单病种质量管理效果分析  

Effect of single disease quality management

作　　者：陈少雄[1] 

机构地区：[1]福建省肿瘤医院医务科,福建福州350014

出　　处：《中国现代医生》2016年第10期145-147,共3页China Modern Doctor

基　　金：国家临床重点专科建设项目资助

摘　　要：目的探讨肿瘤专科医院实施单病种质量管理的意义。方法以原发性肺癌为例,统计分析在实施单病种质量管理前后指标变化情况。结果实施单病种质量管理后,反映医疗质量与医疗安全指标如术前TNM分期率(90.2%)、抗菌药物使用合理率(79.9%)及术后并发症发生率(5.1%)均得到明显改善;而反映工作效率或患者负担指标,如平均住院天数(22.52±6.98)d及平均住院费用(79688.59±21551.58)元均改善不明显。结论单病种质量管理可规范临床诊疗行为,控制平均住院天数,减少不合理费用。Objective To discuss the importance of performing the single disease quality management in the tumor hospital. Methods Taking the primary lung cancer as an example, we analyzed the changes of concerned indexes before and after the implementation of the single disease quality management with statistical methods. Results We found that indexes of medical quality and medical safety, such as preoperative ratio of TNM stages（90.2%）, ratio of rational applications of antibiotics（79.9%） and ratio of postoperative morbidity（5.1%）, had all been obviously improved, while the improvements of indexes reflecting work efficiency or patients＇ burden, like average hospitalization time（22.52 ±6.98） d and average hospitalization cost（79 688.59±21 551.58） yuan, were not significant. Conclusion The single disease quality management canstandardize clinical diagnosis and treatment, control average hospitalization time and reduce unreasonable expense.

关 键 词：原发性肺癌 单病种 质量管理 效果分析 

分 类 号：R197.3[医药卫生—卫生事业管理]