《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]
卷:
第25卷
期数:
2018年06期
页码:
41-43
栏目:
医疗质量
出版日期:
2018-11-28
- 作者:
-
于瑾 黄美良
-
中国人民解放军空军总医院
- 关键词:
-
医疗质量评价; “重返类”指标; 非计划再入院率; 重返手术室发生率
- Keywords:
-
Assessment of Medical Quality; "Re-Entry Class" Indicators; Unplanned Readmission Rate; the Incidence of Return to the Operating Room
- DOI:
-
10.13912/j.cnki.chqm.2018.25.6.14
- 摘要:
-
目的应用中国医疗质量指标体系对北京市某院2011年-2015年“重返类”指标进行评价分析，旨在了解医院医疗质量现状，发现医疗服务薄弱环节，提出改进建议。方法采用“基准比较”方法，包括以年度为基准的医院自身纵向比较和以全国标杆为基准的医院间横向比较。结果医院2天~31天出院患者重返住院率呈波动状态，手术患者术后重返手术室率下降。肺炎（肺部感染）、肾功能衰竭患者出院2天~31天再住院率、手术患者术后重返手术室率均明显高于基准值。结论医院2011年-2015年“重返类”指标有升有降，与国内先进水平存在差距，需持续改进。
- Abstract:
-
ObjectiveThe study used the Chinese Health Quality Indicators System to evaluate the "re-entry class" indicators in a hospital in Beijing from 2011 to 2015, which aimed to understand the status of hospital medical quality, identify weak links in medical services and provide suggestions on improvements.MethodsThe "benchmark comparison" method was used, including the annual longitudinal comparison of the hospitals themselves and the horizontal comparison of the hospitals based on the national benchmark.ResultsThe rate of readmission within 2-31 days was fluctuates, and return to operating room rate among surgical patients decreased. The readmission rate within 2-31 days and the return rate to operating room after surgery among pneumonia (pulmonary infection) and renal failure patients were higher than the benchmark.Conclusion The indicators of hospital re-entry in 2011-2015 had diversity of risen or declined, but there was still a gap with the domestic advanced level,it need continuous improvement.
参考文献/References:
［1］陈虎，焦雅辉，赵明钢，等.北京市五家大型综合医院“重返类”指标的比较分析［J］.中国卫生质量管理,2010,17(1):4-7.
相似文献/References:
[1]罗琳彬郭昱君.通过医保支付推进医疗质量管理的经验及启示[J].中国卫生质量管理,2022,29(07):39.[doi:10.13912/j.cnki.chqm.2022.29.7.11
]
LUO Linbin,GUO Yujun.Experience and Inspiration of Medical Insurance Payment for Promoting Medical Quality Management[J].Chinese Health Quality Management,2022,29(06):39.[doi:10.13912/j.cnki.chqm.2022.29.7.11
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更新日期/Last Update:
2018-11-28
