论文部分内容阅读
目的探讨利用单病种医疗质量加强医院质量管理,为医院制定合理的综合目标管理考评方案提供依据。方法收集某院2005年～2007年度所有住院病人病案信息,采用综合指数法对20种常见病、多发病从治愈好转率、平均住院天数、人均医疗费用进行分析,并对超标病例进行原因分析。结果2007年较前两年诊疗质量提高,平均住院日相对缩短,部分病种住院费用有所控制。结论利用综合指数法对医院单病种医疗质量进行评价可全面的监管医院质量管理,医院要在继续提高诊疗效果,降低平均住院日的基础上,加大力度控制住院病人医疗费用。
Objective To explore the use of medical quality of single disease to strengthen the hospital quality management and to provide the basis for the hospital to formulate a reasonable comprehensive management evaluation plan. Methods The medical record information of all inpatients in a hospital from 2005 to 2007 was collected. The comprehensive index method was used to analyze 20 common diseases and frequently occurring diseases, and the average hospitalization days and per capita medical expenses were analyzed, and the causes of excessive cases were analyzed. Results The quality of diagnosis and treatment was improved in 2007 compared with the previous two years, the average length of stay was relatively shortened, and the hospitalization costs of some diseases were controlled. Conclusion The comprehensive index method can be used to evaluate the medical quality of single-disease hospital, which can comprehensively supervise the quality management of the hospital. On the basis of continuing to improve the diagnosis and treatment effect and reducing the average length of stay, the hospital should intensify efforts to control in-patient medical expenses.