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目的利用3种综合评价方法客观评价某院的住院医疗质量,比较这3种评价方法的优势和劣势,为医院科学决策提供依据。方法筛选某院2010年-2015年5个住院医疗指标,包括出院人次、病床使用率、出院者平均住院天数、病死率和次均费用。利用TOPSIS法、综合指数法和秩和比法这3种评价方法分别评价住院医疗质量,并进行比较分析。结果 TOPSIS法和综合指数法综合评价结果是住院医疗质量逐年提高,秩和比法评价结果是将住院医疗质量分为3个级别,2015年是上级,2012年-2014年为中级,2010年-2011年为下级。结论 TOPSIS法和综合指数法评价结果一致,秩和比法适用于将评价结果分类排序。
OBJECTIVE To evaluate the hospitalization quality of a hospital objectively by three comprehensive evaluation methods and to compare the advantages and disadvantages of these three evaluation methods so as to provide the basis for the hospital’s scientific decision-making. Methods A total of 5 in-hospital medical indicators, including hospital discharge, hospital bed occupancy rate, hospital discharge average hospitalization days, fatality rate and average cost, were screened from 2010 to 2015 in a hospital. TOPSIS method, composite index method and rank sum ratio method were used to evaluate the quality of inpatient medical care and to conduct comparative analysis. Results The results of TOPSIS and comprehensive index method showed that the quality of inpatient medical care increased year by year. The result of rank sum ratio method was divided into three levels: the quality of hospitalization in 2015, the superior in 2015, the intermediate in 2012-2014, 2011 for the next level. Conclusion The TOPSIS method is consistent with the comprehensive index method, and the rank sum method is suitable for sorting the evaluation results.