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目的对2014年成都市不同级别医院不同病种的费用、治疗效果等方面进行综合评价,为分级诊疗下各级别医院的病种难易程度定位及病人就医流向提供数据支持。方法利用因子分析法构建不同级别医院不同病种的指标评价体系,得到相应得分及排序。结果在保证医疗质量与安全的前提下,各级别医院的优势病种显示出显著不同。结论不同级别医院应探索质效评价排名靠前的病种,明确医院定位,医保政策制定者应以病种分级管理为基础,制定差别化支付政策,从而引导病人理性就医。
Objective To comprehensively evaluate the costs and treatment effects of different diseases in different levels of hospitals in Chengdu in 2014 and provide data support for the ease of positioning and the flow of patients for medical treatment at all levels of hospitals in different levels. Methods The method of factor analysis was used to construct the evaluation system of indicators of different diseases in different levels of hospitals, and the corresponding scores and rankings were obtained. Results In the premise of ensuring the quality and safety of medical care, the predominant diseases at all levels of hospitals showed significant differences. Conclusion Different levels of hospitals should explore the top quality of disease evaluation of disease types, a clear positioning of the hospital, health insurance policy makers should be based on the classification of disease management based on the development of differentiated payment policies to guide patients to rational medical treatment.