摘要
目的:对2014-2016年广西贫困县县级公立综合医院医疗质量进行评价,为相关部门医疗质量管理改善工作提供参考。方法:通过查阅文献选取综合改革监测的广西36个贫困县的公立综合医院相关医疗服务数据为评价指标,采用TOPSIS及秩和比RSR法分别对县级公立综合医院医疗质量进行综合评价。结果:研究发现,两种评价方法均一致认为2014-2016年间2016年医疗质量最优,隆林县人民医院医疗质量效果最优,对于2015年(综合改革节点)医疗质量的评价,二者略不一致。RSR分档结果显示6家医院医疗质量处于优等层次,5家处于差等层次。结论:两种评价方法组合运用虽有一定局限,但评价科学、实用,反映出广西贫困县样本医院医疗质量可能与当地人口数量有关,且医疗质量管理(如无菌技术规范等)亟待进一步完善。
Objective: To evaluate the medical quality of county-level public general hospitals in poor counties in Guangxi from 2014 to 2016, and provide reference for related departments to improve medical quality management. Methods: Medical service data related to public general hospitals in 36 poverty-stricken counties in guangxi province monitored by comprehensive reform were selected as the evaluation Index through literature review, and the topsis and Rank-sum ratio (RSR) methods were used to evaluate the health care quality of county-level public general hospitals. Results: The study found that both evaluation methods agreed that the medical quality in 2016 is the best from 2014 to 2016, and unanimously found that the quality of medical care in Longlin County People's Hospital was optimal, and the evaluation of medical quality in 2015 (comprehensive reform node) was slightly inconsistent. The results of RSR showed that the quality of medical care in 6 hospitals was at the excellent level, and 5 were at the level of difference. Conclusion: Although the combination and application of the two evaluation methods are limited, the evaluation is scientific and practical, which reflects that the medical quality of the sample hospital in poor counties of Guangxi may be related to the local population, and medical quality management, such as aseptic technical specifications, need to be further improved .
出处
《医学与社会》
北大核心
2019年第8期49-53,共5页
Medicine and Society
关键词
医疗质量
县级公立综合医院
广西
Medical Quality
County-Level Public General Hospital
Guangxi
