用因子分析法探索医疗数质量指标的影响因素  

Factor analysis of quality guidelines for medical treatment

作　　者：郭郡浩[1] 杨彩霞[2] 傅万明[2] 刘玉秀[3] 蔡辉[1] 

机构地区：[1]南京军区南京总医院中西医结合科,江苏南京210002 [2]南京军区南京总医院信息科,江苏南京210002 [3]南京军区南京总医院医务部,江苏南京210002

出　　处：《医学研究生学报》2008年第6期625-627,630,共4页Journal of Medical Postgraduates

基　　金：江苏省"六大人才高峰"资助项目(批准号:06-C-031)

摘　　要：目的:用因子分析方法探讨医疗数质量指标的潜在影响因素。方法:统计近3年来某医院中西医结合科的9项医疗数质量指标,包括门诊人次、出院人数、出院者平均住院日、床位使用率、床位周转次数、治愈好转率、病死率、门诊与出院诊断符合率、抢救成功率,使用SPSS软件包进行因子分析。结果:提取出4个公因子,第一公因子主要由门诊人次、出院人数、出院者平均住院日、床位周转次数决定,为数量因子;第二公因子主要由治愈好转率、病死率决定,为治疗因子;第三公因子主要由床位使用率、门诊与出院诊断符合率决定,为诊断因子;第四公因子主要由抢救成功率决定,为急救因子。这4个因子的累积贡献率达85.1%。结论:医疗工作数量、治疗技术、诊断水平和抢救能力是医疗数质量指标的主要影响因素。Objective： To explore the potential influencing factors of the quality guidelines for medical treatment by factor analysis. Method： We analyzed with the SPSS package 9 quality guidelines for medical treatment in the department of integrated TCM and Western medicine of a hospital, including the outpatient person-time, the number of discharges, the average days of hospitalization, the rate of bed utilization, the frequency of bed rotation, the rate of cure and improvement, the case fatality rate, the coincidence rate of diagnoses at admission and discharge, and the success rate of emergency treatment. Results： Four common factors were extracted, namely, the quantifiable factor, determined by the out-patient person-time, the number of discharges, the average days of hospitalization and the frequency of bed rotation; the treatment factor, determined by the cure and improvement rate and case fatality rate; the diagnostic factor, determined mainly by the rate of bed utilization and the coincidence rate of diagnoses at admission and discharge; and the emergency treatment factor, determined by the success rate of emergency treatment. The cumulative medical work, the techniques contribution rate of the 4 factors was 85.1%. Conclusion： The amount of of treatment, the ability of diagnosis and the efficiency of emergency rescue are the main influencing factors of quality guidelines for medical treatment.

关 键 词：医疗 门诊 住院 管理 因子分析 

分 类 号：R197.3[医药卫生—卫生事业管理]