本文分析了304医院的医疗工作状况和影响因素,提出了医师结构不合理,一线力量馈乏加上少数医务人员责任感与事业心不强,是造成三级检诊质量不高,影响医疗质量的主要原因。总结了通过合理调整人员结构,推行“三级主管负责制”,明确每位医师职责,加强临床一线医师人力和技术力量,从抓病历质量入手,实现医院医疗质量整体提高的成功经验。 This article analyzes the status of medical work and influencing factors in 304 hospitals, and proposes that the structure of physicians is irrational. The lack of front-line strength and a small number of medical staffs have a sense of responsibility and a weak dedication. This is the reason why the quality of tertiary examinations is not high and affects the quality of medical care. main reason. Summarized the rational adjustment of the personnel structure, the implementation of the “three levels of supervisory responsibility system”, clear the responsibilities of each physician, strengthen the clinical frontline physicians and technical strength, start with the quality of medical records to achieve the hospital’s overall improvement in the quality of medical experience.