军队医院综合质量评价指标体系的研究与应用

发布时间：2018-04-13 12:46

本文选题：综合评价 + 指标体系　；参考：《第二军医大学学报》2002年07期

【摘要】：目的 :对原有的军队医院医疗护理质量综合评价指标体系进行修订和完善 ,以全面反映医院医疗护理质量的动态变化 ,合理、科学地评价医院的综合管理工作 ,进行科学决策。方法 :在专家咨询与现场调研的基础上 ,应用数理统计学中的聚类分析和主成分分析等方法 ,对医疗护理质量指标进行筛选和分组 ,再结合病种质量指标和危重病例构成比 ,运用综合指数法对 2 4所军队医院的医疗护理质量进行综合评价。结果 :运用新的综合质量评价指标体系及新的评价方法 ,明显改善了不同级别医院间的不可比现象 ,排序结果与专家咨询和医院的实际效绩相吻合。结论 :新的医院综合质量评价指标体系考虑到了医疗护理工作中的环节质量和不同医院间的病种差异 ,综合评价结果更为合理 ,是医院管理决策中的有用工具 ,具有一定的推广应用价值。
[Abstract]:Objective: to revise and perfect the original comprehensive evaluation index system of medical and nursing quality in military hospitals, so as to reflect the dynamic changes of hospital medical and nursing quality and evaluate the comprehensive management work scientifically and rationally.Make scientific decisions.Methods: on the basis of expert consultation and field investigation, the methods of cluster analysis and principal component analysis in mathematical statistics were used to screen and group the quality indexes of medical care.Combined with disease quality index and critical case ratio, the comprehensive evaluation of medical and nursing quality in 24 military hospitals was carried out by means of comprehensive index method.Results: using the new comprehensive quality evaluation index system and the new evaluation method, the incomparable phenomenon among different grade hospitals was obviously improved, and the ranking result was consistent with the expert consultation and the actual performance of the hospital.Conclusion: the new evaluation index system of hospital comprehensive quality takes into account the quality of links in medical and nursing work and the difference of disease types among different hospitals. The comprehensive evaluation results are more reasonable and are useful tools in hospital management decision-making.It has certain value of popularization and application.
【作者单位】：第二军医大学长海医院卫生勤务学系
【基金】：总后卫生部课题基金资助项目 (总后卫生部[1998]卫医字第 169号 )
【分类号】：R82

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