医疗质量分析方法

Methods in Medical Care Quality Analysis

文章系统阐述了医疗质量分析过程的各个环节和步骤,介绍了医疗质量分析数据的特征、来源和可能存在的数据质量问题,说明了常用的数据分析方法,提出了控制混杂因素、降低结果偏倚的统计分析原则。文章通过国内外医疗质量分析的实例,说明在应用统计方法的同时,高质量的数据,全面、灵敏、特异、标准化的指标和客观的权重确定方法是医疗质量评价过程中更为关键的环节。我国的医院质量评价应借鉴国外的先进方法,不断改进和完善,提高评价结果的真实性,发挥有效促进医疗质量的作用。

The paper explained processes and steps in medical quality analysis, introduced data characteristics, sources and potential questions in medical quality analysis, explained commonly used data analysis methods and proposed statistical principles in controlling confounding and avoiding bias in results. Through domestic and oversea real examples, the paper showed that high quality data, all-round, sensitive, specific and standardized indexes and objective methods in weight determination are key issues in evaluation process of medical quality. The hospital quality evaluation in our country should use advanced methods, keep to improve the methods, increase validity of results and take good effects on improving medical quality.