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[目的]应用病例分型质量评价法对医疗质量进行评价,为各医疗机构合理评价医疗质量提供依据。[方法]以唐山市600名60岁以上的患有脑梗塞等4种疾病的住院患者为研究对象,利用病例分型质量评价法评价医疗质量。[结果]复杂型病例占44.90%,病例优良率为81.67%,病例质量平均得分为91.81分。[结论]“病例分型评价法”比“病种评价法”更科学,复杂病例的比重、病例优良率和病例质量得分是医疗质量综合评价的重要指标。
[Objective] To evaluate the medical quality by applying the method of case type quality evaluation, and provide the basis for the reasonable evaluation of medical quality of medical institutions. [Methods] The inpatients with over 60 years old who suffered from cerebral infarction and other 4 diseases in Tangshan City were enrolled in this study. The quality of medical care was evaluated by the quality of case classification. [Results] The complicated cases accounted for 44.90%, the excellent and good cases were 81.67% and the average quality of cases was 91.81. [Conclusion] The proportion of more scientific and complicated cases, the rate of excellent cases and the score of case quality are important indexes for the comprehensive evaluation of medical quality.