[1]张琳琳马旭东*何璇高浩然谷鸿秋王海波尹畅7王彩云杨昕李子孝王拥军周建新.2013年-2017年全国三级公立医院神经重症医疗质量现状分析[J].中国卫生质量管理,2020,27(06):33-36.[doi:10.13912/j.cnki.chqm.2020.27.6.09]
　ZHANG Linlin,MA Xudong,HE Xuan,et al.Analysis of the Status Quo of the Quality of Neurocritical Care Medicine in Chinese Tertiary Public Hospitals from 2013 to 2017[J].Chinese Health Quality Management,2020,27(06):33-36.[doi:10.13912/j.cnki.chqm.2020.27.6.09]

点击复制

2013年-2017年全国三级公立医院神经重症医疗质量现状分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第27卷期数: 2020年06期页码: 33-36 栏目: 医疗质量出版日期: 2020-11-28

Title:: Analysis of the Status Quo of the Quality of Neurocritical Care Medicine in Chinese Tertiary Public Hospitals from 2013 to 2017

作者:: 张琳琳1; 2马旭东3*何璇1; 2高浩然4谷鸿秋2; 5王海波6尹畅7王彩云2; 5杨昕2; 5李子孝1; 2; 5王拥军1; 2; 5周建新1; 2; 首都医科大学附属北京天坛医院

Author(s):: ZHANG Linlin; MA Xudong; HE Xuan; et al; Beijing Tiantan Hospital, Capital Medical University

关键词:: 三级公立医院; 神经重症; 医疗质量; 病案首页; 质量改进

Keywords:: Tertiary Public Hospital; Neurocritical Care; Medical Quality; Home Page of Medical Record; Quality Improvement

分类号:: R197.323；R741

DOI:: 10.13912/j.cnki.chqm.2020.27.6.09

文献标志码:: A

摘要:: 目的了解我国三级公立医院神经重症住院患者医疗质量现状。方法采用病案首页主要诊断和其他诊断的疾病编码，提取医院质量监测系统中2013年1月1日-2017年12月31日诊断为神经系统疾病的神经重症患者信息。采用SPSS 21.0统计软件对相关指标数据进行分析。结果全国506家三级公立医院共计220 027例神经重症患者纳入研究，其中，男性患者居多，占住院总人次的58.61%，年龄中位数（四分位数）为58（27，72）岁。患者住院死亡率和平均住院天数呈逐年下降趋势，出院人数逐年增加，机械通气时间逐年缩短，31天重返ICU率在小范围内波动。神经重症患者付费方式以城镇职工基本医疗保险为主，新型农村合作医疗保险次之。结论我国神经重症医疗质量逐年上升，救治水平在逐步提高，未来仍需继续关注结构、过程、结局指标，以持续改进。

Abstract:: ObjectiveTo investigate the current status of the medical quality of neurocritical inpatients in tertiary public hospitals in China.MethodsBased on the disease code of the main diagnosis and other diagnoses on the first page of the medical record, data was extracted from patients who were admitted to the intensive care units during hospitalization due to neurological diseases from January 1, 2013 to December 31, 2017 in the hospital quality monitoring system (HQMS). The SPSS 21.0 statistical software was used for data analysis.ResultsAmong the 506 tertiary public hospitals, 220 027 patients with severe neurological diseases were included in the study. Among them, the majority of male patients accounted for 58.61% of the total hospitalization, and the median age and quartile were 58 (27-72) years old. The in-hospital mortality and average length of stay showed a downward trend, and the number of discharged patients increased year by year, the mechanical ventilation time shortened year by year, and the rate of 31-day return to ICU fluctuated within a small range. The basic medical insurance for urban workers was the main payment method for patients with severe neurological diseases, followed by the new rural cooperative medical insurance.Conclusion The medical quality of neurologic severe diseases in China was increasing year by year, and the treatment level was gradually improving. In the future, it still need to continue to pay attention to the structure, process and outcome indicators, and make continuous improvement.

参考文献/References:

［1］Liu J, Zhang L, Ma P. A new era of critical care research in China［J］.J Crit Care,2019(54):20-21.

相似文献/References:

[1]何思长杨长皓应嘉川赵大仁周明华金秀芳.2012年-2018年全国三级公立医院医疗收入变动分析[J].中国卫生质量管理,2021,28(03):93.[doi:10.13912/j.cnki.chqm.2021.28.3.28 ]
　HE Sichang,YANG Changhao,YING Jiachuan.Change of Medical Income of Tertiary Public Hospitals in China during 2012-2018[J].Chinese Health Quality Management,2021,28(06):93.[doi:10.13912/j.cnki.chqm.2021.28.3.28 ]
[2]张轩杨思琪吴依诺郭燕青王越马晶胡琳琳刘远立.医生对患者参与治疗决策的认知和实践现状[J].中国卫生质量管理,2021,28(11):1.[doi:10.13912/j.cnki.chqm.2021.28.11.01 ]
　ZHANG Xuan,YANG Siqi,WU Yinuo.Analysis of Chinese Doctors' Cognition and Practice of Patients' Participation in Treatment Decision-Making[J].Chinese Health Quality Management,2021,28(06):1.[doi:10.13912/j.cnki.chqm.2021.28.11.01 ]
[3]樊子暄赵金红张羽欧秦冰马晶孙静胡琳琳刘远立.我国三级公立医院出院患者随访工作现状调查[J].中国卫生质量管理,2021,28(11):11.[doi:10.13912/j.cnki.chqm.2021.28.11.03 ]
　FAN Zixuan,ZHAO Jinhong,ZHANG Yuou.Investigation on Follow-up Status of Discharged Patients in Tertiary Public Hospitals in China[J].Chinese Health Quality Management,2021,28(06):11.[doi:10.13912/j.cnki.chqm.2021.28.11.03 ]
[4]姜中石赵金红胡琳琳刘远立.我国三级公立医院医务社工配备调查[J].中国卫生质量管理,2021,28(11):15.[doi:10.13912/j.cnki.chqm.2021.28.11.04 ]
　JIANG Zhongshi,ZHAO Jinhong,HU Linlin.Allocation of Medical Social Workers in Tertiary Public Hospitals in China: A Cross-Sectional Study[J].Chinese Health Quality Management,2021,28(06):15.[doi:10.13912/j.cnki.chqm.2021.28.11.04 ]
[5]徐帆张蕾李红霞舒婷.基于DEA－Malmquist 指数的浙江省三级公立医院电子病历系统建设效率评价[J].中国卫生质量管理,2022,29(01):21.[doi:10.13912/j.cnki.chqm.2022.29.1.06 ]
　XU Fan,ZHANG Lei,LI Hongxia.Efficiency Evaluation of Electronic Medical Record System Construction in Tertiary Public Hospitals of Zhejiang Province Based on DEA-Malmquist Index[J].Chinese Health Quality Management,2022,29(06):21.[doi:10.13912/j.cnki.chqm.2022.29.1.06 ]
[6]郝静贾延白雪桑明利徐延珊李明姬刘鑫鑫.基于床位效率分析的床位精细化管理[J].中国卫生质量管理,2022,29(02):38.[doi:10.13912/j.cnki.chqm.2022.29.2.10 ]
　HAO Jing,JIA Yan,BAI Xue.Bed Elaborate Management Based on Bed Efficiency Analysis[J].Chinese Health Quality Management,2022,29(06):38.[doi:10.13912/j.cnki.chqm.2022.29.2.10 ]
[7]周士博李威孙贺征王刚尹梅.哈尔滨市医务人员患者安全文化认知状况调查[J].中国卫生质量管理,2022,29(03):61.[doi:10.13912/j.cnki.chqm.2022.29.3.17 ]
　ZHOU Shibo,LI Wei,SUN Hezheng.Investigation on the Cognition of Patient Safety Culture Among Medical Staff in Harbin[J].Chinese Health Quality Management,2022,29(06):61.[doi:10.13912/j.cnki.chqm.2022.29.3.17 ]
[8]李蓓支梦佳胡琳琳.我国三级公立医院住院患者护工服务满意度调查[J].中国卫生质量管理,2022,29(06):50.[doi:10.13912/j.cnki.chqm.2022.29.6.13 ]
　LI Bei,ZHI Mengjia,HU Linlin.Survey on Service Satisfaction of Inpatient Nursing Assistants in Tertiary Public Hospitals in China[J].Chinese Health Quality Management,2022,29(06):50.[doi:10.13912/j.cnki.chqm.2022.29.6.13 ]
[9]张阳严娟姚晶晶贺丽娟蒲皆秀缪姝妹孙洲曹洋.依托信息化管理提高绩效考核质量[J].中国卫生质量管理,2022,29(07):49.[doi:10.13912/j.cnki.chqm.2022.29.7.13 ]
　ZHANG Yang,YAN Juan,YAO Jingjing.Informatization Management for Improving Performance Appraisal Quality[J].Chinese Health Quality Management,2022,29(06):49.[doi:10.13912/j.cnki.chqm.2022.29.7.13 ]
[10]林伟龙邓明梁锌甘蓝霞杨娟王惠杨谨成杨文静.2017年-2019年我国三级公立医院肿瘤住院患者医疗服务与质量安全分析[J].中国卫生质量管理,2022,29(11):1.[doi:10.13912/j.cnki.chqm.2022.29.11.01 ]
　LIN Weilong,DENG Ming,LIANG Xin.Analysis on Medical Service and Quality Safety of Tumor Inpatients in Chinese Tertiary Public Hospitals from 2017 to 2019[J].Chinese Health Quality Management,2022,29(06):1.[doi:10.13912/j.cnki.chqm.2022.29.11.01 ]

更新日期/Last Update: 2020-11-28