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目的:分析医院托管后住院医疗服务质量的变化,发现托管对住院服务质量的影响。方法:采用密切值法对住院医疗服务质量进行综合评价,在密切值法结果基础上利用秩和比法对医疗质量密切值进行分档排序。结果:托管后医疗服务质量密切值法排序位于第1位和第2位,密切值进行秩和比法分类的结果中托管后医疗质量均处于质量高档次。结论:公立医院托管改革后通过人才交流将大型综合医院的经验带到被托管医院,被托管医院医疗质量较托管前有加大提高。
OBJECTIVE: To analyze the changes of the quality of hospitalized medical services after the hospital is administered, and to find out the impact of the custody on the quality of hospital services. Methods: The close value method was used to evaluate the quality of service in hospital. Based on the result of close value method, rank-to-order ratio method was used to sort the medical quality close value. Results: The quality of medical service after custody ranked first and second, and the results of the rank sum ratio method of the close value showed that the quality of medical care was in high quality. Conclusion: After the reform of public hospital trusteeship, the experience of large general hospitals was brought to the managed hospitals through exchange of talents. The quality of medical care in the managed hospitals increased greatly compared with that before the trusteeship.