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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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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