基于中断时间序列的大连市体检机构质量控制效果分析

Analysis of quality control effect of physical examination institutions in Dalian based on interrupt time series

目的分析基于中断时间序列的大连市体检机构质量控制效果。方法本研究为横断面研究,最终在大连市纳入了40家体检机构作为研究对象。采用中断时间序列分析干预前(2020年1月至2021年7月)和干预后(2021年8月至2022年7月)健康体检重要异常结果处理率、主检医师资质达标率和健康体检基本项目完成率的水平改变和斜率改变,并绘制中断时间序列分析图。结果干预措施实施后,公立体检机构的健康体检重要异常结果处理率为93.52%,主检医师资质达标率为98.86%,健康体检基本项目完成率为93.86%。健康体检重要异常结果处理率在民营体检机构的干预前、干预1个月后和长期干预的上升趋势分别为1.374%、0.229%、0.664%(t=8.61、12.21、108.61,均P<0.05)。主检医师资质达标率在公立体检机构的干预前和长期干预的上升趋势分别为0.227%、0.155%(t=6.74、617.67,均P<0.05)。健康体检基本项目完成率在公立体检机构的干预前、干预后1个月和长期干预的上升趋势分别为0.446%、0.067%、0.745%(t=24.95、3.25、138.80),3个指标率的上升趋势均具有统计学意义。结论健康体检质量控制干预措施的实施,使大连市体检机构的质量控制明显提升。

Objective To assess the effects of intervention measures on the quality control of health examination institutions in Dalian City.Methods This cross-sectional study encompassed a comprehensive evaluation of 40 physical examination institutions in Dalian City.Interrupted time series analysis was employed to examine the changes in level and slope of processing rates for significant abnormal health examination results,chief inspection physician qualification rates,and completion rates of basic health examination items before(January 2020 to July 2021)and after(August 2021 to July 2022)intervention.An interrupted time series analysis diagram was generated.Results After the implementation of intervention measures,the processing rate of significant abnormal results in public physical examination institutions reached 93.52%,while the qualification rate of chief inspection physicians was as high as 98.86%.And completion rate of basic health examination items was 93.86%.The rates of handling important abnormal results in health check-ups at private healthcare institutions before intervention,1 month after intervention,and long-term intervention showed an upward trend of 1.374%,0.229%,and 0.664%,respectively(t=8.61,12.21,and 108.61,all P<0.05).The qualification rate of chief inspection physicians in public physical examination institutions exhibited an increase of 0.227%and 0.155%before and after the intervention respectively(t=6.74 and 617.67,all P<0.05).The completion rates of basic health check-up items in public healthcare institutions showed an upward trend before intervention,1 month after intervention,and long-term intervention,with a rate of 0.446%,0.067%,and 0.745%,respectively(t=24.95,3.25,138.80,all P<0.05).Conclusions The implementation of quality control intervention measures for health check-ups has significantly improved the quality control of health examination institutions in Dalian City.