CAJ | 학술논문

目的：通过分析某三甲中医院住院患者的治疗效果，探讨不同属性特征的患者住院期间的治疗转归情况，为医院医疗质量管理提供数据支持。方法：通过对2007—2010年4年间住院患者住院病历进行回顾性研究，分类统计医疗费用、是否手术、治疗方式对疗效的影响。结果：手术组的治愈率高于非手术组，但好转率低于非手术组。中医和中西医结合治疗的有效率高于西医治疗的有效率。医疗花费超过1万的患者治愈率最高；医疗花费介于5千到1万的患者好转率最高。结论：应不断完善医院管理制度，努力提升医院服务质量，提高住院患者的治愈率和好转率，降低未愈率和病死率。
목적：통과분석모삼갑중의원주원환자적치료효과，탐토불동속성특정적환자주원기간적치료전귀정황，위의원의료질량관리제공수거지지。방법：통과대2007—2010년4년간주원환자주원병력진행회고성연구，분류통계의료비용、시부수술、치료방식대료효적영향。결과：수술조적치유솔고우비수술조，단호전솔저우비수술조。중의화중서의결합치료적유효솔고우서의치료적유효솔。의료화비초과1만적환자치유솔최고；의료화비개우5천도1만적환자호전솔최고。결론：응불단완선의원관리제도，노력제승의원복무질량，제고주원환자적치유솔화호전솔，강저미유솔화병사솔。
Objective:To provide data support for the management of hospital medical quality by analyzing curative effects of inpatients in a 3A hospital and exploring treatment outcome of the patients with different features during hospitalization period. Methods:Medical records of inpatients from 2007 to 2010 were retrospectively ana-lyzed, medical expenses were counted, whether the operation should be performed and the influence of different therapeutic ways on curative effects of the treatment. Results:Cure rate of the operation group was higher than that of non-operation group, but improvement rate was lower than that of non-operation group. Effective rates of TCM therapy and integrative medicine were higher than that of western medicine. The patients with medical expenses over 10, 000 RMB showed the highest cure rate;the patients with medical expenses from 5, 000 to 10,000 RMB demon-strated the highest improvement rate. Conclusion:We should continue to improve hospital management system, en-deavor to lift hospital service quality, raise cure rate and improvement rate, decrease unhealed rate and mortality rate of the inpatients.