摘要
目的:对乡镇卫生院提供的住院医疗服务的合理性和规范性进行综合评判,从中发现乡镇卫生院住院医疗质量的优势与不足,为改进基层卫生服务质量提供参考。方法:通过小儿支气管肺炎病案分析,研究其住院医疗服务中几个关键环节的质量。结果:病案书写不规范,辅助检查不足,诊断正确率较低,抗菌药、激素和静脉输液滥用。结论:病案书写质量不高反映出乡镇卫生院医务人员的质量意识薄弱,同时也折射出监管的缺失;多重因素导致抗菌药、激素和静脉输液滥用;诊疗规范须在基层医疗机构得到进一步落实。
Objectives：To find out advantages and disadvantages of the township hospital medical care by analysing the rationality and normative of its medical services,so as to play a foundation for the quality improvement.Methods：Analysing its hospital medical services in several key areas by using some medical records of bronchial pneumonia in children.Results：Many problems exist,such as,non-standard in medical records,inadequate on assistant examination,lower accuracy on diagnosis,and the abuse of antibiotics and hormones.Conclusions：The shortage in the writing of medical record reflected the weakness of medical staff ’s quality consciousness and the lack of supervision.Mul-tiple factors led to the abuse of anti-bacterial drugs,hormones and intravenous infusion.Diagnostic and treatment practices must be further im-proved among the grass-roots medical institutions.
出处
《医学与社会》
2010年第7期55-57,共3页
Medicine and Society
基金
第四次国家卫生服务调查子课题"基层医疗卫生机构卫生服务质量评价研究"
关键词
乡镇卫生院
住院医疗质量
病案分析
Township hospital
Quality of hospital medical care
Analysis on medical record
