用秩和比法对我院的1O个公示病种医疗质量进行综合评价.pdfVIP

中国医院统计 2007年l2月第 l4卷第4期 用秩和比法对我院的1 O个公示病种医疗质量 进行综合评价 宁 葵 【摘要】 目的 对我院2005年度公示的lO个病种进行医疗质量综合评价。方法 采用秩和比法(RSR)进行统计 分析。结果 我院的lO个公示病种被划分成4个医疗质量等级：老年性白内障、小儿支气管肺炎2个病种质量为优，急 性阑尾炎、腹股沟疝(单侧)、子宫平滑肌瘤、剖宫产4个病种质量为良，胃大切、脑梗塞、急性心肌梗塞3个病种质量为 中，脑出血1个病种质量为差。结论 通过对综合指数秩和比(RSR)的计算并根据其值分级归档，反映出所研究病种之 间存在着医疗质量高低的差异。控制和降低本院临床常见病种的医药费用，进行医疗全程连续性控制，为患者提供经济 有效的医疗服务。 【关键词】 秩和比法 公示病种医疗质量 综合评价 中图分类号：R195．1 文献标识码：A 文章编号：1006．5253(2007)04-0315-03 Comprehensive medical quality evaluation often cases shown by our hospital witlI RSR NING Kui．The People s Hospital ofLaibin，Guangxi 546100，China 【Abstract】 Objective To make the comprehensive medical quality evaluation of ten cases shown by our hospital in 2005．Methods Rank·sum ratio Was adoptedo Results Ten cases shown by our hospital were classified into four medic：al ades：The quality of senile and bronchopneumonia was excellent．The medical quality of acute appendicitis，one of inguinal her- nia，leiomyoma of uterus and cesarean section Was good．The quality of partial gastrectomy and，cerebral and acute myocardial infarction was medium．And the quality of intracerebral haemorrhage Was bad．Conclusion By calculating the composite index and placing the result five by grades，it could reflect the differences of medical quality among the researched cases．Some meas— Hies should be taken to control and decrease the medical expenses of the common clinical diseases in our hospital，control the ， whole medical treatment continuously and offer patients medical service effectively and economically． 【Key words】 Rank—sum ratio Medical quality of shown cases Comprehensive evaluation 区卫生厅为加强以病例为单元的医疗质量管理， 析。 提高医疗质量及卫生资源的利用效率，制定了单病种 2 方法与步骤 质量控制暂行规定，并规定了单病种质量考核与督查