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目的对广西2014年第三批县级公立医院综合改革试点县的县级公立综合医院的医疗服务质量进行评价,探索多种评价方法组合使用的可行性。方法采用自编调查问卷调查35家广西县级公立综合医院,然后通过查阅资料文献选取3个维度13个指标作为医疗质量评价指标体系,在主成分分析法提取主成分并计算出各主成分权重系数的基础上,组合运用加权Topsis法和RSR法对医疗质量进行评价。结果评价得分排序显示,Topsis法和RSR法评价结果一致(Spearman相关系数0.9,P<0.001),RSR分档结果显示,优、良、中、差分别占17.1%、34.3%、34.3%、14.3%。结论在主成分分析法的基础上组合使用Topsis法和RSR法评价医疗质量具有科学性和可行性。广西第三批县级公立医院改革试点的35家县级公立综合医院医疗水平、设备较落后,医疗质量相对较高的几家医院可能和当地总人口数有关。
Objective To evaluate the quality of medical services of the county-level public general hospitals in the third batch of county-level public hospital comprehensive reform pilot counties in Guangxi in 2014, and to explore the feasibility of using multiple evaluation methods in combination. Methods A total of 35 county-level public hospitals in Guangxi were surveyed by means of self-made questionnaires. Then 13 indexes of 3 dimensions were selected as indexes of medical quality evaluation through consulting literature and literature. The principal components were extracted by principal component analysis and the weight of each principal component On the basis of the coefficients, the combination of weighted Topsis and RSR methods was used to evaluate the quality of medical care. Results The ranking of evaluation scores showed that the Topsis method was consistent with the RSR method (Spearman correlation coefficient 0.9, P <0.001). The results of RSR showed that the scores of excellent, good, moderate and poor were 17.1%, 34.3%, 34.3%, 14.3 %. Conclusion It is scientific and feasible to evaluate the medical quality by Topsis method and RSR method based on principal component analysis. In the third batch of county-level public hospital reform pilot projects in Guangxi, 35 county-level public general hospitals have relatively low medical standards, relatively backward facilities and relatively high quality of medical care. The number of hospitals may be related to the total local population.