CAJ | 학술논문

目的利用ST段抬高型心肌梗死(ST EMI)质量评价模型对北京市15家三级医院进行诊疗质量的评价比较.方法应用文献分析法和专家咨询法构建STEMI质量评价指标体系,运用层次分析法确定各指标的权重系数,在15家医院(H1～H15)进行数据采集,对其指标值进行评价,最终用加权秩和比法对医院的STEMI病例诊疗质量进行综合评价.结果 H1～H15家医院在STEMI病例的诊疗中,其检查检验、患者评估、再灌注治疗、药物治疗水平和临床指南的要求尚有一定差距,甚至某些指标的达标率低于22％;医院间诊疗水平差异度较大;各医院在检查检验、患者评估、再灌注治疗、药物治疗和预后这5个维度上水平较为一致.结论 STEMI质量评价模型能客观全面反映心血管内科的诊疗质量水平,并部分反映医院的整体管理水平,可为医院改进医疗质量提供控制模型的操作方法.
목적 이용ST단태고형심기경사(ST EMI)질량평개모형대북경시15가삼급의원진행진료질량적평개비교.방법 응용문헌분석법화전가자순법구건STEMI질량평개지표체계,운용층차분석법학정각지표적권중계수,재15가의원(H1～H15)진행수거채집,대기지표치진행평개,최종용가권질화비법대의원적STEMI병례진료질량진행종합평개.결과 H1～H15가의원재STEMI병례적진료중,기검사검험、환자평고、재관주치료、약물치료수평화림상지남적요구상유일정차거,심지모사지표적체표솔저우22％;의원간진료수평차이도교대;각의원재검사검험、환자평고、재관주치료、약물치료화예후저5개유도상수평교위일치.결론 STEMI질량평개모형능객관전면반영심혈관내과적진료질량수평,병부분반영의원적정체관리수평,가위의원개진의료질량제공공제모형적조작방법.
Objective To evaluate and compare the diagnosis and treatment quality of 15 tertiary hospitals in Beijing with the quality-evaluation model of STEMI.Methods The quality-evaluation model has been formatted with the document analysis method and expert consultation method,with the indicators weighted by analytic hierarchy process.By collecting the data of 15 hospitals,we can get the values of indicators,then synthetically evaluate and compare the diagnosis and treatment quality at these 15 hospitals with the method of WRSR.Results In the diagnosing and treating the cases of STEMI at the hospitals,gaps are found between the clinical guidelines and the tests,patient evaluation,reperfusion treatment and drug therapy,with some indicators falling even below 22％.Also,there are significant differences in the diagnosis and treatment quality among hospitals.All hospitals are consistent on the five dimensions-tests,patient evaluation,reperfusion treatment,drug therapy and prognosis.Conclusion The quality-evaluation model of STEMI can comprehensively reflect the diagnosis and treatment quality of cardiovascular medicine,and partly reflect hospital's overall management level,so as to provide operating methods in improving hospital diagnosis and treatment quality.