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目的评价2008年北京地区脑梗死住院患者医疗服务质量,促进医疗机构质量管理持续改进。方法采用结果评价标准与过程评价标准相结合的评价体系,对北京市12家医院的脑梗死医疗质量进行了评价并与2007年结果进行比较。结果2008年北京市12家三甲医院脑梗死患者医疗服务质量管理12项过程评价指标平均执行率为67.27%,均高于2007年(43.71%)。2008年平均住院日、平均住院费用、平均药费等结果指标均低于2007年。结论采用过程与结果评价指标相结合的单病种医疗质量管理评价方法,是医院进行持续医疗质量改进的有效工具。2008年脑梗死医疗质量较2007年虽有所提高,但指标总体执行情况仍偏差。
Objective To evaluate the quality of medical services of hospitalized patients with cerebral infarction in Beijing in 2008 and to improve the quality management of medical institutions continuously. Methods The evaluation system of outcome evaluation criteria and process evaluation criteria was used to evaluate the medical quality of cerebral infarction in 12 hospitals in Beijing and compared with the results of 2007. Results In 2008, the average execution rate of 12 items of medical service quality management in 12 top three hospitals in Beijing was 67.27%, higher than that in 2007 (43.71%). The average length of stay in 2008, the average hospitalization costs, the average drug costs and other indicators of the results are lower than in 2007. Conclusion The single disease quality management evaluation method using the process and result evaluation index is an effective tool for the hospital to improve the quality of continuous medical care. Although the quality of medical care for cerebral infarction increased in 2008 compared with that in 2007, the overall implementation of the indicators still lagged.