临床专科诊疗结果评价指标研究

目的 探讨诊疗结果评价指标的调整方法,以便对医院各临床专科的诊疗结果做出客观评价和排序.方法 以3所医院心内科和泌尿外科2005年所选病种的总体治疗结果作为标准,计算病死率调整系数和治愈率调整系数.结果 心内科病死率的调整系数CFR≥1,泌尿外科治愈率的调整系数CFR≤1,并按此进行试评估,得到3所医院临床专科诊疗结果排序.结论 以病种为临床专科医疗质量基础评价层次,以相对危险度为核心计算调整系数,可以获得适合我国国情的临床专科医疗质量评价指标和方法.

Research on the assessment indexing of diagnosis and treatment in clinical specialties

Objective Probing into a way to reform the assessment indexing of diagnosis and treatment in clinical specialties, to help with objective assessment and ranking among hospitals in terms of the performances of their respective specialties. Methods Treatment outcomes of the diseases pinpointed by heart physicians and urology surgeons of three hospitals in 2005 as the criteria to calculate the adjusted value for fatality rate and cure rate. Results The adjusted value of fatality rate for the heart physicians is CFR≥1, and that of cure rate for the urology surgeons is CFR≤1. A trial assessment is made based on these figures, and a ranking is achieved on the diagnosis and treatment outcomes of the clinical medicine specialties in these three hospitals as a result. Conclusions Diseases as the assessment levels for medical quality of clinical medicine specialties and relative risks as the core computation adjusted factor, may help yield the indexes and methodology for clinical medicine specialties in line with China's specifics.