[1]陈伟),王忠)#,刘梦明),等.新疆某三级甲等综合医院临床科室医疗服务质量评价体系的建立*[J].郑州大学学报(医学版),2013,(06):795.
 CHEN Wei),WANG Zhong),LIU Mengming),et al.Construction of a comprehensive evaluation system for the medical service quality of clinical departments from one 3A-general hospital in Xinjiang[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2013,(06):795.
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新疆某三级甲等综合医院临床科室医疗服务质量评价体系的建立*
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2013年06期
页码:
795
栏目:
应用研究
出版日期:
2013-11-20

文章信息/Info

Title:
Construction of a comprehensive evaluation system for the medical service quality of clinical departments from one 3A-general hospital in Xinjiang
作者:
陈伟1)王忠1)#刘梦明1)邓玉宏1)杜亚玲2)
1)石河子大学医学院第一附属医院科教部 石河子 832008;2)石河子大学医学院预防医学系 石河子 832000
Author(s):
CHEN Wei1)WANG Zhong1)LIU Mengming1)DENG Yuhong1)DU Yaling2)
1)Department of Scientific and Education, the First Affiliated Hospital, Medical College of Shihezi University, Shihezi 832008; 2)Department of Preventive Medicine, Medical College of Shihezi University, Shihezi 832000
关键词:
医疗服务质量 评价体系 综合评价
Keywords:
medical service quality evaluation system comprehensive evaluation
分类号:
R197.3
摘要:
目的:构建某三级甲等综合医院临床科室医疗服务质量评价体系。方法:在医疗服务质量“结构-过程-结果”三维度理论基础上,结合当前医院管理实际,运用文献分析法和德尔菲法建立医疗服务质量评价体系,并用该体系对随机抽取的某三级甲等综合医院11个临床科室医疗服务质量进行评价。将层次分析法和熵值法相结合,采用最优组合赋权法计算各指标的权重。采用加权极差化法、加权秩和比法、加权TOPSIS法3种综合评价法构建综合评价模型,用危重病例率校正3种方法的评价结果后,用标准化法进行组合评价。结果:经过两轮专家咨询确立了包含3个维度的一级指标、13个二级指标和25个三级指标的评价指标体系,总体信度系数(克朗巴赫a系数)为0.840,结构质量维度为0.811,过程质量维度为0.704,结果质量维度为0.875。3种方法的评价结果高度一致(校正前协调系数w=0.826,P=0.006;校正后w=0.929,P=0.002)。组合评价结果显示11个临床科室中医疗服务质量最好的是普外一科,与实际相符。结论:建立的评价体系和评价方法具有较好的科学性与可行性。
Abstract:
Aim: To construct a comprehensive evaluation system for the medical service quality of clinical departments from a 3A-general hospital. Methods:Based on the medical service quality three content “structure-process-results”, and combined with the current situation of hospital management, literature analysis method and Delphi method were used to construct a comprehensive evaluation system.A total of 11 clinical departments from one 3A-general hospital were randomly selected for on-site research. The combination of AHP and entropy weighting method was used to calculate each index weight coefficient.The weighted range method, the weighted rank sum ratio method, and the weighted TOPSIS were used to build comprehensive evaluation models, and to evaluate the quality of medical service of the 11 clinical departments. Correction factor(rate of critical illness)was used to correct the evaluation results of three evaluation methods. The standardized method was used for combination evaluation. Results: The constructed comprehensive evaluation system included 3 first level indicators, 13 second level indicators, and 25 third level indicators,the reliability coefficient(Cronbachs a coefficient)of the total evaluation system was 0.840, and the structural quality dimension, the process quality dimension and the result quality dimension were 0.811,0.704 and 0.875.Three evaluation methods had a high degree of consistent[the coordination coefficient w was 0.826(P=0.006)before adjusted,and it was 0.909(P=0.002)after adjusted].The combined evaluation result showed that the medical service quality of the general surgery department was the best. Conclusion: The evaluation system is scientific and feasible.

参考文献/References:

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备注/Memo

备注/Memo:
*兵团科技计划基金资助项目 2013BA027
#通讯作者,男,1964年8月生,硕士,卫生管理医师,研究方向:医院管理,E-mail:wzsdyfy@126.com
更新日期/Last Update: 2013-11-20