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区域性医疗质量管理指标体系构建研究 被引量:21

Construction of Regional Healthcare Quality Management Indicator System
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摘要 目的构建适应以政府主管部门或第三方专业医疗质量评价机构为应用主体,满足开展区域性医疗质量管理需要的医疗质量管理指标体系。方法基于目前政策导向,采用定性与定量方法对指标进行筛选及试点应用。结果该指标体系由8个一级指标类构成,含33个指标:诊疗水平(2个)、诊疗效率(2个)、诊疗措施相关(2个)、住院患者死亡(4个)、医院感染(7个),并发症(6个)、重返类(3个)、安全事件(7个)。结论指标体系需根据现实情况定期更新,以引导医疗机构的医疗质量持续改进。 Objective To construct a healthcare quality indicator system,which will meet the healthcare management demands of government or third-party. Methods Based on the direction of current healthcare policy,applying the qualitative and quantitative methods to select the indicators. Results The indicator system is composed of 33 indicators of 8 categories: diagnosis and treatment ability(2),diagnosis and treatment efficiency(2),treatment-related measures(2),inpatient mortality(4),hospital acquired infection(7),complication(6),readmission(3) and adverse event(7). Conclusion The indicator system should be updated periodically to guide continuous quality improvement of medical institutions.
作者 付强 张誉铮
出处 《中国医院管理》 北大核心 2017年第1期42-45,49,共5页 Chinese Hospital Management
基金 国家卫生和计划生育委员会卫生计生事业发展"十三五"规划前期研究重点专项课题
关键词 区域性 医疗质量 指标体系 region healthcare quality indicator system
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  • 2Leape L L, Brennan T A, Laird N M, et al. The nature of adverse events in hospitalized patients: results of the Harvard medical Practice Study I[J]. N Engl J Med, 1991, 324: 377-384.
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  • 4Cantrill J A, Sibbald B, Buetow S. Indicators of the appropriateness of long term prescribing in general praetiee in the United Kingdom: Consensus development, face and eontent validity, feasibility and reliability[J]. Quality in Health Care, 1998(7): 130-135.

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