摘要
目的:旨在生命周期理论基础上,从医疗就诊全过程出发,构建公立医院住院患者医疗质量评价指标体系。方法:综合运用文献分析法、关键知情人访谈和专家函询法,对住院患者医疗质量评价指标进行筛选研究。结果:2轮专家函询有效回收率均为100%,专家的积极程度高,权威系数均在0.7以上,Kendall'sW协调系数为0.267,P值均<0.05,确定了包含3个一级指标,10个二级指标,51个三级指标在内的住院患者医疗质量评价指标。结论:构建的基于生命周期理论的公立医院住院患者医疗质量评价指标体系具有一定的科学性、可靠性,但未进行指标体系权重分析,仍停留在理论探索阶段,仍需后期的实证研究验证后进一步完善。
Objective:To construct a medical quality evaluation index system for inpatients in public hospitals based on the life cycle theory,starting from the entire process of medical treatment.Method:A comprehensive study was conducted on the screening of medical quality evaluation indicators for hospitalized patients using literature analysis,key informant interviews,and expert inquiry methods.Results:The effective recovery rate of the two rounds of expert consultation was 100%,with high enthusiasm from the experts.The authority coefficient was above 0.7,and Kendall's W coordination coefficient was 0.267(P<0.05).The evaluation indicators for medical quality of hospitalized patients,including 3 primary indicators,10 secondary indicators,and 51 tertiary indicators,were determined.Conclusions:The medical quality evaluation index system for inpatients in public hospitals based on the life cycle theory has certain scientificity and reliability.However,the weight analysis of the index system has not been carried out and is still in the theoretical exploration stage.Further empirical research is needed for verification and improvement.
作者
潘新祥
白忠良
陈文静
符文杰
周焕
王洪巨
PAN Xinxiang;BAI Zhongliang;CHEN Wenjing;FU Wenjie;ZHOU Huan;WANG Hongju(The First Affiliated Hospital of Bengbu Medical University,Bengbu 233004,China;School of Health Management,Anhui Medical Uniwersity)
出处
《沈阳医学院学报》
2025年第1期20-25,共6页
Journal of Shenyang Medical College
基金
国家卫生健康委医院管理研究所“医疗质量循证管理持续改进研究项目”(No.YLZLXZ22K003)。
作者简介
潘新祥,E-mail:2322539496@qq.com。
