摘要
目的病例组合指数反映了疾病诊疗的技术水平,间接反映了学科的医疗质量,科技量值代表学科的科技创新和可持续发展的能力,医疗质量和可持续发展正是国家三级公立医院绩效考核的2个核心指标,本研究旨在探索病例组合指数对科技量值排名的影响。方法通过横断面研究的方法,分析2017—2019年北京某三级医院不同学科病例组合指数和科技量值排名的关系。结果3年间进入学科百强的科室CMI值比未进入学科百强的科室高17%(P<0.05),多因素分析中,具备较高的CMI值的科室进入学科科技量值百强的可能性提高了2.29倍,以CMI值与进入学科百强科室的ROC曲线下面积为0.716(P=0.001)。结论CMI值可以反映学科的科技量值,临床科室应当努力提升科室CMI值,提高医疗服务能力和可持续发展的动力。
Objective Case mix index indicates the capacity of disease diagnosis and treatment,as well as the quality of health cares in related disciplines.Science and technology evaluation metrics represent the level of innovation and sustainable development of science and technology.Quality of health care and sustainable development are considered as two key evaluation indicators in the performance evaluation of national tertiary public hospitals.This study aimed to explore the effect of case mix index on the science and technology evaluation metrics.Methods According to a cross-sectional design,the relationship between case mix index and science and technology evaluation metrics was analyzed in a tertiary public general hospital between 2017 and 2019.Results In three years′period time,the departments in top 100 disciplines of science and technology evaluation metrics had the case mix index 17%which was higher than other departments in non-top 100 disciplines(P<0.05).In the multivariate analysis,higher case mix index increased a 2.29-fold higher probability to be in top 100 disciplines.They are under the receiver operative character curve between case mix index and top 100 disciplines in evaluation of departments was 0.716(P=0.001).Conclusions Case mix index indicated the level of science and technology evaluation metrics and the clinical departments should improve the case mix index,service quality of health care and the motivation of sustainable development.
作者
郭慧
赵艳杰
谢世堂
宋清坤
Guo Hui;Zhao Yanjie;Xie Shitang;Song Qingkun(Department of Reform and Performance management,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Medical Oncology,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Clinical Epidemiology and Evidence-based Medicine,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)
出处
《中华医学科研管理杂志》
2021年第5期337-340,共4页
Chinese Journal of Medical Science Research Management
关键词
病例组合指数
科技量值
学科建设
可持续发展
Case mix index
Science and technology evaluation metrics
Disciplinary construction
Sustainable development
作者简介
通信作者:宋清坤,Email:songqingkun@ccmu.edu.cn,电话:010-63926240。
