CAJ | 학술논문

目的：为了了解揭阳市二级综合医院的医疗质量状况,对9所医院综合水平进行排序,为医院管理者找出薄弱环节,提高综合管理水平提供依据。方法选取具有代表性的指标共15项,组成医疗质量综合评价指标体系,将原始数据进行标准化处理,用Excel和SPSS 17.0软件进行主成分分析,计算出9所医院的医疗质量综合评价值并进行排序。结果从15项指标中可以提取3个公因子,3个公因子的累计方差贡献率为86.943%。按主成分分析的综合评价值对揭阳市9所二级综合医院进行排序,I医院为最佳,H医院次之,B医院最差。综合排序与原始数据变化方向基本一致。结论主成分分析法能够客观、全面地反映医院各项医疗指标的变化,该评价方法能够准确反映医院医疗工作质量的变化趋势,在综合评价中具有较强的应用价值。
목적：위료료해게양시이급종합의원적의료질량상황,대9소의원종합수평진행배서,위의원관리자조출박약배절,제고종합관리수평제공의거。방법선취구유대표성적지표공15항,조성의료질량종합평개지표체계,장원시수거진행표준화처리,용Excel화SPSS 17.0연건진행주성분분석,계산출9소의원적의료질량종합평개치병진행배서。결과종15항지표중가이제취3개공인자,3개공인자적루계방차공헌솔위86.943%。안주성분분석적종합평개치대게양시9소이급종합의원진행배서,I의원위최가,H의원차지,B의원최차。종합배서여원시수거변화방향기본일치。결론주성분분석법능구객관、전면지반영의원각항의료지표적변화,해평개방법능구준학반영의원의료공작질량적변화추세,재종합평개중구유교강적응용개치。
Objective In order to understand the medical quality of Jieyang secondary comperhensive hospitals, to sort nine hospitals based on comprehensive levels for hospital managers to identify weak links, and to to provide basis for raising the level of integrated management. Methods We selected representative 15 indexes to build the comprehensive evaluation index system of medical treatment quality, processed the original data with standards, using excel and spss 17. 0 software principal component analysis, and calculated the medical quality comprehensive evaluation value of 9 hospitals and sorted them. Results From 15 indicators, three common factors were extracted and their cumulative variance contribution rate was 86. 943%. Accord-ing to the comprehensive evaluation value of principal component analysis, we ranked in general the hospitals, with I hospital the best, H hospital the second, and B hospital the worst. The ranking was consistent with the change direction of the original data. Conclusion Principal component analysis can objectivelyand comprehensively reflect changes of the medical indexes. The eval-uation method can accurately reflect the change trend of hospital medical work quality, and has great application value in the comprehensive evaluation.