| 摘要: |
目的
采用“专科疾病质量指数”评价法衡量专科发展，为专科发展提供参考。方法 确立专科疾病相关衡量指标与评价方法。对南通大学附属丹阳医院2013—2015年骨科、消化、心内、泌尿和普外5个重点专科出院患者统计，计算疾病质量因子、专科标准化工作量和专科疾病质量指数，进行纵向对比分析；选择某三甲医院作为标杆横向对比分析。结果 脊柱、消化、心内、普外4个专科标准化工作量连续2年上涨；消化、心内和普外3个专科专科疾病质量指数连续2年上涨。心内科标准化工作量和专科疾病质量指数分别是标杆医院的83%和93%，为5个专科最高；消化内科分别是33%和60%为最低。其中消化、心内和普外近2年发展较好，但与标杆比较存在较大差距。结论 专科疾病质量指数可以摆脱费用差异和非量化指标混杂因素干扰，客观、公正评价专科水平，指导专科发展。 |
| 关键词: 疾病质量因子 标准化工作量 市场占有率 专科疾病质量指数 |
| DOI： |
|
| 基金项目: |
|
| Assessment of the Development of Specialists Based on Index of Specialist Disease Quality as an Evaluation Method |
|
| () |
| Abstract: |
|
Objective
“Index of specialist disease quality(ISDQ)” is adopted as the evaluation method to measure the development of specialists, to provide suggestions for the development of specialists. Methods Establishing the related measurement indicators and evaluation methods of specialist diseases. Doing statistics analysis of the discharged patients of 5 key specialists in the hospital from 2013 to 2015, including Orthopedics, Digestive, Cardiology, Urology and General Surgery Department; figuring out the factors of disease quality(FDQ), standardization workload of specialist(SW) and ISDQ, and then performing the longitudinal comparison analysis; and doing comparison analysis of A local tertiary first hospital as the benchmark to conduct the transverse. Results There were 4 specialists with rising SW in 2 years: Spine Surgery, Digestive, Cardiology and General Surgery Department. Also, there were 3 specialists with rising ISDQ in consecutive 2 years: Digestive，Cardiology and General Surgery Department. SW and ISDQ of Cardiology Department were 83% and 93% , which was the highest in these 5 specialists, while Digestive Department was the lowest with 33% and 60% respectively. Regarding the specialists development in the hospital, the developing trend of Digestive，Cardiology and General Surgery Department were promising in recent two years. However, there was the gap with the benchmark hospital. Conclusion ISDQ can solve the interference of confounding factors, such as cost difference and non-quantitative indicators, evaluate the development of specialists objectively and fairly, and guide development of specialists. |
| Key words: factor of disease quality,standardization workload,market share,index of specialist disease quality |
