基于病例分型的急性阑尾炎住院患者综合质量评价

Case Classification Based Comprehensive Quality Evaluation for Inpatients with Acute Appendicitis

目的明确影响急性阑尾炎住院患者综合医疗质量的主要因素,为精细化病种管理提供参考。方法以某院346例急性阑尾炎住院患者为研究对象,利用包罗模型评价法对其进行综合医疗质量评价,并利用t检验、多元逐步回归等分析影响因素及其作用。结果急性阑尾炎医疗质量平均得分92.97分,病例优良率86%;影响因素依次为住院天数、入院情况、出院情况、确诊天数和年龄。结论基于病例分型的综合质量评价法比传统的病种评价法更科学、合理。在单病种管理过程中,应综合考虑上述因素的影响,并采取相应措施,以提高住院患者综合医疗质量。

Objective To explore the main factors of comprehensive medical quality for inpatients with acute appendicitis and provide reference and evidence for fine disease management. Method 346 cases of acute appendicitis inpatients were included for study. We used inclusive model to comprehensive evaluate its quality, and used t test, multiple regression analysis to analyze factors and its roles. Result The average score of medical quality for acute appendicitis was 92.97 points, 86% of cases were excellent. The influence factors were length of stay, admissions, discharge conditions, diagnosed clays and age. Conclusion The comprehensive quality evaluation method based on ease classification of the disease is more scientific and reasonable than the traditional evaluation method. In the process of single disease management, the impact of these factors should be considered and appropriate measures should be taken to improve the comprehensive medical quality of inpatients.