应用加权TOPSIS法与加权秩和比法综合评价医疗质量

摘要

Objectives To evaluate 11 indexes of medical quality of a Three A and Tertiary Hospital comprehensively from 2011 to 2015 and provide reference for hospital management.Method To conduct sorting and grading the evaluation results by the combination of weighted TOPSIS and rank sum ratio methods.Results From 2011 to 2015, Ci value were 0.1357, 0.2487, 0.5117, 0.8265, 0.8463, and the data was increasing, suggest that the overall level of first-class hospital operation increase annually, good development momentum. The comprehensive evaluation of 2014 and 2015 was good, 2012 and 2013 was qualified, 2011 was bad, the difference among 3 groups was statistically significant.Conclusions The application of the two methods combined could both sort and grade, which made the comprehensive evaluation on the medical quality more accurate and scientific.%目的：对某三级甲等医院2011年至2015年医疗质量11项指标进行综合评价，为医院管理工作提供参考依据。方法应用加权TOPSIS法与加权秩和比法对评价结果进行排序和分档。结果2011年至2015年，Ci值分别为0.1357、0.2487、0.5117、0.8265、0.8463，数据呈现递增状态，提示该三级甲等医院整体运行水平逐年提高，发展态势良好。综合评价分档为“好”的是2014年2015年，分档为“中”的是2012年和2013年，分档为“差”的是2011年，各组差异有统计学意义。结论两者相结合运用，既能排序又能分档，对医疗质量的综合评价更具有准确性、科学性。