四川省超声医学质量控制指标动态变化趋势分析  

Dynamic changing trends of ultrasound medicine quality control indicators in Sichuan Province

作　　者：周易 张红梅[1] 尹立雪[1,2] 杨浩 付培[1] Yi Zhou;Hongmei Zhang;Lixue Yin;Hao Yang;Pei Fu(Department of Cardiovascular Ultrasound and Non-invasive Cardiology,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital(University of Electronic Science and Technology of China),Chengdu 610072,China;Ultrasound in Cardiac Electrophysiology and Biomechanics Key Laboratory of Sichuan Province(Sichuan Branch of the National Cardiovascular Disease Clinical Medical Research Center),Chengdu 610072,China;Medical Department,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院(电子科技大学附属医院)心血管超声及心功能科,成都610072 [2]超声心脏电生理学与生物力学四川省重点实验室,成都610072 [3]四川省医学科学院·四川省人民医院医务部,成都610072

出　　处：《中华医学超声杂志（电子版）》2024年第7期664-670,共7页Chinese Journal of Medical Ultrasound(Electronic Edition)

基　　金：四川省自然科学基金(2022NSFSC0605)。

摘　　要：目的揭示2020—2022年四川省超声医学质量关键指标动态变化趋势和特征。方法基于四川省医疗质控数据上报平台,收集并分析2020—2022年期间四川省21个市州超声质量管理控制指标数据,采用方差分析或非参数检验比较结构、过程、结果质量分析指标的差异。结果2020—2022年四川省省域各市州三级专科医院医患比逐年下降[(1.75±0.93)人/万人次vs(1.59±0.55)人/万人次vs(1.49±0.56)人/万人次],超声医师月均工作量均逐年增加[(770.42±258.30)人/人次vs(965.73±323.52)人/人次vs(974.75±335.51)人/人次],超声诊断符合率逐年提高[(0.79±0.20)%vs(0.95±0.04)%vs(0.96±0.03)%],差异均具有统计学意义(F=4.11,P=0.020;F=3.74,P=0.040;F=7.39,P<0.001);三级综合、二级综合和二级专科医院间差异无统计学意义(P均>0.05)。各市州三级综合医院住院超声检查48 h内完成率逐年提高[1.00(0.98,1.00)%vs 1.00(0.99,1.00)%vs 1.00(0.97,1.00)%],差异具有统计学意义(H=6.73,P=0.035);三级专科、二级综合、二级专科医院差异无统计学意义(P均>0.05)。逐年比较,2020年四川省21个市州13个核心超声质控指标中医患比、医师月均工作量、门急诊超声报告阳性率、超声诊断符合率4个超声质控指比较,差异均具有统计学意义(P均<0.05);2021年医患比、门急诊超声报告阳性率、超声诊断符合率3个超声质控指标比较,差异仍具有统计学意义(P均<0.05);2022年仅超声诊断符合率1个超声质控指标差异具有统计学意义(P均<0.05),差异指标逐年减少。结论2020—2022年四川省不同市州超声医学质量控制指标不断趋同,关键指标持续提升改进。Objective To reveal the dynamic changing trends and characteristics of key ultrasound medical quality control indicators in Sichuan Province from 2020 to 2022.Methods Based on the Sichuan Provincial Medical Quality Control Data Reporting Platform,we collected and analyzed data on ultrasound quality management control indicators in 21 cities or prefectures in Sichuan Province from 2020 to 2022.The basic situation of ultrasonographers in Sichuan Province as well as the structure,process,and outcome quality analysis indicators was analysed using analysis of variance(ANOVA)or non-parametric tests.Results From 2020 to 2022,the average monthly workload of ultrasound physicians and the accuracy rate of ultrasound diagnosis in tertiary specialized hospitals in all cities and prefectures increased year by year,and the doctor-patient ratio in ultrasound departments decreased year by year,with the differences being statistically significant[1.75±0.93 vs 1.59±0.55 vs 1.49±0.56,F=4.11,P=0.020;770.42±258.30 vs 965.73±323.52 vs 974.75±335.51,F=3.74,P=0.040;(0.79±0.20)%vs(0.95±0.04)%vs(0.96±0.03)%,F=7.39,P<0.001];in contrast,there was no statistically significant difference in the above indicators in tertiary general hospitals,secondary general hospitals,and secondary specialized hospitals(P>0.05).The completion rate of ultrasound examinations within 48 hours of admission in tertiary general hospitals of all cities and prefectures increased significantly[1.00(0.98,1.00)%vs 1.00(0.99,1.00)%vs 1.00(0.97,1.00)%,H=6.73,P=0.035],but there was no statistically significant difference in tertiary specialized hospitals,secondary general hospitals,and secondary specialized hospitals(P>0.05).When comparing 13 ultrasound quality control indicators in hospitals from 21 cities and prefectures in Sichuan Province in 2020,there were statistically significant differences in four ultrasound quality control indicators:doctor-patient ratio,average monthly workload of ultrasound physicians,positive rate of outpatient and emergency ultrasoun

关 键 词：超声医学 质量控制 管理 

分 类 号：R445.1[医药卫生—影像医学与核医学]