综合医院糖尿病住院诊疗的过程质量分析  

Analysis of the Process Quality of Hospital Diagnosis and Treatment for Diabetes in General Hospitals

作　　者：贺晓燕[1] 孙昕[1] 李明 周萍[1] 俞步青 薛迪[1] 

机构地区：[1]复旦大学公共卫生学院医院管理教研室,上海200032 [2]上海市浦东新区卫生和计划生育委员会,上海200125

出　　处：《中国医院管理》2014年第11期25-27,共3页Chinese Hospital Management

摘　　要：目的对上海市浦东新区区属公立综合医院2型糖尿病的诊疗过程质量进行评价。方法采用随机抽样方式,对公立综合医院的137份糖尿病病案进行了回顾性病案评价,分析了上海市浦东新区区属公立综合医院2型糖尿病住院诊疗的过程质量。结果 (1)浦东新区区属公立综合医院2型糖尿病住院诊疗大多符合原卫生部发布的2型糖尿病临床路径要求,(2)糖尿病并发症筛查项目的合理选择需依靠临床医师诊疗的智慧。结论浦东新区区属公立综合医院2型糖尿病住院患者的诊疗仍需改进。Objective To evaluate the process quality of hospital diagnosis and treatment for Type-2 Diabetes in public general hospitals of Pudong New Area. Method 137 type-2 diabetes charts that were chosen by the random sampling methods from all the public general hospitals of Pudong New Area were reviewed and evaluated, and the process quality of inpatient care of type-2 diabetes was analyzed in the study. Result （1） It was indicated that majority of the inpatient care of type-2 diabetes in public general hospitals of Pudong New Area was compliant with the Clinical Pathway for type-2 diabetes issued by primang Ministry of Public Health; （2） The reasonable selection of tests for the complications of type-2 diabetes was relied on physicians＇ wisdom. Conclusion The hospital diagnosis and treatment of inpatients for type-2 diabetes in public general hospitals of Pudong New Area should be improved.

关 键 词：2型糖尿病 临床路径 过程质量 

分 类 号：R197.3[医药卫生—卫生事业管理] R587.1[医药卫生—公共卫生与预防医学]