以上海中医药大学附属岳阳中西医结合医院为例探析中医医院医疗质量评价指标

Analysis on the evaluation indicators of medical quality in TCM hospitals - taking Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine as an example

分析中医医院医疗质量的评价指标, 实现对中医医院医疗质量进行客观公正、精准的评价。通过分析中医医院医疗质量相关文献和专题小组讨论, 总结出21个三级中医医院医疗质量评价指标。采用专家咨询法进行问卷调查, 问卷调查40名专家, 有效回收37份, 积极系数为92.50%;经2轮专家咨询, 确定评价指标为:门诊中医中药饮片使用强度(中药饮片使用率、中药饮片处方数、中药饮片剂量、中药饮片服务价格)、中医医疗技术使用强度(中医技术比例、中医技术项目数、中医技术费用、中医技术疗程)指标。利用上海中医药大学附属岳阳中西医结合医院运营决策支持系统(BI)平台对10个科室相关数据进行案例分析, 发现10个科室数据分析结果与医院实际医疗质量情况基本一致。表明确定的中医医院医疗质量评价指标可反映实际医疗质量情况, 具有一定的科学性、可行性和适用性, 为完善中医医院医疗质量评价指标提供参考。

To improve the evaluation indicators of medical quality in TCM hospitals;To realize objective,fair,and accurate evaluation of the quality of TCM.Based on relevant literature on medical quality in traditional Chinese medicine hospitals research and thematic group discussions,21 evaluation indicators for TCM characteristics were formed.A questionnaire survey was conducted among 40 experts,and 37 were effectively collected,with a positive coefficient of 92.50%.After two rounds of expert consultation,the evaluation indicators were determined to be:the intensity of outpatient use of TCM decoction pieces(utilization rate of TCM decoction pieces,prescription number of TCM decoction pieces,dosage of TCM decoction pieces,and service price of TCM decoction pieces),the intensity of the use of TCM technology(proportion of TCM technology,number of TCM projects,cost of TCM technology,and course of treatment).Case studies were conducted on relevant data from 10 departments using the operational decision support system(BI)platform of Yueyang Integrated Traditional Chinese and Western Medicine Hospital affiliated with Shanghai University of Traditional Chinese Medicine to verify the rationality of indicators.The 10 departments were analyzed and evaluated,and the results obtained were basically consistent with the actual medical quality situation of the hospital.The indicators used in this study can reflect the actual medical quality situation,and have a certain degree of scientificity,feasibility,and applicability,providing reference for improving the medical quality evaluation indicators of TCM hospitals.