某院临床科室2017年-2018年医疗质量综合评价比较分析  

Comparative Analysis of Comprehensive Evaluation of Medical quality in Clinical departments of a Hospital from 2017 to 2018

作　　者：陈玲[1] 吕明慧[1] 朱星梅[1] Chen Ling;Lv Minghui;Zhu Xingmei(The Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,Guangdong Province,China)

机构地区：[1]中山大学附属第五医院

出　　处：《中国病案》2019年第12期10-14,共5页Chinese Medical Record

摘　　要：目的使用综合评价方法评价某院临床科室2017年-2018年的医疗质量,为医院管理提供科学的决策依据。方法应用TOPSIS法结合RSR法,选用9个反映医疗质量的指标对医院2017年-2018年31个临床科室进行综合评价。结果根据回归方程计算RSR估计值,将31个临床科室分为4档,方差分析各档之间有统计学差异,F=57.217,P<0.001,且两两相比较也具有统计学意义。综合医疗质量为优的科室有心血管介入科、儿科、脊柱外科等九个科室。排名提升位数最高的前五位是创伤关节外科、老年病科、精神心理科、甲状腺乳腺外科及心血管介入科。结论综合结果与医院实际情况基本符合,证实使用TOPSIS法与RSR法相结合评价医院各科室综合医疗质量具有良好的科学性,值得应用和推广。但是医疗指标的选择有一定的局限性,应进一步将内外部因素与指标评价结果结合起来考虑,进而进行比较全面的综合评价。Objective The comprehensive evaluation method was used to evaluate the medical quality of the clinical department in a hospital from 2017 to 2018, and to provide scientific decision-making basis for hospital management.Methods Using TOPSIS method combined with RSR method, 9 indexes reflecting medical quality were selected to evaluate 31 clinical departments in hospital from 2017 to 2018.Results According to the regression equation, 31 clinical departments were divided into 4 grades according to the regression equation. There was significant difference in variance analysis between each grade(F = 57.217, P<0.0001), and both of them were also statistically significant. The department with excellent comprehensive medical quality has nine departments, such as the cardiovascular intervention department, the pediatrics department, the spinal surgery department. The top five highest ranked were trauma joint surgery, geriatrics, psycho-psychology, thyroid breast surgery and cardiovascular intervention. Conclusion The comprehensive results are in good agreement with the actual situation of the hospital, which proves that the combination of TOPSIS method and RSR method is scientific in evaluating the comprehensive medical quality of various departments of the hospital, and it is worth applying and popularizing. However, the choice of medical indicators has certain limitations, so we should further consider the internal and external factors and the evaluation results of the indicators, and then carry out a more comprehensive comprehensive evaluation.

关 键 词：医疗质量 综合评价 TOPSIS法 RSR法 

分 类 号：R197.32[医药卫生—卫生事业管理]