CAJ | 학술논문

目的：旨在利用广义线性混合模型对医院疾病的服务质量进行评估，探索一种高效优质的诊疗模式，为医院管理者提供决策支持。方法：对区域医疗卫生大数据平台的健康档案数据进行整理分析，制定评价指标体系，构建分析模型，然后利用R语言对数据进行统计分析。结果：疾病的治愈情况与医院的综合情况、病人的性别和年龄、保险的种类及DRGs的种类之间有统计学意义（p<0.01），通过对疾病治愈情况的动态监测，可以分析出以下几点：不同疾病在各医院的诊疗情况；同种疾病在不同医院的诊疗情况；同一医院不同疾病的诊疗情况。结论：广义线性混合模型能够准确高效的评价医院疾病诊疗状况，从而提高医院综合竞争，实现可持续、健康发展。
목적：지재이용엄의선성혼합모형대의원질병적복무질량진행평고，탐색일충고효우질적진료모식，위의원관리자제공결책지지。방법：대구역의료위생대수거평태적건강당안수거진행정리분석，제정평개지표체계，구건분석모형，연후이용R어언대수거진행통계분석。결과：질병적치유정황여의원적종합정황、병인적성별화년령、보험적충류급DRGs적충류지간유통계학의의（p<0.01），통과대질병치유정황적동태감측，가이분석출이하궤점：불동질병재각의원적진료정황；동충질병재불동의원적진료정황；동일의원불동질병적진료정황。결론：엄의선성혼합모형능구준학고효적평개의원질병진료상황，종이제고의원종합경쟁，실현가지속、건강발전。
Objective: In order to provide decision support to hospital managers, the services quality of disease in hospital were evaluated based on generalized linear mixed models (GLMMs) to explore an efficient and high-quality treatment model. Method:Health records data were collected from regional health information platform, then we reorganized and cleaned them; construction of GLMMs was on the basis of the evaluation index system. The R language was used for statistical data analysis. Results: For the cure of the disease, there were statistically significances between the overall situation in hospitals, the patient's gender and age, the type of insurance and the type of DRGs(p<0.01). Through dynamic monitoring of the cure of the disease, there are diagnosis and treatment of 1) the different disease in different hospital;2) the same disease in different hospital;3) the different diseases in the same hospital. Conclusion:GLMMs can accurately and efficiently evaluate the diagnosis and treatment of diseases in hospitals, improve the comprehensive competitiveness of the hospital, thus achieving a sustainable and healthy development of the hospital.