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在第一评审周期结束之际,适时地开展“达标上等”创建工作对医疗工作影响的评估,对促进我国医院分级管理和医院评审,加快医院实现标准化和目标化管理进程有着十分重要的意义。本文采用特菲尔法建立了医疗工作评价指标体系和权重;运用TOPSIS法和加权秩和比法对医院初审前(1990年～1991年)、初审与复审间(1992年～1995年)和复审以后(1996年～)3个时期的医疗工作进行纵向评价。结果表明:“达标上等”创建工作对医疗工作质量有明显促进作用,而对医疗工作效率的影响未能与质量同步达到最佳水平。由此,作者提出:第二评审周期,应把握“巩固成果、提高质量、注重效率”的指导思想,更加注重质量与效率的同步发展,促进医院走“优质、高效”的内涵建设之路。
At the end of the first review cycle, the timely assessment of the impact of the establishment of “level-equivalent” on the impact of medical work is of great significance to the promotion of hospital-level management of hospitals in China and the acceleration of hospital standardization and targeted management. . This article uses the Tefir method to establish the evaluation index system and weights for medical work; use the TOPSIS method and the weighted rank-sum ratio method for the hospital before the first trial (1990-1991), the first trial and review (1992-1995) and review Later on (1996 ~) three periods of medical work for longitudinal evaluation. The results show that the establishment of the “attainment of superior standards” has a significant role in promoting the quality of medical work, and the impact on the efficiency of medical work cannot be optimally synchronized with the quality. Therefore, the author proposes that in the second review cycle, the guiding ideology of “consolidating results, improving quality, and focusing on efficiency” should be grasped, and more emphasis should be placed on the simultaneous development of quality and efficiency, and hospitals should be encouraged to follow the road of “high quality and high efficiency”.