甘肃省三级综合医院康复医疗服务质量综合评价

doi:10.3969/j.issn.1006-9771.2021.01.018

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (1): 117-124.doi: 10.3969/j.issn.1006-9771.2021.01.018

• 康复管理 • 上一篇

甘肃省三级综合医院康复医疗服务质量综合评价

石秀娥¹, 王斌雄¹, 方亚琼², 张艳¹, 陈兆全³, 王波¹, 王满侠⁴, 张婷¹, 黄朝荣¹, 裴泓波^2,5

1.甘肃省康复中心医院，甘肃兰州市 730000
2.兰州大学公共卫生学院，甘肃兰州市 730000
3.兰州石化总医院，甘肃兰州市 730000
4.兰州大学第二医院，甘肃兰州市 730000
5.兰州大学“一带一路”研究中心，甘肃兰州市 730000

收稿日期:2020-04-27 修回日期:2020-11-10 出版日期:2021-01-25 发布日期:2021-01-27
通讯作者: 黄朝荣，E-mail： 1185355287@qq.com
作者简介:石秀娥(1967-)，女，汉族，甘肃天水市人，硕士，主任医师，主要研究方向：老年病康复，神经康复；黄朝荣(1964-)，男，汉族，甘肃武威市人，硕士，主任医师，主要研究方向：康复医学；裴泓波(1974-)，女，汉族，甘肃天水市人，博士，副教授，主要研究方向：卫生项目评价。
基金资助:
1.中央高校基金"一带一路"专项(No. 17LZUJBWZX008);2.甘肃省康复医学服务能力与质量评估项目〔No. (19)0122〕

Comprehensive Evaluation of Rehabilitation Medical Service Quality in Tertiary General Hospitals in Gansu, China

SHI Xiu-e¹, WANG Bin-xiong¹, FANG Ya-qiong², ZHANG Yan¹, CHEN Zhao-quan³, WANG Bo¹, WANG Man-xia⁴, ZHANG Ting¹, HUANG Chao-rong¹, PEI Hong-bo^2,5

1. Gansu Province Hospital Rehabilitation Center, Lanzhou, Gansu 730000, China
2. School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
3. Lanzhou Petrochemical General Hospital, Lanzhou, Gansu 730000, China
4. Lanzhou University Second Hospital, Lanzhou, Gansu 730000, China
5. The Belt and Road Research Center, Lanzhou University, Lanzhou, Gansu 730000, China

Received:2020-04-27 Revised:2020-11-10 Published:2021-01-25 Online:2021-01-27
Contact: HUANG Chao-rong, E-mail: 1185355287@qq.com
Supported by:
Fundamental Research Funds for Central Universities (No. 17LZUJBWZX008) and Gansu Rehabilitation Medical Service Ability and Quality Evaluation Project (No. (19)0122)

摘要/Abstract

摘要： 目的了解甘肃省三级综合医院康复医疗服务质量。方法分层抽样法抽取2017年甘肃省有代表性的三级综合医院进行现场调查。从医疗服务供方视角，以Donabedian结构-过程-结果三维质量管理理论模式结合专家意见，构建含17项指标的质量评价指标体系。应用优劣解距离法(TOPSIS法)结合秩和比法对医院康复医疗的整体服务质量进行综合评价。结果共抽取27家医院，覆盖甘肃省13个市(州)。结构质量指标中，康复医学科业务运行场地面积达标率77.78%，床位数达标率51.85%，医师、治疗师和护士数量达标率均不足50%；过程质量、结果质量各项指标达标率均在85%以上。康复医疗服务整体质量“好”的5家，分布在兰州市、天水市和嘉峪关市；“中”的18家，分布在陇南、陇东、兰州及周边、临夏、河西地区；“差”的4家，分布在兰州市和天水市。结论甘肃省三级综合医院康复医疗整体质量有待改善，各地区发展不均衡。综合评价为促进康复医疗资源的合理布局、康复医疗服务质量提升提供重要参考。

关键词: 康复医疗, 服务质量, 三级医院, 优劣解距离法, 秩和比, 甘肃

Abstract: Objective To investigate the quality of rehabilitation medical service in tertiary general hospitals in Gansu Province. Methods Stratified sampling was used to sample tertiary general hospitals in Gansu Province for on-site surveys in 2017. A quality evaluation index system was established in the view of medical service providers, including 17 indicators, based on Donabedian model and experts' opinions. Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) and Rank-sum Ratio were applied to make a comprehensive evaluation on the overall service quality of the hospital rehabilitation medical service. Results A total of 27 tertiary general hospitals were sampled, in 13 cities/prefectures of Gansu Province. For the structure quality, the compliance rate of the business operation area and the number of beds in the rehabilitation medicine department were 77.78% and 51.85% respectively; while the compliance rates of the physicians, therapists and nurses were all less than 50%. For the process and results quality, the compliance rates were all more than 85%. For the overall quality of rehabilitation medical service, five hospitals were classified as Good, located in Lanzhou, Tianshui and Jiayuguan; 18 hospitals were classified as Medium, located in Longnan, Longdong, Lanzhou and surround, Linxia and Hexi regions; four hospitals classified as Poor, located in Lanzhou and Tianshui. Conclusion The overall quality of rehabilitation services in the tertiary general hospitals of Gansu Province needs to be improved, and the development of rehabilitation services is uneven in various regions. Comprehensive evaluation provides an important reference to promote the rational distribution of rehabilitation medical resources and improve the quality of rehabilitation medical services.

Key words: rehabilitation medicine, service quality, tertiary hospitals, Technique for Order Preference by Similarity to Ideal Solution, Rank-sum Ratio, Gansu

中图分类号:

R197.3

石秀娥, 王斌雄, 方亚琼, 张艳, 陈兆全, 王波, 王满侠, 张婷, 黄朝荣, 裴泓波. 甘肃省三级综合医院康复医疗服务质量综合评价[J]. 《中国康复理论与实践》, 2021, 27(1): 117-124.

SHI Xiu-e, WANG Bin-xiong, FANG Ya-qiong, ZHANG Yan, CHEN Zhao-quan, WANG Bo, WANG Man-xia, ZHANG Ting, HUANG Chao-rong, PEI Hong-bo. Comprehensive Evaluation of Rehabilitation Medical Service Quality in Tertiary General Hospitals in Gansu, China[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(1): 117-124.

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甘肃省三级综合医院康复医疗服务质量综合评价

Comprehensive Evaluation of Rehabilitation Medical Service Quality in Tertiary General Hospitals in Gansu, China

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