2008年北京地区脑梗死住院患者医疗服务质量评价研究

Evaluation of Care Quality for Acute Ischemic Stroke in Beijing in 2008

目的评价2008年北京地区脑梗死住院患者医疗服务质量,促进医疗机构质量管理持续改进。方法采用结果评价标准与过程评价标准相结合的评价体系,对北京市12家医院的脑梗死医疗质量进行了评价并与2007年结果进行比较。结果2008年北京市12家三甲医院脑梗死患者医疗服务质量管理12项过程评价指标平均执行率为67.27%,均高于2007年(43.71%)。2008年平均住院日、平均住院费用、平均药费等结果指标均低于2007年。结论采用过程与结果评价指标相结合的单病种医疗质量管理评价方法,是医院进行持续医疗质量改进的有效工具。2008年脑梗死医疗质量较2007年虽有所提高,但指标总体执行情况仍偏差。

Objective To evaluate the care quality for acute ischemic stroke in Beijing in 2008, and to improve the quality administration and sustainable improvement of hospitals in China. Method Care quality for acute ischemic stroke in 12 hospitals in Beijing were assessed and compared with that in 2007, using the conjunctive index system of process and result criteria. Result The average executive rate of the 12 process criteria in 12 hospitals in Beijing in 2008 is 67.27%, which is higher than that in 2007 （ 43.71% ）. Average hospitalized day, average hospitalized fee and average pharmaceutic fee in 2008 are lower than that in 2007. Conclusion The conjunctive index system of process and result criteria of single disease entity quality administration is a good tool to improve the care quality sustainably. Care quality of isehemic stroke in 2008 has been improved to some extent, though the total executive status is still not so good.