Comprehensive Evaluation of Medical Quality and Analysis of the Influencing Factors in a 3A Hospital
Objective:To evaluate the operational status of medical quality in a 3A hospital in Guangdong Province,and provide a basis for the construction and continuous improvement of the medical quality system.Method:An evaluation index system of medical quality management with 5 first-level indicators and 17 second-level indicators was established with the expert consultation method.TOPSIS method based on entropy weight was used to comprehensively evaluate the data of medical quality indicators from 2010 to 2020.Multivariate linear regression model was used to explore the influencing factors of the comprehensive evaluation results.Result:The comprehensive evaluation results of medical quality indicators from 2010 to 2020 showed a fluctuating and increasing trend,and the evaluation results are basically consistent with the actual situation of the hospital;The numbers of emergency diagnosis and treatment,outpatient surgery,minimally invasive surgery,and the clinical pathway entry rate are the main influencing factors of hospital medical quality level(P＜0.001).Conclusion:TOPSIS method based on entropy weight can objectively and accurately understand the changes of comprehensive medical quality in hospitals,help to determine the direction of continuous improvement of medical quality and further improve the standardized management level of hospital medical quality.
quality of medical careentropy weight methodTOPSIS methodcomprehensive evaluationinfluencing factor
NETL
NSTL
万方数据
