某军区14所医院三年运行情况调查分析

采用随机抽样方法,选定某军区14所不同等级不同规模的医院,通过对综合效率指标、诊断质量指标、治疗质量指标等19项指标进行分析,存在的问题是:总体加床过多,资源显得浪费,1996年度最为明显;放射等辅诊质量亟需提高,以适应专科技术建设的需要;部分医院对入院标准放得过宽,少数医院编制病床数略示不足;医院感染管理工作明显薄弱;1996年度医院医疗工作形势发展不平衡,工作中存在管理空档和薄弱环节,其中包括病床资源利用不理想,1996年度医疗质量管理中存在“两高两低”现象,即住院病人病死率和治愈者平均住院日升高,抢救成功率和无菌切口甲级愈合率降低等。提出如下对策:进一步强化病床资源的合理配置利用;抓紧医技科室的质量建设,使之能与临床专业同步发展;想方设法尽快纠正1996年医院工作中的“两高两低”现象;大力加强医院感染的监测与管理工作;认真重视病人入院标准的管理。

A Sampling Survey of 14 Military Hospitals

An investigation of 14 various - sized military hospitals selected by random sampling in a military area made quantitative and qualitative analyses using 19 targets such as composite efficiency, diagnosis and treatment qualitise, and put forward constructive suggestiongs on how to optimize eisposistion and utiliztation of resources; raise the construction of radiological and other accessory diagnostic methods to higher levels according to the task, size and type of hospital; provide technical means and financial supportive measures to effectively decrease nosocomial infections; make administrative, managerial, and professional measures well - coordinated and mutually facilitating to achieve optimal benefits of hospital ser-vices.