Analysis on the status quo of general hospital consultation in general hospitals and explorationof countermeasures
综合医院院内大会诊现状分析及对策探索

摘要

目的 分析综合医院院内会诊的现状，探索完善相关制度的对策。方法 对2014年1月-2021年12月山东大学第二医院院内大会诊资料进行分类统计分析，了解院内大会诊基本情况，包括（申请科室、申请时间、受邀科室、会诊医师职称），资料采用EXCEL软件进行录入、分析。结果 对比相关数据，对统计结果进行现状分析，发现目前院内大会诊主要存在以下几点问题：（1）申请院内大会诊科室部分医师申请随意；（2）受邀科室人员资质不足；（3）院内大会诊监管弱，会诊质量缺乏保证。结论 院内大会诊还存在着诸多问题有待改善，从完善制度、健全激励机制、完善会诊问责制、强化质量监督与考评和完善电子会诊管理系统等五方面就院内大会诊的管理转型提出相关对策建议，以期能够为促进大型综合医院院内大会诊管理提供更加科学合理的参考和借鉴。

Abstract

Objective To analyze the current situation of in-hospital consultation in general hospitals, and to explore the countermeasures to improve related systems.
Methods The data of general consultations in the Second Hospital of Shandong University from January 2014 to December 2021 were classified and analyzed, and the basic information of the general consultations in the hospital, including (application department, application time, invited department, and professional title of consulting physician), data The data were entered and analyzed using EXCEL software.
Results Comparing the relevant data and analyzing the current situation of the statistical results, it was found that the current general consultations in the hospital mainly have the following problems: (1) some doctors applying for the general consultation departments in the hospital apply randomly; (2) the qualifications of the invited departments are insufficient; (3) The supervision of large consultations in the hospital is weak, and the quality of consultations is lacking.
Conclusion   There are still many problems in the general consultation in the hospital that need to be improved. The management transformation of the general consultation in the hospital is proposed from five aspects: improving the system, improving the incentive mechanism, improving the consultation accountability system, strengthening quality supervision and evaluation, and improving the electronic consultation management system. It is suggested that it can provide a more scientific and reasonable reference and reference for promoting the management of general consultations in large general hospitals.