我国医院医疗质量监督评价指标体系的循证评价  

EVIDENCE-BASED EVALUATION ON THE MEDICAL QUALITY INDEX SYSTEM IN CHI-NESE HOSPITALS

作　　者：许星莹[1] 夏萍[2] 邱鸿钟[1] 黄慧玲[2] 程兰[2] 陈海[2] 霍永忠[2] 史俏蓉[2] 邹旭[2] 杨荣源[2] 招远祺[2] 刘添文[2] 

机构地区：[1]广州中医药大学经管学院,广州510006 [2]广东省中医院

出　　处：《现代预防医学》2009年第6期1076-1078,1095,共4页Modern Preventive Medicine

基　　金：广东省中医药管理局资助项目(1060072)

摘　　要：[目的]循证评价我国医院医疗质量监督评价指标体系，为我国医院医疗质量监督评价指标体系的构建提供借鉴。[方法]计算机检索中国生物医学文献数据库、CBM1990-2006年）、中国期刊全文数据库（CNKI 1990-2006年）、中文科技期刊全文数据库（VIP 1990～2007年）、中国医药学位论文全文数据库（万方1990-2006年）和官方及医疗相关网站等，全面收集有关我国医院医疗质量、医疗安全、医院绩效、监督评价、指标体系等方面相关文献。[结果]共纳入文献140篇，其中B级6篇，C级12篇，D级101篇，E级21篇。我国各地区使用的医疗质量监督评价指标体系虽有很多共性指标，但仍存在较大差异，还没有形成一套相对统一的评价指标体系；过程指标较少；同一指标有多个名称的现象比较普遍，反映了医疗质量评价指标在统计术语使用上的不规范性。[结论]我国医院医疗质量监督评价指标体系尚不完善，可借鉴循证医学的原理和方法提高指标建立过程的科学性；加强终末质量指标与环节质量指标的结合使用：适当拓展指标体系涵盖的广度。[Objective] To evaluate the medical quality index system in Chinese hospital by evidence-based evaluation, so as to provide reference basis for constructing the medical quality index system in Chinese hospitals. [ Methods ] The literatures were extracted from databases such as Bio-medieal Science Databases （CBM, 1990-2006） . Chinese Periodic Full-Text Database （CNKI, 1990-2006）, China Science ＆ Technology Periodical Full-Text Database （VIP, 1990-2007）. and Chinese Medical Dissertation Full-Text Database （Wangfang, 1990-2006）. the authorities websites and related medical treaunent websites, ere; References about medical treatment quality of Chinese hospitals, medical treatment safety, hospital performance, supervision and evaluation and index svstem, etc. [ Results] A total of 140 articles were collected. Out of them. 6 articles were defined as B level, 12 articles were C level. 101 articles were D level and 21 articles were E level. Although there were some conunon characters of the index systems of the medical treatment quality inspect evaluation in different regions of China, there was grea/difference among them. There had not been a unified medical quality index system until now. and it is also lack of process indexes. It is common that one index had several names, which reflecting the non-normative utilization of medical quality indexes in the statistical terms. [ Conclusion] The medical treatment evaluate index svstem of Chinese hospitals are still incomplete, and we could establish the index system in the scientific way by using the theory and method of evidence- based medicine. It is necessary to strengthen utilization of the combination of terminal quality indexes and link quality indexes. and appropriately expand the wide degree of the index sign system.

关 键 词：医疗质量 指标体系 循证评价 

分 类 号：R197.3[医药卫生—卫生事业管理]