摘要
目的对我院2005年度公示的10个病种进行医疗质量综合评价。方法采用秩和比法(RSR)进行统计分析。结果我院的10个公示病种被划分成4个医疗质量等级:老年性白内障、小儿支气管肺炎2个病种质量为优,急性阑尾炎、腹股沟疝(单侧)、子宫平滑肌瘤、剖宫产4个病种质量为良,胃大切、脑梗塞、急性心肌梗塞3个病种质量为中,脑出血1个病种质量为差。结论通过对综合指数秩和比(RSR)的计算并根据其值分级归档,反映出所研究病种之间存在着医疗质量高低的差异。控制和降低本院临床常见病种的医药费用,进行医疗全程连续性控制,为患者提供经济有效的医疗服务。
Objective To make the comprehensive medical quality evaluation of ten cases shown by our hospital in 2005. Methods Rank-sum ratio was adopted. Results Ten cases shown by our hospital were classified into four medical grades ：The quality of senile and bronchopneumonia was excellent. The medical quality of acute appendicitis, one of inguinal hernia, leiomyoma of uterus and cesarean section was good. The quality of partial gastrectomy and, cerebral and acute myocardial infarction was medium. And the quality of intracerehral haemorrhage was had. Conclusion By calculating the composite index and placing the result five by grades, it could reflect the differences of medical quality among the researched cases. Some measures should be taken to control and decrease the medical expenses of the common clinical diseases in our hospital, control the whole medical treatment continuously and offer patients medical service effectively and economically.
出处
《中国医院统计》
2007年第4期315-317,共3页
Chinese Journal of Hospital Statistics
关键词
秩和比法
公示病种医疗质量
综合评价
Rank-sum ratio Medical quality of shown cases Comprehensive evaluation
