疾病分级预警制度对健康体检中心运营质量的影响

目的基于PSQ-18量表评价疾病分级预警制度对健康体检中心运营质量的影响。方法采用可比、回顾性队列的研究方法,以美国兰德公司患者满意度量表(PSQ-18)为工具,以我院体检中心实施疾病分级预警制度的时间为节点,利用统计软件随机抽样,将其分为传统组(实施疾病分级预警制度前,n=475)、预警组(实施疾病分级预警制度后,n=473),并分析两组的PSQ-18量表积分,以评估其对健康体检中心运营质量的影响。结果性别、年龄、文化水平和家庭平均月收入水平均可对PSQ-18积分产生一定影响,但两组差异均无统计学意义(P>0.05);在人际交往方式、医患沟通程度、便利程度及患者总满意度4个维度上,传统组及预警组的PSQ-18积分分别为4.0±0.92/4.2±0.97、3.8±0.94/4.0±0.96、4.4±0.60/4.6±0.67和4.2±0.87/4.4±0.94分,两组间比较差异均有统计学意义(P均<0.05)。结论疾病分级预警制度的实施可显著提高健康体检者的患者满意度,实施疾病分级预警制度可显著改善健康体检中心的运营质量。

Effects of Disease Classification Early Warning System on Operation Quality of Health Examination Center

Objective Based on the PSQ-18 scale,to evaluate the effects of disease classification early warning system（DCEWS） on operation quality of health examination center（HEC）.Methods By means of the comparable and retrospective cohort study methods,using ＂PSQ-18＂ of American Rand Corporation as a tool,taking the date when HEC implemented DCEWS as node,and adopting statistic software for random sampling,it was divided into two groups： the traditional group（before implementing DCEWS,n=475） and the early warning group（after implementing DCEWS,n=473）.The PSQ-18 scale scores of both groups were analyzed so as to assess the effects of DCEWS on HEC.Results Such factors as sex,age,education level and family average monthly income had certain effects on the score of PSQ-18,but there was no significant difference between the two groups（P0.05）;in the following 4 dimensions as the ways of interpersonal communication,degree of doctor-patient communication,convenience degree and the overall satisfaction of patients,the PSQ-18 scores of the traditional group and the early warning group were 4.0±0.92/4.2±0.97,3.8±0.94/4.0±0.96,4.4±0.60/4.6±0.6,4.2±0.87/4.4±0.94,respectively,with significant differences（all P0.05）.Conclusion The implementation of ＂Disease classification early waning system＂ can significantly increase the ＂patient satisfaction＂ of health examinees,and can significantly improve the operation quality of health examination center.