摘要
目的建立中医医院医疗服务同质化体系,探索同质化诊疗方案的应用效果。方法在医院建立同质化工作制度,编写同质化诊疗方案,组织培训及实施评价改进,以2017年7月医院入院的1432例患者为实验组,2017年6月入院的1378例患者为对照组。实验组患者实施了同质化诊疗方案。比较实施同质化诊疗行为前后的患者辨证诊断符合率、治愈好转情况、不良事件发生例数。结果实验组患者辨证诊断符合率高于对照组(98.5%vs.97.2%,P=0.017)、治愈好转率高于对照组(97.9%vs.97.1%,P=0.004),不良事件发生例数低于对照组(2 vs.9,P=0.029),差异均有统计学意义,P<0.05。结论中医同质化诊疗服务有助于提高中医辨证论治质量,减少误漏诊率。中医诊疗服务的同质化是确保中医院医疗服务质量的基石;中医诊疗服务的同质化是个体化诊疗的前提。
Objective To establish homogenization system of Medical Service in Traditional Chinese Medicine(TCM)Hospital and explore the Application effect of homogenized diagnosis and treatment Scheme.Methods A homogenization work system was established in Xuzhou Hospital of TCM,a homogenization diagnosis and treatment scheme was compiled,training and evaluation were carried out.1432 patients admitted to our hospital in July 2017 were taken as the experimental group which were treated with homogenization.In June,1378 patients in the control group were treated with non-homogenization.The diagnostic coincidence rate,clinical effects and adverse events were compared before and after homogenization.Results The rate of diagnostic accordance in the observation group was higher than that of the control group(98.5%vs.97.2%,P=0.017)and the cure and improvement rate was higher than that of the control group(97.9%vs.97.1%,P=0.004).The number of cases of adverse events was lower than that of the control group(2 vs.9,P=0.029).The difference was statistically significant in the above comparison(P<0.05).Conclusion TCM homogenization diagnosis and treatment service is helpful to improve the quality of TCM Syndrome differentiation and treatment and reduce the rate of misdiagnosis and missed diagnosis.The homogeneity of TCM diagnosis and Treatment Service is the cornerstone of ensuring the quality of TCM hospital medical service.Homogeneity of TCM diagnosis and treatment service is the premise of individual differentiation diagnosis and treatment 。
作者
张寒梅
潘腾
ZHANG Hanmei;PAN Teng(Medical Department,Xuzhou City Hospital of Traditional Chinese Medicine/Affiliated Xuzhou Hospital of Nanjing University of Chinese Medicine,Xuzhou Jiangsu 221003,China)
出处
《中国继续医学教育》
2021年第2期118-122,共5页
China Continuing Medical Education
关键词
同质化
辨证论治
中医院
医疗服务
诊疗方案
个体化
homogenization
treatment based on syndrome differentiation
traditional Chinese medicine hospital
medical service
diagnosis and treatment scheme
differentiation
作者简介
通信作者:张寒梅。
