基于2012版病案首页的医院治疗质量的评价

Hospital quality of care appraisal based on the 2012 medical record front page

目的探讨2012版病案首页的治疗质量的评价方法。方法选取我院2012版病案首页中人院途径及离院方式的出院患者信息，运用列联表法进行评价。结果差异性检验结果表明不同途径入院的离院方式间的差异具有统计学意义（X^2=856．55，P〈0．05）。相关性分析表明不同途径人院的患者与离院方式之间的Spearman相关系数为-0．11（P〈0．05）。在此基础上得到全院治疗质量的得分为4．95。结论评价体系的建立表明2012版病案首页下治疗质量的指标设置更为科学，评价结果也更加客观。

Objective To explore an evaluation method of quality of care using the 2012 medical record front page. Methods The admission pathway and discharge method information of inpatients discharge recorded in the medical record front pages of the hospital were chosen and evaluated with contingency tables. Results The outcomes indicated that the differences between discharge methods of those admitted through different pathways are significant statistically （Z2= 856.55, P~ 0. 05）. The correlation analysis showed that the coefficient of Spearman correlation between the inpatients admitted through different pathways and their discharge methods was --0. 11 （P〈0. 05）. Calculated as such, the score of quality of care was 4.95 for the hospital as a whole. Conclusion The establishment of this evaluation system showed that the indicators set for quality of care using the 2012 medical record front page are scientific, and the results are more objective.