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目的通过对某军队医院2008~2015年医疗质量各项指标进行综合评价与分析,以期发现医疗质量的变化并从整体上把握医疗质量水平的变化趋势,为持续改进医疗质量、提高服务能力提供依据。方法通过文献资料分析,选取门急诊人次、出院人次、手术例数、床位使用率、床位周转次数、出院者平均住院日、入出院诊断符合率、治愈好转率、抢救成功率、住院均次费用、药品比例等11项医疗指标组成评价体系,运用综合指数法对该院近8年的医疗质量进行综合评价,利用秩和比法(RSR)分档法对医疗质量的发展情况进行分档。结果 2008~2015年医疗质量综合指数不断上升,2015年和2014年的综合指数是分别是2008年的1.96倍和2.05倍,依据RSR值的排序与分档结果看,2008~2010年医疗质量偏低,2014~2015年医疗质量较好,其余年份医疗质量处于中等水平。结论该院在2008~2015年医疗质量不断提升,在保证医疗质量和医疗安全的前提下,通过多种形式或途径减轻医务人员的工作负荷、提高医疗效率、提升技术含量,优化质量效益,不断提升医院的综合实力。RSR法和综合指数法综合考虑了医疗评价指标的重要性,能科学、客观地反映医院医疗质量,提高分析效能,使评价更为科学合理。
Objective To comprehensively evaluate and analyze the indicators of medical quality from 2008 to 2015 in a military hospital so as to find out the change of medical quality and grasp the trend of the quality of medical treatment as a whole so as to provide the basis for continuous improvement of medical quality and improvement of service capability . Methods According to the literature analysis, the number of outpatient and emergency visits, the number of discharged patients, the number of cases, the utilization rate of bed, the number of bed turnover, the average length of stay at hospital discharge, the compliance rate of hospital admission and discharge, the cure rate, the rescue success rate, , The proportion of medicines and other 11 medical indicators constitute the evaluation system, the use of integrated index method of the hospital nearly 8 years of comprehensive evaluation of the quality of care, the use of rank sum ratio method (RSR) sub-file on the development of medical quality sub-file. Results The comprehensive medical quality index increased from 2008 to 2015, and the composite indexes in 2015 and 2014 were 1.96 times and 2.05 times respectively in 2008. According to the results of RSR rankings and sub-archives, the medical quality of 2008-2010 Low, the quality of medical care is better from 2014 to 2015, and the medical quality of other years is at medium level. CONCLUSIONS: The quality of medical care in this hospital is constantly improving from 2008 to 2015. With the premise of ensuring the medical quality and medical safety, the hospital can reduce the workload of medical staff, improve the medical efficiency, improve the technical content and optimize the quality and efficiency through various means or ways Improve the overall strength of the hospital. RSR method and comprehensive index method comprehensively consider the importance of medical evaluation index, can scientifically and objectively reflect the quality of hospital medical treatment, improve the analysis efficiency and make the evaluation more scientific and reasonable.