Two Decades of Medical Quality Management of Stroke in China

doi:10.3969/j.issn.1673-5765.2025.12.001

Chinese Journal of Stroke ›› 2025, Vol. 20 ›› Issue (12): 1471-1479.DOI: 10.3969/j.issn.1673-5765.2025.12.001

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Two Decades of Medical Quality Management of Stroke in China

CHENG Aichun^1,2, YANG Xin³, ZHANG Jing^1,2, WANG Caiyun^1,2, WANG Chunjuan^1,2,4, LI Zixiao^1,2,4, MA Xudong⁵

1 National Clinical Research Center for Neurological Diseases, Beijing 100070, China
2 National Center for Healthcare Quality Management in Neurological Diseases, Beijing 100070, China
3 National Collaborating Center for Neurological Disorders Prevention, Beijing 100070, China
4 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
5 Department of Medical Administration, National Health Commission of the People’s Republic of China, Beijing 100044, China

Received:2025-02-14 Revised:2025-07-10 Accepted:2025-07-17 Online:2025-12-20 Published:2025-12-20
Contact: LI Zixiao, E-mail: lizixiao2008@hotmail.com MA Xudong, E-mail: 13910092912@163.com

中国卒中医疗质量控制20年

程爱春^1，2，杨昕³，张静^1，2，王彩云^1，2，王春娟^1，2，4，李子孝^1，2，4，马旭东⁵

1 北京 100070 国家神经系统疾病临床医学研究中心
2 国家神经系统疾病医疗质量控制中心
3 中国神经系统疾病人群防治合作中心
4 首都医科大学附属北京天坛医院神经病学中心
5 国家卫生健康委员会医政司医疗管理处

通讯作者: 李子孝 lizixiao2008@hotmail.com 马旭东 13910092912@163.com
基金资助:
国家重点研发计划（2022YFC2504900）
国家重点研发计划子课题（2022YFC2504902）
国家重点研发计划子课题（2022YFC2504904）
国家科技重大专项子课题（2023ZD0505401）

Abstract

Abstract: Over the past two decades, the stroke care quality control system has been continuously refined in China, leading to remarkable improvements in stroke prevention and treatment. Since the initiation of the national stroke care quality control program in 2010, a three-tier organizational and quality control network—encompassing national, provincial, and municipal levels—has been established and is now being extended to county and district-level medical institutions. A comprehensive system of stroke care quality control indicators, covering both cerebral infarction and intracerebral hemorrhage, has been developed and widely implemented nationwide through this network, effectively promoting the standardization and homogenization of stroke diagnosis and treatment. Meanwhile, China has leveraged the hospital quality monitoring system and the single-disease medical quality monitoring database to build a big data-driven, information-based quality monitoring platform, enabling dynamic evaluation and continuous feedback on medical quality. The establishment of this stroke care quality control system has significantly enhanced the stroke diagnosis, treatment capabilities, and patient safety across all levels of medical institutions, laying a solid foundation for the sustained advancement of stroke prevention and control in China.

Key words: Stroke; Medical sercice; Quality control

摘要： 过去20年，中国卒中医疗质量控制体系不断完善，卒中防治水平显著提升。自2010年启动全国卒中医疗质量控制工作以来，我国已建立了覆盖国家、省和地市的三级医疗质量控制组织体系和质控网络，并在向第4级（县区级医疗机构）延伸；已建设了包括脑梗死、脑出血在内的卒中医疗质量控制指标体系，并基于已有网络体系在全国范围内推广应用，有力推动了卒中诊疗标准化与同质化发展。同时，我国依托医院质量监测系统和单病种医疗质量监测数据库，搭建了基于大数据的信息化监测平台，实现了医疗质量的动态评估与持续反馈。卒中医疗质量控制体系的建设显著提升了各级医疗机构的卒中诊疗能力和医疗质量安全水平，为我国卒中防治事业的发展奠定了坚实基础。

关键词: 卒中; 医疗服务; 质量控制

CLC Number:

CHENG Aichun, YANG Xin, ZHANG Jing, WANG Caiyun, WANG Chunjuan, LI Zixiao, MA Xudong. Two Decades of Medical Quality Management of Stroke in China[J]. Chinese Journal of Stroke, 2025, 20(12): 1471-1479.

程爱春, 杨昕, 张静, 王彩云, 王春娟, 李子孝, 马旭东. 中国卒中医疗质量控制20年[J]. 中国卒中杂志, 2025, 20(12): 1471-1479.

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Two Decades of Medical Quality Management of Stroke in China

中国卒中医疗质量控制20年

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