摘要
目的:构建基于扎根理论的医疗设备服务供给质量影响因素模型,实现老年科医疗设备科学化、精细化和规范化管理。方法:基于扎根理论的开放式编码、主轴式编码和选择式编码,以北京友谊医院老年科医疗设备具体应用为核心范畴,构建服务供给质量影响因素模型对设备进行全面质量管理。选取2021年至2022年北京友谊医院老年科临床在用的100台医疗设备,将2021年1月至12月的设备采用常规管理模式进行管理(常规模式),2022年1月至12月的设备采用基于扎根理论的老年科医疗设备服务供给质量影响因素模型(扎根理论模式)进行管理。自制认可度调查问卷调研医学工程部4名工程师,老年科6名医生、10名护理人员和40例患者对设备使用管理认可度评分,对比两种管理模式的设备管理缺陷率、使用效率、管理指标及设备多维效能评分。结果:参与设备使用管理的工程师、护理人员、医生和患者对采用扎根理论模式管理的设备管理认可度平均评分分别为(92.25±2.14)、(93.14±3.69)、(92.56±3.14)和(93.58±4.36)分,均高于常规管理模式,差异有统计学意义(t=18.897、13.729、12.843、9.826,P<0.05);采用扎根理论模式管理后,100台设备管理过程中出现分装错误、设备缺失、设备损坏和供应不足分别为5、6、4和5台,缺陷率分别为5%、6%、4%和5%,均低于常规管理模式,差异有统计学意义(χ^(2)=6.438、12.706、11.054、10.286,P<0.05);采用扎根理论模式管理的设备使用效率、资源配置、信息基础、技术支撑和管理绩效指标评分分别为(92.68±5.36)、(93.65±3.65)、(94.26±4.01)、(93.65±3.69)和(92.54±4.39)分,均高于常规管理模式,差异有统计学意义(t=8.729,16.856、12.113、15.593、10.358,P<0.05);采用扎根理论模式管理的设备使用效能、维护效能和维修效能平均评分分别为(93.65±3.26)、(95.32±4.65)和(94.68±3.54)分,均高于常规管理模�
Objective:To construct influencing factors model of supply quality of medical equipment service based on grounded theory,so as to realize scientific,refined and standardized management of geriatric medical equipment.Methods:Based on the grounded theory of open coding,axial coding and selective coding,and taking the specific application of geriatric medical equipment as the core category,the influencing factor model of service supply quality was constructed to carry out total quality management of equipment.A total of 100 geriatric medical equipment in clinical use in Beijing Friendship Hospital were selected,and the equipment were managed from January to December 2021 by using conventional management methods,and the equipment were managed from January to December 2022 by using the grounded theoretical model.The self-designed recognition questionnaire was used to investigate the recognition scores of 4 engineers,6 doctors,10 nursing staff members,and 40 patients who used equipment for management.The defect rate of equipment management,use efficiency,management indicators,and multi-dimensional efficiency scores of the equipment were compared between the two management models.Results:The average scores of engineers,nurses,doctors,and patients who participated in the use management of grounded theoretical model were(92.25±2.14),(93.14±3.69),(92.56±3.14),and(93.58±4.36),respectively,which were higher than those of the conventional management model and the differences were statistically significant(t=18.897,13.729,12.843,9.826,P<0.05).After using the grounded theory model for management,there were 5,6,4,and 5 sets of equipment occurred packaging errors,missing equipment,damaged equipment,and insufficient supply,respectively.The defect rates of grounded theoretical model were 5%,6%,4%,and 5%,respectively,which were lower than those of the conventional management model.The differences were statistically significant(χ^(2)=6.438,12.706,11.054,10.286,P<0.05).The scores of equipment use efficiency,resource allocation,in
作者
陈佳
胡洁琼
王璄
张炜
Chen Jia;Hu Jieqiong;Wang Jing;Zhang Wei(Department of Geriatrics,Beijing Friendship Hospital of Capital Medical University,Beijing 100050,China)
出处
《中国医学装备》
2024年第12期131-136,共6页
China Medical Equipment
关键词
扎根理论
老年科设备
供给质量
影响因素
模型构建
Grounded theory
Geriatric equipment
Supply quality
Influencing factors
Model construction
