医院之间治疗质量指标如何评价

<正> 看一个医院或医院间的医疗水平,除从诊断质量、护理质量、管理质量上进行评价外,更主要的是应从治疗质量上进行评价;因为病人就医和医院对病人进行诊疗的目的都是为了治好疾病。目前,常被人们用来对医院进行医疗质量和眼务质量评价的治疗质量指标有治愈率、好转率、病死率、危重病人抢救成功率等。兹就治愈率为例,一般说来,它的指数越高,反映医疗水平就越高。若以病死率观察,与此相反,它的指数越低,说明对危重病人抢救成功率

How to Evaluate Therapeutic Quality Indices among Hospitals

The medical care quality (MCQ) of a hospital should be evaluated primarily by therapeutic quality indices, such as cure rate, improvement rate, non-cure rate and mortality. The higher the cure rate, the lower mortality, the better is MCQ and Service; and the reverse is also true. However, evaluation based singly on the absolute numbr of patients treated is generally justified only within one hospital and under certain equivalent conditions. It would be unreasonable and consequently unscientific to ext- tend such application for evaluation of MCQ among departments of a given hospital or among various hospitals. The reason is great discrepeny in the personnel and staff quality, equipment and facilities, administration competence, disease entities and severeness of patients admitted. In addition, diagnostic and therapeutic criteria have not been standardized yet. Consequently, there is great probability of deviation due to subjective randomization, resulting in false preponderance of cured population. To evaluate the MCQ of various hospitals correctly, parameters for comparison should be standardized. Errors from unbalance in the absolute number of admitted patients can be dealt with and corrected using the method of standardization.