CAJ | 학술논문

目的明确现行医疗质量评价指标体系的缺陷问题.方法　以现行医疗质量评价指标体系主要包括中国医院协会(CHA)<医院管理与质量评价标准>(2007年)和卫生部<医院管理评价指南>(2005年)为主要研究对象.以北京市卫生局<北京地区医院管理考核评价标准实施细则>(2007年)、JCI<国际医院评审标准>(第2版)(2003年)和<台湾地区新制医院评鉴标准>(2005年、2006年)作为对照.应用文献分析法研究分析.结果　主要缺陷包括指标可操作性不强,病人诊疗过程角度的评价指标不足.结论围绕病人就诊过程梳理指标,立足国情,增加病人诊疗过程指标比例,量化并突出指标的可操作性,及时总结逐步优化.
목적 명학현행의료질량평개지표체계적결함문제.방법　이현행의료질량평개지표체계주요포괄중국의원협회(CHA)<의원관리여질량평개표준>(2007년)화위생부<의원관리평개지남>(2005년)위주요연구대상.이북경시위생국<북경지구의원관리고핵평개표준실시세칙>(2007년)、JCI<국제의원평심표준>(제2판)(2003년)화<태만지구신제의원평감표준>(2005년、2006년)작위대조.응용문헌분석법연구분석.결과　주요결함포괄지표가조작성불강,병인진료과정각도적평개지표불족.결론 위요병인취진과정소리지표,립족국정,증가병인진료과정지표비례,양화병돌출지표적가조작성,급시총결축보우화.
Objective To identify shortcomings in the current evaluation index system of medical quality. Methods The documentary analysis focused on the existing index system comprises the Hospital Management and Quality Evaluation Standards (2007) by China Hospital Association, Hospital Management Evaluation Guidelines (2005) by the Ministry of Health, and Implementation Rules of Hospital Management Evaluation Standards for Beijing (2007). JCI Accreditation Standards for Hospitals (edition 2) (2003), and New Hospital Accreditation Standards for Taiwan (2005, 2006) were referred to in the study. Results The shortcomings found include the weak operability of indexes, and the deficiency of evaluation indexes from the point of hospital visiting process by patients. Conclusion In view of the hospital visiting process of patients, add more indexes for patients' hospital visiting process,and quantize and highlight the operability of indexes, with summary and optimization of experiences in time by steps.