3种方法综合评价某医院2010年-2015年住院医疗质量  

The Evaluation on the Inpatients Medical Quality of a Hospital from 2010 to 2015 with the Application of Three Kinds of Methods

作　　者：赵琳[1] 邓应梅[1] 肖蓓[1] 李蓓[1] 王玥[1] 石斌 Zhao Lin Deng Yingmei Xiao Bei Li-Bei Wang Yue Shi Bin(Xuanwu Hospital of Capital Medical University, Beijing 100053, China)

机构地区：[1]首都医科大学宣武医院,北京市100053

出　　处：《中国病案》2016年第11期56-59,共4页Chinese Medical Record

摘　　要：目的利用3种综合评价方法客观评价某院的住院医疗质量,比较这3种评价方法的优势和劣势,为医院科学决策提供依据。方法筛选某院2010年-2015年5个住院医疗指标,包括出院人次、病床使用率、出院者平均住院天数、病死率和次均费用。利用TOPSIS法、综合指数法和秩和比法这3种评价方法分别评价住院医疗质量,并进行比较分析。结果 TOPSIS法和综合指数法综合评价结果是住院医疗质量逐年提高,秩和比法评价结果是将住院医疗质量分为3个级别,2015年是上级,2012年-2014年为中级,2010年-2011年为下级。结论 TOPSIS法和综合指数法评价结果一致,秩和比法适用于将评价结果分类排序。Objectives To evaluate the medical treatment quality of a hospital with the application of three kinds of comprehensive evaluation methods, compare the advantages and disadvantages, and provide the basis for hospital scientific decision-making. Methods We screened 5 indicators which were the number of discharged patients, rate of utilization of hospital beds, the average length of stay, mortality and average hospitalization expenses. The three methods including TOPSIS method, the comprehensive index method and rank sum ratio method analyzed in-patient medical quality from 2010 to 2015. Results The evaluation results of TOPSIS and comprehensive index method was that in-patient medical quality was increasing year by year from 2010 to 2015. The evaluation result of rank sum ratio method was that the year of 2015 was superior, the years of 2012, 2013 and 2014 are intermediate, the years of 2010 and 2011 were subordinates. Conclusions The results of TOPSIS method and comprehensive index method were consistent. RSR method was suitable for the classified comparison.

关 键 词：住院医疗质量 TOPSIS法 综合指数法 秩和比法 

分 类 号：R197.323[医药卫生—卫生事业管理]