医联体同质化建设背景下心电诊断中心运行效益评价——以急性心肌梗死为例  

Evaluation on the operational performance of ECG diagnosis center against the background of homogenization construction of medical cluster: taking acute myocardial infarction as an example

作　　者：郭梦 徐霞[1] 张通 李兴杰 

机构地区：[1]济宁市第一人民医院社区卫生服务部,山东济宁272011 [2]济宁市心电诊断中心

出　　处：《实用心电学杂志》2017年第6期391-393,共3页Journal of Practical Electrocardiology

摘　　要：目的评价心电诊断中心的运行效益,分析其在同质化网络运行中存在的问题。方法选取2014至2016三年间心电诊断中心第一诊断为"急性心肌梗死"的患者共402例,其中69例转诊至我院住院。利用Excel建立数据库,采用SPSS 20.0进行统计分析,通过描述性统计来评价心电诊断中心的运行效益。结果经心电诊断中心诊断,82.6%入选患者的诊断结果与入院诊断相一致。33.3%的患者接受经皮冠状动脉介入治疗,30.4%的患者接受冠状动脉腔内血管成形术,病情均好转。抢救急性心肌梗死患者所需最短时间为9 min。结论心电诊断中心的运行提高了基层医院的医疗服务质量,使患者能获得更好的医疗服务,在一定程度上缓解了社会医疗资源分布不平衡,减轻了患者疾病造成的经济负担,同时增加了医疗机构的收入,具有较好的社会效益和经济效益。Objective To evaluate the running efficiency of ECG diagnosis center,and to analyze the problems or flaws in the operation of homogenization network. Methods We selected 402 patients initially diagnosed with acute myocardial infarction( AMI) by our ECG diagnosis center from2014 to 2016. Sixty-nine cases among them were transferred into our hospital. Statistical analysis was carried out by SPSS 20. 0 based on the database established by Excel. We made descriptive statistics of the operational performance of ECG diagnosis center. Results ECG diagnosis center made the same diagnosis as the admitting diagnosis on 82. 6% of research objects. Among the enrolled patients,33. 3% underwent percutaneous coronary intervention( PCI) while 30. 4% were performed percutaneous transluminal coronary angioplasty( PTCA). Their condition was improved after the procedure. AMI patients can be rescued within the shortest time of 9 minutes. Conclusion The running of ECG diagnosis center improves the medical service quality of primary hospitals. It provides better medical service for patients,relieves the imbalanced distribution of medical resources in society and reduces the economic burden of patients. In addition,it also increases the income of medi-cal institutions. ECG diagnosis center has obtained great economic and social benefit.

关 键 词：急性心肌梗死 心电诊断中心 医联体 

分 类 号：R542.22[医药卫生—心血管疾病]