion in specialist hospitals ranged from 20.70%to 24.42%.The proportion of medical service revenue in total income decreased by 0.73%in general hospitals and by 7.82%in specialist hospitals from 2023 to 2024,with considerable fluctuation observed in both.The use intensity of antibiotics in general hospitals was 43.50 DDDs in 2023,higher than that in specialist hospitals(34.86 DDDs).Conclusions Tertiary public hospitals in Shanghai demonstrated an overall satisfactory operational status.This study recommends that future efforts focus on balancing the growth of total medical revenue with examination-related revenue,optimizing the outpatient appointment system,improving the hospital care environment,and promoting rational antimicrobial use,so as to further advance the high-quality development of tertiary public hospitals in Shanghai.关键词
三级公立医院/绩效考核/现状分析/发展建议Key words
tertiary public hospitals/performance appraisal/status analysis/development suggestions分类
医药卫生
