秩和比法在评价临床科室医疗指标运行状况中的应用  

Application of RSR method indicators in the evaluation of the running status of medical index in clinical departments

作　　者：马立旭[1] 李红[1] 钮晖[1] 

机构地区：[1]宁夏回族自治区人民医院病案统计室

出　　处：《中国医院统计》2016年第1期27-30,34,共5页Chinese Journal of Hospital Statistics

摘　　要：目的运用秩和比法对某三甲医院2013年和2014年临床科室主要医疗指标进行综合分析和评价，为医院管理决策者的科室管理提供科学依据方法采集某三甲医院2013年和2014年基础数据，组成综合评价指标。计算RSR值、累积概率，利用SPSS统计软件计算回归方程及分档后各组之间进行方差分析。结果对临床各科室综合评价分为3档，经方差分析3档差别有统计学意义（2013年F=60．757，P〈0．0001；2014年F=67．034，P〈0．0001）。2013年妇产科、儿科及心血管内科probit值较高（7．3263，6．7744，6．4255）；2014年妇产科、儿科及心血管内科probit值较高（7．7478，6．7866，6．4466），提示科室运行状况良好。2013年感染疾病科和心胸外科probit值较低（3．2256，3．5745）；2014年感染疾病科和心胸外科probit值较低（3．2134，3．5534），提示科室运行状况较差。结论综合评价医院临床科室主要医疗指标运行状况，为医院管理部门制定及调整相应的政策提供数据支持，最终提高医疗效益和服务质量。Objective To apply RSR method to analyze and evaluate the main medical indexes of clinical departments of a tertiary referral hospital in 2013 and 2014, and provide scientific basis for the management decisions of the hospital. Methods The basic data of the clinical departments of a tertiary referral hospital in 2013 and 2014 were collected to make up the compre- hensive evaluation indexes.＇ Excel was used to calculate the RSR score and the cumulative probability. SPSS 17.0 software was used to obtain regression equation and conduct sub-file rank test. Results The comprehensive evaluation of each clinical depart- ment could be divided into three grades, and there was statistical significance by SNK analysis （2013, F = 60. 757, P〈0. 001 ; 2014, F = 67.034, P〈0. 001 ）. The probit scores of departments such as department of obstetrics and gynecology, pediatrics and cardiovascular department of internal medicine were relatively high （7. 326.3, 6. 774 4, 6. 425 5 ） in 2013, and the probit scores of departments such as department of obstetrics and gynecology, pediatrics and cardiovascular department of internal medicine were relatively high （7. 747 8, 6. 786 6, 6. 446 6） in 2014, which led to their higher work quality of medical treatment. The probit scores of departments such as infectious disease department and department of thoracic surgery （3. 225 6, 3. 574 5） in 2013 were relatively low, and the probit score of departments such as infectious disease department and department of thoracic surgery （3. 213 4, 3. 553 4） in 2014, which led to their lower work quality of medical treatment. Conclusion Using RSR com- prehensive evaluation method and statistical software in hospital management can analyze the operation status of clinical depart- ments accurately and quickly, and provide scientific basis for the management of hospital management.

关 键 词：秩和比法 综合评价 医疗指标 

分 类 号：R197.3[医药卫生—卫生事业管理]