Abstract of the paper: traditional oral health care institutions usually rely on the owner's experience in management, which is typical of ? People rule? enterprises. In many cases, it is the owner who is responsible for the management of the organization. The management is often left to the discretion of the owner when problems are encountered. The management is often encountered by the owner of the problem according to the past experience to solve, after the effect of how there is no clear test, it is difficult to do standardized management, of course, it is also very difficult to provide patients with a standardized and stable quality assurance of oral health care. With the deepening of China's health reform, the continuous development and expansion of the scale of various types of oral health care institutions, the use of the old set of management methods has been difficult to adapt to the needs of modern oral health care institutions and development, how to change the management of oral health care institutions by? How to change the management of dental institutions by? How to change the management of dental institutions from the rule of man? The rule of law? The establishment of a *** with the compliance of the standardization of management techniques, is the development process of dental institutions must break through the problem.
Management technology standardization is the management practice has been tested to be scientific and effective management technology methods summarized, refined as a standard, and then through the implementation of standards, so that the management technology methods to obtain a wider, more effective application, so as to obtain more significant results of the activities of the process. In the 1980s, in order to improve people's work efficiency, improve and ensure product quality, management technology standardization gradually on the standardization stage. In the 21st century, not only the original management technology standardization will be further deepened and developed, but also there will be more management technology standardization field. The so-called medical quality standardization is the boundaries and regulations of medical quality requirements; it is based on medical tasks and related guidelines, policies and limited scientific requirements and systematic summaries of practical experience, etc., formulated through analysis and research and clearly expressed in the provisions or indicators; it is the boundaries and regulations that should be followed by the relevant personnel; it is through quality education, the establishment of quality assurance system, quality standard system, quality information system and quality standardization system, quality information system and quality standardization system. It is through quality education, establishment of quality assurance system, quality standard system, quality information system and quality management system, etc., to make it adapt to the public's reasonable requirements for health care and medical treatment. Medical quality standard is the foundation of medical quality management, without medical quality standard, we can't talk about medical quality management. For example, in 2004, the Chinese Stomatological Association organized the national famous experts to collectively write the oral clinical technical operation norms to standardize the medical personnel of all levels of oral health care institutions, to improve the technical operation and diagnostic and therapeutic behavior, and to improve the quality of medical care. Technical operations and diagnostic and treatment behavior, improve the quality of oral health care, has become the basic norms that should be implemented by the oral health care institutions.
With the entry of private capital, foreign capital, China's oral health care services market will be relatively closed to break the state of oral health care quality management determines the profitability and development of oral health care institutions. Oral medical institutions in order to fight for patients must improve the quality of service price ratio, improve the management level of oral health care institutions. The transformation of the doctor-patient relationship will prompt dental institutions to improve the quality of medical services to meet the needs of patients. The future of oral health care services will begin with patient needs and end with patient satisfaction, which is the core concept of ISO9000 quality management standards. Oral health care institutions to fully introduce 1S09000 standards, through the establishment of standardization, normative, procedural operations of the six processes of the controllable mechanism to improve the level of oral health care services, has been proved to be a half-hearted effective measures? Using the IS09000 quality management system, establishing feasible and challenging goals, providing sufficient resources, encouraging medical staff to seize the opportunity and make full use of the tools to commit to the continuous improvement of the process, enhancing the market competitiveness of the dental healthcare organization, and achieving steady career development. We believe that more and more dental organizations will adopt the ISO 9001 series of standards.
1 to develop target standards
The relevant national health guidelines and policies, oral health services within the scope of the patient's needs, domestic and foreign similar oral health information, the current situation of oral health and its development plan, the previous year (or the previous period) to achieve the standard for the scientific basis, and adhere to the realistic, from the practical point of view, the development of both higher than the actual situation and leave room for manoeuvre, Practical and feasible standards. Recognize the significance of the purpose of medical quality standards and the realization of the goal of the method of steps, clear each medical staff, each post, each link of the current situation and the gap between the target standard, in order to shorten the gap need to solve the specific problems and tasks that must be accomplished to assume responsibility and due authority to ensure that the quality of the work of the reliability of the work.
Quality oral health care services should achieve the following goals: ① safety (safe): to avoid the medical process brought about by the medical injury, to avoid medical untimely and miss the best medical time; ② practical (effective): the provision of medical services must have a clear scientific and theoretical basis, can not be for the benefit of oral health care institutions or medical personnel in the examination, treatment, care process arbitrarily increase or decrease the project; ② practical (effective): to provide medical services must have clear scientific theory, not for the benefit of dental health care institutions or medical personnel in the examination, treatment, care process. The process of examination, treatment, care for the interests of the dental institution or medical personnel to increase or reduce the project; ③ Timely (timely): minimize the patient's waiting time and out-of-hospital costs; ④ Efficient (efifcient): to avoid waste, including personnel, materials, time, energy; ⑤ Equitable (equitable): regardless of the patient's age, social status, good or bad economic situation, oral health care institutions should be treated the same way to provide the same quality of service; ⑥ To provide the same quality of service; ⑥ To provide the same quality of service; ⑥ To provide the same quality of service; ⑥ To provide the same quality of service; ⑥ To provide the same quality of service The same quality of service; ⑥ patient-centered (patient?centered): including patient responsibility, respect for patients, and respect for patients' choices, needs, and values in the medical and service process.
2 development of quality standards for medical work
Specifically formulate quality standards for medical work, first, we must adhere to the quality of science, that is, each quality standard must truly reflect the scientific laws and requirements, with measurable quality characteristics and classifiable quality characteristics (such as score ratings, analytical coefficients, etc.) in order to clarify the variables classified into the quality of the scope; for the current scientific and technological science and technology is not yet able to control the factors should be classified in the quality range; for the current science and technology is not yet able to control the factors should be classified in the quality range. Factors that can not be controlled by the current scientific and technological factors should be categorized outside the quality management. Secondly, we should insist on the advancement of quality standards, that is, the level of quality standards should be based on reality and higher than reality, and should not be satisfied with low standards. Each stage of? The end is the next stage. Begin to cycle back and forth, and continuously strengthen and improve the quality standards to promote the improvement of the quality of oral health care. Thirdly, the seriousness and relative stability of quality standards should be maintained. The quality standards should not be changed from one day to the next, but with the continuous development of medical science and technology and scientific management, as well as the changing conditions of oral health care, some quality standards should be supplemented and revised on a regular or irregular basis in order to maintain their advanced nature. Fourth, must maintain the unity of quality standards, that is, in accordance with the level of quality standards, in the corresponding range of the same work or technology quality standards must be consistent; interlinked processes and technical quality must have a set of uniform quality standards.
2.1 link quality standards
① diagnostic work quality standards, including diagnostic work of the technical standards, diagnostic standards and diagnostic criteria and diagnostic compliance rate and other indicators. ② oral health care quality standards include the implementation of all treatment standards, such as oral health care program selection standards, standards for dental preparation, mold standards, prescription drugs and various medical treatment standards and medical personnel grading service standards. (iii) Nursing quality standards include the technical quality standards of nursing work. ④ Disinfection management quality standards include disinfection and isolation facilities, operation and management standards; various hygienic monitoring standards. ⑤ Material consumption standards: economic accounting, cost management and work quality standards for various disease treatments. The clinical operation projects are classified and decomposed according to the degree of difficulty, and each operation step is standardized, training is strengthened, and division of labor operation is realized.
2.2 Elemental quality standards
Elemental quality standards mainly refer to personnel quality standards, technical quality standards, instrumentation quality standards. In the complete process of oral health care, the superior physician may decide to intervene in the treatment process according to the degree of mastery of the clinical skills of the treating physician and the progress of the patient. However, it is more important for the treating physician to know when a consultation with a superior physician is required. In order to ensure the standardization of treatment, various instruments and materials must also be standardized.
2.3 Terminal medical quality standards
Terminal medical quality standards is to medical quality, medical quality standards as the center of the formation of the end of the quality standard system. End medical quality is centered on the quality of cases, including efficiency indicators, technical indicators and economic effect indicators. For example, orthodontic ligation includes the gestures of each decomposition action, the ligation method and the degree of tightness in different cases; adhesive mixing includes the proportion of powder and liquid, mixing method, mixing time and so on.