冠心病介入治疗质量控制体系建设和展望

二十一世纪以来我国冠心病介入治疗进入加速发展阶段，2009 年正式开展全国冠心病介入诊疗医疗质量控制有关工作，国家质控中心的主要工作包括与各省级质控中心建立密切联系，不断完善质控网站建设和质控方法；进行质控数据收集、分析和质控报告撰写、发布；开展质控检查，并开展与冠心病介入治疗质控相关的其他工作，如介入培训和准入工作。质控体系的正常运转使我国的冠脉介入质控工作初见成效，以数据形式准确掌握不同地区以及全国冠脉介入开展的情况，质控系统的建立和常规质控工作保证了我国冠脉介入治疗水平的稳步提高。未来需进一步完善质控技术和管理队伍建设，逐步建立和完善质控评估体系，将冠心病介入诊疗质控与冠心病诊疗质量管理相结合，在一定范围内以特定方式发布医疗质量评估、排名的结果，从而使冠心病介入治疗水平得到进一步提高。

Construction and prospection of percutaneous coronary intervention quality control system

In 21th century, percutaneous coronary intervention (PCI) technique enters in rapid development stage in China. From 2009, quality control system of PCI runs in national scale. Since then, the national quality control center estab⁃ lished cooperative relationship with the provincial quality control centers. Official website and quality control tools were im⁃ proved. PCI data were collected and analyzed annually, and then reported to the regulatory body and published to the public. Audit was run irregularly. Quality control centers were also involved in some other related affairs such as training course and admission. The quality control system lead PCI in China to an improved daily practice and control PCI application all over the country in terms of data. In the future, the quality control techniques and teamwork will be further improved. And quality evaluation system and management team will be perfected gradually. Quality control will be extended from PCI to coronary heart disease and combined with audit of coronary heart disease. According to the quality control data, the quality and its rank of medical centers will be published in certain range. So that we can provide better care to the coronary heart disease pa⁃ tients.