本文選題：綜合評價 + 指標(biāo)體系　； 參考：《第二軍醫(yī)大學(xué)學(xué)報》2002年07期

【摘要】：目的 :對原有的軍隊醫(yī)院醫(yī)療護理質(zhì)量綜合評價指標(biāo)體系進行修訂和完善 ,以全面反映醫(yī)院醫(yī)療護理質(zhì)量的動態(tài)變化 ,合理、科學(xué)地評價醫(yī)院的綜合管理工作 ,進行科學(xué)決策。方法 :在專家咨詢與現(xiàn)場調(diào)研的基礎(chǔ)上 ,應(yīng)用數(shù)理統(tǒng)計學(xué)中的聚類分析和主成分分析等方法 ,對醫(yī)療護理質(zhì)量指標(biāo)進行篩選和分組 ,再結(jié)合病種質(zhì)量指標(biāo)和危重病例構(gòu)成比 ,運用綜合指數(shù)法對 2 4所軍隊醫(yī)院的醫(yī)療護理質(zhì)量進行綜合評價。結(jié)果 :運用新的綜合質(zhì)量評價指標(biāo)體系及新的評價方法 ,明顯改善了不同級別醫(yī)院間的不可比現(xiàn)象 ,排序結(jié)果與專家咨詢和醫(yī)院的實際效績相吻合。 結(jié)論 :新的醫(yī)院綜合質(zhì)量評價指標(biāo)體系考慮到了醫(yī)療護理工作中的環(huán)節(jié)質(zhì)量和不同醫(yī)院間的病種差異 ,綜合評價結(jié)果更為合理 ,是醫(yī)院管理決策中的有用工具 ,具有一定的推廣應(yīng)用價值。
[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.
【作者單位】： 第二軍醫(yī)大學(xué)長海醫(yī)院衛(wèi)生勤務(wù)學(xué)系
【基金】：總后衛(wèi)生部課題基金資助項目 (總后衛(wèi)生部[1998]衛(wèi)醫(yī)字第 169號 )
【分類號】：R82

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本文編號：1744550