11家区县医院危急重症救治能力的比较分析

目的评估北京市远郊区县区域中心医院危重病例救治能力。方法从北京市公共卫生信息中心"北京市出院病人病案首页数据库"收集11家远郊区县区域中心医院2008年的"心肌梗死"、"消化道出血"、"中风伴严重并发症"和"多发性创伤"4类出院病例。以"回原住地率"为正向指标,同时利用死亡和转院信息构建"未能救治率"作为负向指标,对医院的危重病例救治能力进行评价。结果综合正向和负向指标,在11家区域中心医院中,医院C的危重病例救治能力最强,而A的危重病例救治能力最弱。结论利用客观的出院转归指标,便于不同医疗机构之间的横向比较,有助于得到较为可靠的医疗服务能力评估结果。

Comparing the Treatment Capacity of Catastrophic Disease among Eleven Regional County Level Hospitals

Objective To estimate severe diseases therapy capability of center hospitals in rural Beijing. Method The data came from the Database of Inpatient Records in Beijing commissioned by Beijing Public Health Center. The cases who had myocardial infarction, gastrointestinal hemorrhage, stroke with serious complications or multiple significant trauma in 2008 were collected. The ＂rate of coming back home＂ and the ＂rate of cannot-therapy＂ were used to assess the therapy capability, and the former indicator is positive and the latter indicator is negative. Result Through considering the positive and the negative indicators together, Hospital C had the best capability to treat severe diseases, while such ca- pability of Hospital A was worst among these eleven center hospitals. Conclusion The objective indicators of inpatient healthcare output make it convenient for horizontal comparison among different hospitals, so that the evaluation of healthcare capacity based on these indicators are more reliable.