中国医院统计
中國醫院統計
중국의원통계
CHINESE JOURNAL OF HOSPITAL STATISTICS
2014年
2期
103-106,109
,共5页
变异系数%功效系数%医疗质量%综合评价
變異繫數%功效繫數%醫療質量%綜閤評價
변이계수%공효계수%의료질량%종합평개
The coefficient of variation%The efficacy coefficient%Medical quality%Comprehensive evaluation
目的：客观、科学地评价某医院各临床科室的医疗质量。方法选取14个有代表性的指标组成医疗质量综合评价指标体系，运用变异系数赋权与功效系数法，对各指标进行综合评价。首先运用Excel求出各个指标的标准差及变异系数，根据指标包含的信息确定其权重，计算各科功效系数，然后采用加权几何平均法计算出总功效系数，得出各临床科室的医疗质量综合排序结果。结果评价指标中病死率的权重最大，满意度的最小。各科室总功效系数分别为：内一科79．65、内二科83．56、内三科77．57、儿科95．39、外一科87．57、外二科82．51、外三科74．27、五官科83．6、妇产科91．48、老年科66．28。从总功效系数排序表可看出，各科医疗质量排序从高到低为儿科、妇产科、外一科、内二科、内一科、外二科、五官科、内三科、外三科、老年科。结论依据样本数据变异程度来确定权重的变异系数法，能有效消除主观因素的干扰。功效系数法用加权几何平均法对指标值进行综合，原理简单，灵敏度高，指标处理保持方向一致。应用变异系数赋权与功效系数法相结合对临床科室进行综合评价，提高了评价的准确性、科学性，客观、合理地反映了医院实际的医疗质量。
目的：客觀、科學地評價某醫院各臨床科室的醫療質量。方法選取14箇有代錶性的指標組成醫療質量綜閤評價指標體繫，運用變異繫數賦權與功效繫數法，對各指標進行綜閤評價。首先運用Excel求齣各箇指標的標準差及變異繫數，根據指標包含的信息確定其權重，計算各科功效繫數，然後採用加權幾何平均法計算齣總功效繫數，得齣各臨床科室的醫療質量綜閤排序結果。結果評價指標中病死率的權重最大，滿意度的最小。各科室總功效繫數分彆為：內一科79．65、內二科83．56、內三科77．57、兒科95．39、外一科87．57、外二科82．51、外三科74．27、五官科83．6、婦產科91．48、老年科66．28。從總功效繫數排序錶可看齣，各科醫療質量排序從高到低為兒科、婦產科、外一科、內二科、內一科、外二科、五官科、內三科、外三科、老年科。結論依據樣本數據變異程度來確定權重的變異繫數法，能有效消除主觀因素的榦擾。功效繫數法用加權幾何平均法對指標值進行綜閤，原理簡單，靈敏度高，指標處理保持方嚮一緻。應用變異繫數賦權與功效繫數法相結閤對臨床科室進行綜閤評價，提高瞭評價的準確性、科學性，客觀、閤理地反映瞭醫院實際的醫療質量。
목적：객관、과학지평개모의원각림상과실적의료질량。방법선취14개유대표성적지표조성의료질량종합평개지표체계，운용변이계수부권여공효계수법，대각지표진행종합평개。수선운용Excel구출각개지표적표준차급변이계수，근거지표포함적신식학정기권중，계산각과공효계수，연후채용가권궤하평균법계산출총공효계수，득출각림상과실적의료질량종합배서결과。결과평개지표중병사솔적권중최대，만의도적최소。각과실총공효계수분별위：내일과79．65、내이과83．56、내삼과77．57、인과95．39、외일과87．57、외이과82．51、외삼과74．27、오관과83．6、부산과91．48、노년과66．28。종총공효계수배서표가간출，각과의료질량배서종고도저위인과、부산과、외일과、내이과、내일과、외이과、오관과、내삼과、외삼과、노년과。결론의거양본수거변이정도래학정권중적변이계수법，능유효소제주관인소적간우。공효계수법용가권궤하평균법대지표치진행종합，원리간단，령민도고，지표처리보지방향일치。응용변이계수부권여공효계수법상결합대림상과실진행종합평개，제고료평개적준학성、과학성，객관、합리지반영료의원실제적의료질량。
Objective To evaluate the medical quality of clinical departments of a hospital objectively and scientifically. Methods Fourteen representative indexes were selected to form the index system for medical quality evaluation , and with the ef-ficacy coefficient method of coefficient of variation empowerment , the indexes were evaluated comprehensively .First, Excel was used to calculate the standard deviation and coefficient of variation of each index, and according to the information each index contained, the weight was determined and each efficacy coefficient was computed.Then with the weighted geometric mean meth-od, the total efficacy coefficient was calculated to get the comprehensive ranking results of medical quality of each clinical depart-ment.Results The mortality rate in the evaluation indexes had the maximum weight, and the index of satisfaction had the mini-mum weight.The general efficacy coefficient was 79.65 for internal medicine I, 83.56 for internal medicine II , 77.57 for inter-nal medicine III, 95.39 for pediatric Dept., 87.57surgery Dept.I, 82.51 for surgery Dept.II, 74.27 for surgery Dept.III, 83.6 for ophthalmology and otorhinolaryngology Dept., 91.48 for obstetrics and gynecology Dept., 66.28 for geriatrics dept. From the table of total efficiency coefficient it could be seen that the medical quality of the departments was sorted from high to low as pediatric dept, obstetrics and gynecology Dept., surgery Dept.I, internal medicine II, internal medicine I, surgery Dept. II, Ophthalmology and Otorhinolaryngology Dept., internal medicine III, surgery Dept.III, geriatrics Dept.Conclusion Coef-ficient of variation method, in which the variation coefficient weight is determined based on the degree of variation of sample data, can effectively eliminate the interference of subjective factors.For the efficacy coefficient method, the index value is integrated with the use of weighted geometric mean method, the principle is simple, the sensitivity is high, and index processing can remain in the same direction.Weighted coefficient of variation and the efficacy coefficient method are used to evaluate clinical depart-ments comprehensively , improve the accuracy and scientificity of the evaluation, and objectively and reasonably reflect the real situation.
