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门诊病人的“三次确诊率”一直被作为衡量门诊医疗质量的一个重要指标.因此,“三次确诊率”被纳入三级甲等医院门诊评审的硬指标之一,要求三次确诊率>90%.但因门诊诸多因素的影响,对三次确诊率很难做到准确地量化.如何加强实际管理工作中的科学性和可操作性?三次确诊率能否作为衡量诊疗质量的标准?这是值得进一步探讨的问题.我们通过随机抽样的方法,随机抽取1991年、1992年、1993年1200份门诊病历,统计三次确诊率,分别为80.2%、82.5%、84.9%.
Outpatients’ “three-time diagnosis rate” has been used as an important indicator to measure outpatient medical quality. Therefore, the “three-time diagnosis rate” was included in one of the hard indicators of the three-tiered hospital outpatient review, requiring a three-time diagnosis rate of >90%. Due to the influence of many factors in the outpatient clinic, it is difficult to accurately quantify the rate of three diagnoses. How to strengthen the science and operability in practical management? Can three diagnostic rates be used as a measure of the quality of diagnosis and treatment? This is worth further investigation. Question. We randomly selected 1,200 outpatient medical records in 1991, 1992, and 1993 by random sampling. The three confirmed rates were 80.2%, 82.5%, and 84.9%, respectively.