综合评价走动式管理在医院运行质量中的作用

Comprehensive Evaluation of Management by Walking Around in the Medical Operation Quality

[目的]采用TOPSIS和灰色关联法，对某三甲专科医院临床科室运行质量进行综合评价，验证走动式质量管理的实施效果，为医疗质量管理和决策提供参考依据。[方法]构建资源配置、工作负荷、治疗质量、工作效率等4个维度、8项关键指标的综合评价指标，运用TOPSIS和灰色关联法对2007～2011年医院临床科室医疗质量进行综合评价。[结果]TOPSIS法结果显示运行质量逐年提高，2011年最优。灰色关联分析结果显示，走动式管理实施当年的运行质量最优。[结论]走动式管理可提升医院运行质量。建议多种综合评价方法联合应用，以提高结果的可信性。

[Purpose] To comprehensively evaluate the medical quality of clinical departments of level-three a special hospital by TOPSIS and grey correlation ,to verify the effect of management by walking around （MBWA）,and to provide a reference for medical quality management. [Methods~ Comprehensive evaluation index system of 8 key indicators from four dimensions of allocation, workload, quality and efficiency were constructed. TOPSIS and grey correlation were used to assess the medical quality of hospital clinical departments from 2007 to 2011. [Results ] TOPSIS analysis showed that medical operational quality improved year by year and the best in 2011 with the im- plementation of MBWA. Grey correlation analysis showed that the best clinical quality was in 2009 when the MBWA began canting out. [Conclusion] MBWA could improve the medical quali- ty. It is suggested that several methods of evaluation are used in combination to make the result more credible.