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目的探讨综合评价医院医疗质量的有效方法,为提高医疗质量提供科学的决策依据。方法应用TOPSIS法结合RSR法,选用9个反映医疗质量的指标对医院2016年37个临床科室进行综合评价。结果根据回归方程所得到的RSR估计值将37个临床科室的医疗质量分为4档,经方差分析各档间有统计学差异(F=59.447,P<0.001),且两两间也均有统计学差异。综合医疗质量为优的有儿科、心内科一区、胸部肿瘤化疗科;相对较差的有神经外科、神经介入科;其他32个科室处于良好或中等水平。结论 TOPSIS法与RSR法相结合,评价医院各科室综合医疗质量具有良好的科学性,值得应用和推广。
Objective To explore an effective method for comprehensive evaluation of hospital medical quality and to provide a scientific basis for decision-making in improving medical quality. Methods TOPSIS combined with RSR method, the selection of nine indicators of medical quality of the hospital in 2016 a comprehensive evaluation of 37 clinical departments. Results According to the regression equation, the medical quality of 37 clinical departments was divided into 4 grades according to the RSR of regression equation. There was a significant difference (F = 59.447, P <0.001) Statistical differences. Comprehensive medical quality is excellent in pediatrics, cardiology, a district, chest cancer chemotherapy; relatively poor neurosurgery, neurological intervention; the other 32 departments in good or moderate level. Conclusion The combination of TOPSIS and RSR is a good scientific method to evaluate the comprehensive medical quality in all departments of the hospital and is worthy of application and promotion.