上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（卫生事业管理） • 上一篇    下一篇

综合评价方法在临床科室医疗质量评价中的应用

陈 伟，王 忠   

  1. 石河子大学医学院第一附属医院科教部， 石河子 832008
  • 出版日期:2013-07-28 发布日期:2013-08-22
  • 通讯作者: 王忠, 电子信箱: wzsdyfy@126.com。
  • 作者简介:陈伟（1982—），男，硕士; 电子信箱: chenweiyfy@163.com。
  • 基金资助:

    兵团科技计划项目（2013BA027）

Application of comprehensive evaluation methods in medical quality evaluation of clinical departments

CHEN Wei, WANG Zhong   

  1. Department of Science and Education, the First Affiliated Hospital of Medical College of Shihezi University, Shihezi 832008, China
  • Online:2013-07-28 Published:2013-08-22
  • Supported by:

    Production and Construction Corps Science and Technology Program, 2013BA027

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摘要：

目的 采用多种综合评价方法，对三级甲等综合性医院临床科室的医疗质量进行评价，验证多种综合评价方法的科学性和可行性，为医院管理和决策提供参考依据。方法 通过文献分析和专家咨询，选择了效率、质量、效益三个维度，包括13项关键指标组成评价指标体系，运用层次分析法确定指标的权重，运用加权综合指数法、加权秩和比法、加权TOPSIS法构建综合评价模型，对2011年新疆石河子大学医学院第一附属医院临床科室的医疗质量进行综合评价，采用标准化法对3种评价方法的评价结果进行组合。结果 3种评价方法之间具有高度一致性和相关性，加权综合指数法与加权秩和比法、加权TOPSIS法的评价结果的相关性较高（r=0.958、0.920，均P<0.01），加权秩和比法与加权TOPSIS法的评价结果的相关性次高（r=0.866，P<0.01)。3种单一方法评价和组合评价法的协调系数w=0.954（P<0.01）。组合评价法与加权综合指数法、加权秩和比法、加权TOPSIS法间的相关系数分别为0.984、0.956和0.951（均P<0.01）。结论 在医疗质量综合评价的实际工作中，应用多种综合评价方
法，并将多种评价结果经过一定的方法组合后，其结果更加稳定、合理。

关键词: 医疗质量, 综合评价方法, 组合评价

Abstract:

Objective To evaluate the medical quality of clinical departments in tertiary comprehensive hospital with a variety of comprehensive evaluation methods, verify the
feasibility of these methods, and provide reference for hospital management and policy making. Methods The comprehensive evaluation index system including 13
key indicators from three dimensions of efficiency, quality and efficiency was constructed with literature analysis and expert consultation. The method of
analytic hierarchy process was adopted to determine the weight of indicators. Weighted composite index method, weighted rank sum ratio method and weighted
TOPSIS method were employed to build the comprehensive evaluation model for the assessment of medical quality of clinical departments in the First Affiliated
Hospital of Medical College of Shihezi University in the year of 2011, and the standardization method was used to combine the evaluation results of three
evaluation methods. Results There was a high consistency and correlation among three evaluation methods. There was a higher correlation between weighted
composite index method and weighted rank sum ratio method and between weighted composite index method and weighted TOPSIS method (r=0.958 and 0.920, P<0.01 for both), and there was a second higher correlation between weighted rank sum ratio method and weighted TOPSIS method (r=0.866, P<0.01). The
consistency efficient (w) of three evaluation methods and combination evaluation method was 0.954 (P<0.01). The correlation coefficients between
combination evaluation method and weighted composite index, weighted rank sum ratio method and weighted TOPSIS method were 0.984, 0.956 and 0.951
respectively (P<0.01 for all). Conclusion In the practice of medical quality comprehensive evaluation, several comprehensive evaluation methods can be used in
combination, and the result may be more stable and reasonable.

Key words: medical quality, comprehensive evaluation methods, combination evaluation