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| 病例组合指数对三级公立医院学科科技量值排名的影响 |
| The effect of case mix index on the science and technology evaluation metrics of disciplines in tertiary public general hospital |
| 投稿时间：2020-12-02 修订日期：2021-03-01 |
| DOI： |
| 中文关键词: 病例组合指数 科技量值 学科建设 可持续发展 |
| 英文关键词: case mix index, science and technology evaluation metrics, disciplinary construction, sustainable development |
| 基金项目: |
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| 摘要点击次数: 250 |
| 中文摘要: |
| 目的病例组合指数反映了疾病诊疗的技术水平，间接反映了学科的医疗质量，科技量值代表了学科的科技创新和可持续发展的能力，医疗质量和可持续发展正是国家三级公立医院绩效考核的2个核心指标，本研究旨在探索病例组合指数对科技量值排名的影响。方法通过横断面研究的方法分析2017-2019年北京某三级医院不同学科病例组合指数和科技量值排名的关系。结果三年间进入学科百强的科室CMI值比未进入学科百强的科室高17%（p<0.05），多因素分析中，具备较高的CMI值的科室进入学科科技量值百强的可能性提高了2.29倍，以CMI值与进入学科百强科室的ROC曲线下面积为0.716（p=0.001）。结论CMI值可以反映学科的科技量值，临床科室应当努力提升科室CMI值，提高医疗服务能力和可持续发展的动力。 |
| 英文摘要: |
| [Subject] Background: Case mix index indicates the capacity of disease diagnosis and treatment and the quality of health cares in disciplines. Science and technology evaluation metrics represent the level of innovation and sustainable development of science and technology. Quality of health care and sustainable development are the two key evaluation items in the performance evaluation of national tertiary public hospitals. This study aimed to investigate the effect of case mix index on the science and technology evaluation metrics. Methods: Under a cross-sectional design, the relationship between case mix index and science and technology evaluation metrics was analyzed in a tertiary public general hospital between 2017 and 2019. Results: In three years, the departments in top 100 disciplines of science and technology evaluation metrics had the case mix index 17% higher than the departments in non-top 100 disciplines (p<0.05). In the multivariate analysis, higher case mix index increased a 2.29-fold higher probability to be in top 100 disciplines. The are under the receiver operative character curve between case mix index and top 100 disciplines in evaluation of departments was 0.716 (p=0.001). Conclusion: Case mix index indicated the level of science and technology evaluation metrics and the clinical deparments should improve the case mix index, service quality of health care and the motivation of sustainable development. |
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