对医疗质量评价指标体系的评析

Assessment of the medical quality evaluation index system

从用途、来源和性质三方面对医疗质量评价指标做出了详细的界定和分类 ,并从指标体系的涵盖广度、特异度、灵敏度、可靠性、科学性以及指标的收集利用方面分析了现有医疗质量评价指标体系存在的问题和缺陷。在此基础上 ,阐述了指标体系今后的发展趋势以及指标确定的原则和方法 ,指出 :①要进一步强化医疗质量评价指标与评价单元的结合 ;②增强环节质量评价 ;③从不同角度对医疗质量进行综合评价 ;④进一步开发与统计指标相关的数学评价模型 ;⑤增强质量评价指标体系对不同级别、不同规模机构的适用性。

The paper explicitly defines and classifies the medical quality evaluation indexes from the aspects of uses, sources and nature and analyzes problems and shortcomings in the current medical quality evaluation index system from such perspectives as the coverage, specificity, sensitivity, reliability, and scientificalness of the index system and the collection and application of the indexes. On the basis of this, the paper expounds the future development trends of the index system and the principles and methods employed in determining the indexes. It points out that it is necessary ① to further strengthen the integration between the medical quality evaluation indexes and the evaluation units, ② to reinforce the quality evaluation of the links, ③to evaluate medical quality in a comprehensive way from different angles, ④ to further develop mathematical evaluation models related to the statistical indexes, ⑤ to enhance the applicability of the quality evaluation index system in institutions of different grades and scales.