基于综合指数法的6家部队医院军人胃癌诊疗质量评价

Comprehensive index based soldier's gastric cancer treatment quality assessment in 6 military hospitals

目的:应用综合指数法对部队医院在职军人胃癌疾病诊疗质量进行综合分析和评价,形成具有医院管理辅助决策依据的质量评价结果。方法:选择6家部队医院(Ha-Hf)在职军人胃癌病员的全部诊疗数据,应用综合指数法分别从4个维度:疾病疑难危重度、诊断质量、手术质量和治疗质量,选择了18项关键指标,建立诊疗质量综合评价指标矩阵。结果:综合指数得分Ha医院第一(8.66分)、Hd医院第二(7.27分)、He医院第三(6.02分)、Hc医院第四(5.34分)、Hf医院第五(3.51分)和Hb医院第六(2.66分)。结论:应用综合指数法评价医院单个病种的诊疗质量,具有一定的可信度。

To Analyze and assess soldier＇s gastric cancer treatment quality in military hospital by comprehensive index and to give evidence for hospital management decision making. Methods： Full soldier＇s gastric cancer data in 6 hospitals （called Ha-Hf） were collected and assessed from 4 perspectives named as the clinical severity, quality of diagnosis, quality of surgery and quality of treatment. 18 key index were selected as a comprehensive treatment quality assessment index matrix. Results： The rank from top to bottom of comprehensive index score is Ha（8.66）, Hd（7.27）, He（6.02）, Hc（5.34）, Hf（3.51） and Hb（2.66）. Conclusions： The reliability of comprehensive index on assessing single disease is acceptable.