中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2011年
10期
731-733
,共3页
辛有清%张桂林%潘习龙%聂广孟%王乔
辛有清%張桂林%潘習龍%聶廣孟%王喬
신유청%장계림%반습룡%섭엄맹%왕교
医疗质量评价%关键指标%系统分析
醫療質量評價%關鍵指標%繫統分析
의료질량평개%관건지표%계통분석
Medical quality evaluation%KPI%Systematic analysis
目的 了解我国综合医院医疗质量关键评价指标的研究现状、选择原则和体系建立原则,分析指标体系建立中存在的一些问题,为我国综合医院医疗质量关键评价指标的科学选择及建立统一、规范、实用的医疗质量评价指标体系提供依据.方法 按照系统评价的要求,在中国期刊全文数据库(CNKI)中检索近10年的文献,对符合纳入标准的文献进行分析.结果 确定了病床使用率、出院者平均住院日、平均每医生年门诊人次数、病床周转次数、危重病人抢救成功率、院内感染发生率、治愈好转率、出入院诊断符合率、基础护理合格率、患者满意度、人均业务收入、药品收入占业务收入比率、人均住院费用等13项医疗质量关键评价指标.结论 我国综合医院医疗质量评价指标的选择原则及指标体系的建立原则已经形成,且意见较为统一.筛选医疗质量评价指标的方法学已经成熟,并且本研究经分析确定了13项医疗质量关键评价指标.然而,国内医疗质量评价指标的构建依然存在一些问题,尚待解决.
目的 瞭解我國綜閤醫院醫療質量關鍵評價指標的研究現狀、選擇原則和體繫建立原則,分析指標體繫建立中存在的一些問題,為我國綜閤醫院醫療質量關鍵評價指標的科學選擇及建立統一、規範、實用的醫療質量評價指標體繫提供依據.方法 按照繫統評價的要求,在中國期刊全文數據庫(CNKI)中檢索近10年的文獻,對符閤納入標準的文獻進行分析.結果 確定瞭病床使用率、齣院者平均住院日、平均每醫生年門診人次數、病床週轉次數、危重病人搶救成功率、院內感染髮生率、治愈好轉率、齣入院診斷符閤率、基礎護理閤格率、患者滿意度、人均業務收入、藥品收入佔業務收入比率、人均住院費用等13項醫療質量關鍵評價指標.結論 我國綜閤醫院醫療質量評價指標的選擇原則及指標體繫的建立原則已經形成,且意見較為統一.篩選醫療質量評價指標的方法學已經成熟,併且本研究經分析確定瞭13項醫療質量關鍵評價指標.然而,國內醫療質量評價指標的構建依然存在一些問題,尚待解決.
목적 료해아국종합의원의료질량관건평개지표적연구현상、선택원칙화체계건립원칙,분석지표체계건립중존재적일사문제,위아국종합의원의료질량관건평개지표적과학선택급건립통일、규범、실용적의료질량평개지표체계제공의거.방법 안조계통평개적요구,재중국기간전문수거고(CNKI)중검색근10년적문헌,대부합납입표준적문헌진행분석.결과 학정료병상사용솔、출원자평균주원일、평균매의생년문진인차수、병상주전차수、위중병인창구성공솔、원내감염발생솔、치유호전솔、출입원진단부합솔、기출호리합격솔、환자만의도、인균업무수입、약품수입점업무수입비솔、인균주원비용등13항의료질량관건평개지표.결론 아국종합의원의료질량평개지표적선택원칙급지표체계적건립원칙이경형성,차의견교위통일.사선의료질량평개지표적방법학이경성숙,병차본연구경분석학정료13항의료질량관건평개지표.연이,국내의료질량평개지표적구건의연존재일사문제,상대해결.
Objective By systematically analyzing the past literature on medical quality evaluation and the principles of selecting indicators and establishing the evaluate system in comprehensive hospitals in China,we offered valuable references for the establishment of the indicator system for evaluating medical quality.Methods According to the requirements of systematic analysis,we searched all the literatures published in the past decades within CNKI and analyzed them in accord with the inclusive criteria.Results It established 13 items medical quality key evaluation indications including the bed utilization ratio,the average hospitalization days of patients,the yearly average rate of in-patient cares per doctor,the turnover of beds,the degree of nursing effect,the success rate in rescuing critically ill patients,the incidence of nosocomial infections,the curing and improvement rate,the accordant diagnostic rate,the eligibility of basic nursing,the satisfactory ratio of patients,the income per capita,the ratio of drug income in the total revenues,the average medical expense per inpatient.Conclusion China's general hospitals already have in place their principles of KPI selection and their indicator systerm.The methodology to screen quality indicators has also taken shape.This study earmarked 13 key performance indicators for quality of care in its analysis,yet roadblocks still remain in building China' s KPIs for quality of care.
