| 摘要: |
| 目的:探索利用病案首页数据进行病种医疗质量分析的基本方法.方法:通过文献回顾和实例研究对病种的划分、筛选、评价指标的选择与计算等内容的基本原则、方法与步骤进行了介绍,并指出了其中应该注意的问题.结果:所选择病种的住院患者之和占住院患者总数的60﹪时,所包含的医疗质量信息已超过了全部信息量的80﹪;97.66﹪的病种的出院者住院费用、住院天数等指标呈对数正态分布.结论:采用固定位数的ICD-9编码分类方法可操作性较好,分析病种所包括的住院患者占住院患者总数的60﹪左右较为合适,病种平均住院天数和平均住院费用等指标以几何均数为宜. |
| 关键词: 病案、医疗质量、病种 |
| DOI：10.3724/SP.J.1008.2006.00703 |
| 投稿时间：2006-06-26修订日期：2006-06-30 |
| 基金项目: |
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| Using the first page data of medical record to analyze medical service quality of different disease entities |
| CAO Yang,ZHANG Luo-man |
| (第二军医大学卫生勤务学系卫生统计学教研室,上海,200433) |
| Abstract: |
| Objective：To search for a method for analyzing medical service quality of different disease entities using the first page data of medical records. Methods： Based on documents review and real data analysis, the basic principles, methods and steps of disease entity dividing and selecting, evaluation index selecting, and calculating were introduced. Special attention was paid to certain problems in the discussion. Results： When the inpatients of selected disease entities covered 60%o of total hospitalized patients, the medical quality information included exceeded 80% of the total information. For 97.66% disease entities, their inpatient cost and length of hospital stay were logarithmic-normally distributed. Conclusion. Dividing disease entities by fixed digits of ICD-9 code is easily performable. This method should be used when the disease entities include about 60% of total inpatients, and geometric mean should be used in calculating average length of hospital stay and average cost. |
| Key words: medical records medical services quality disease entity |
