摘要
目的评价老年患者获得的医疗服务质量。方法采用课题组建立的老年医疗质量评价指标评价医疗质量。结果某医院132名老年患者获得了很好的医疗质量,即各指标的平均执行率为80.9%,其中76个指标(58.9%)的执行率达到了100%,执行率小于50%(不含50%)的指标为23个(17.8%)。治疗相关指标的执行率最高,为90.9%;诊断相关指标的执行率最低,为70.4%;疾病筛查及预防指标的执行率为89.7%,随访指标的执行率为80.1%,健康教育指标的执行率为77.4%。对于各疾病状况及老年综合征而言,执行率最高的为疾病预防与筛选,达到了100%;最低的为跌倒和运动障碍,为10%。结论该老年患者人群获得了很好的医疗质量,但仍有待改进。
Objective To assess the quality of-health care for the older patients. Methods The quality indicators developed by the research team were used to assess health care quality of 132 hospitalized elder patients aged 60 or older admitted to a general hospital. Re- sults 132 participants were given 80. 9% of recommended care. 90% of QIs focused on treatment were passed. This rate was higher than the adherence to QIs for care processes aimed at follow-up （ 80. 1% ） , diagnosis （ 70. 4% ）, health education （ 77. 4% ） or prevention （89. 7% ） . The percentage of indicated care received by participants was the highest for prevention and screening （ 100% ）, lowest for falls and mobility （10%）. Conclusions The older patients obtain better health care quality, but the health care may be more improved.
出处
《中国老年学杂志》
CAS
CSCD
北大核心
2011年第6期915-918,共4页
Chinese Journal of Gerontology
基金
中央保健科研课题(06H050)
国家科技支撑计划项目(2009BAI86B01)
军队十一五课题(06L037)
关键词
老年
医疗质量
评价
Older persons
Quality of health care
Assessment
