Medical quality evaluation method and system under hospital performance assessment system
By setting up major categories and details of medical quality evaluation in the hospital performance appraisal system and calculating the assessment scores, the problem of lack of effective information collection and evaluation methods in the existing technology is solved, and a systematic and scientific evaluation of the hospital's medical quality is achieved.
Patent Information
- Application Number
- CN202411372172.1
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-09-29
- Publication Date
- 2025-03-25
AI Technical Summary
There is a lack of clear information collection and evaluation methods in the existing hospital performance appraisal system, and it is difficult to effectively evaluate the completion of medical quality indicators of clinical departments and doctors.
By setting up major categories and details of medical quality evaluation, and determining the target value and indicator types based on the assessment manual and the hospital's own needs, calculating the completion value and completion degree, and finally calculating the assessment score based on the weight.
The systematization and scientific evaluation of the medical quality of various clinical departments and doctors of the hospital has been achieved, and the medical quality status can be more accurately reflected, thereby promoting the high-level development of public hospitals.
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Figure CN119694508A_ABST
Abstract
Description
Technical Field
[0001] The present invention belongs to the technical field of medical quality evaluation, and in particular relates to a medical quality evaluation method and system under a hospital performance evaluation system. Background Art
[0002] With the progress of society, it is particularly important to promote the high-level development of medical quality in public hospitals.
[0003] Among them, performance appraisal can, to a certain extent, promote the high-level development of medical quality in public hospitals. However, according to the existing appraisal operation manual, only the standards of medical quality-related indicators that hospitals at all levels need to achieve are listed. It is not clear what information to collect and how to evaluate the indicator completion of clinical departments / managing doctors and apply the evaluation results. Summary of the invention
[0004] Based on this, an embodiment of the present invention provides a medical quality evaluation method and system under a hospital performance evaluation system, aiming to solve the above problems.
[0005] A first aspect of an embodiment of the present invention provides a medical quality evaluation method under a hospital performance evaluation system, the method comprising:
[0006] According to the assessment manual and the hospital's own assessment needs, set up major categories of medical quality evaluation, and subdivide the corresponding medical quality evaluation items according to the major categories of medical quality evaluation;
[0007] Setting weights for the major categories of medical quality evaluation and the corresponding detailed items of medical quality evaluation;
[0008] According to the assessment manual and the hospital's own assessment needs, determine the target values and indicator types for the medical quality evaluation items of each clinical department during the current assessment period;
[0009] Calculate the completion value and degree of completion of the medical quality evaluation items of each clinical department during the current assessment period;
[0010] According to the degree of completion and the weight of the medical quality evaluation items, the evaluation scores of the medical quality evaluation items of each clinical department and the evaluation scores of each clinical department in the current evaluation period are calculated and output;
[0011] The steps of setting weights for the major categories of medical quality evaluation include:
[0012] According to the assessment manual and the hospital's own assessment needs, determine the target values and indicator types for each medical quality evaluation item during the current assessment period;
[0013] Calculate the completion value of each medical quality evaluation item of the hospital in the previous assessment period, and according to the target value and indicator type of each medical quality evaluation item in the current assessment period, set a threshold limit on the completion value of each medical quality evaluation item of the hospital in the previous assessment period to obtain a limit value;
[0014] Respectively calculating the first normalized result of the target value of each medical quality evaluation item in the current assessment period and the second normalized result of the limit value, and calculating the Euclidean distance between the first normalized result and the second normalized result;
[0015] Calculate and set the weight of the major category of medical quality evaluation according to the Euclidean distance;
[0016] The steps for setting weights for the corresponding medical quality evaluation items include:
[0017] Calculate the target Manhattan distance according to the first normalization result, the second normalization result and the base distance;
[0018] According to the target Manhattan distance and the weight of the major category of medical quality evaluation, the weight of each medical quality evaluation item is calculated and set.
[0019] Furthermore, after the step of setting weights for the major medical quality evaluation categories and the corresponding medical quality evaluation items, the step further includes:
[0020] According to the assessment manual and the hospital's own assessment needs, determine the target values and indicator types of the medical quality evaluation items for each managing physician during the current assessment period;
[0021] Calculate the completion value and degree of completion of the medical quality evaluation items of each managing doctor during the current assessment period;
[0022] According to the completion degree and the weights of the medical quality evaluation items, the assessment scores of the medical quality evaluation items of each managing doctor and the assessment scores of each managing doctor in the current assessment period are calculated and output.
[0023] Furthermore, the indicator type includes high-quality indicators and low-quality indicators. When the medical quality evaluation item is less than or equal to the corresponding target value, the indicator type is a low-quality indicator; when the medical quality evaluation item is greater than the corresponding target value, the indicator type is a high-quality indicator.
[0024] Furthermore, the completion value of each medical quality evaluation item of the hospital in the previous assessment period is calculated, and according to the target value and indicator type of each medical quality evaluation item in the current assessment period, the completion value of each medical quality evaluation item of the hospital in the previous assessment period is threshold-limited. In the step of obtaining the limit value, when the indicator type is a low-quality indicator, if the current completion value is greater than or equal to the corresponding target value, the result of the completion value after threshold limitation is still the current completion value; if the current completion value is less than the corresponding target value, the result of the completion value after threshold limitation is determined to be the corresponding target value; when the indicator type is a high-quality indicator, if the current completion value is greater than or equal to the corresponding target value, the result of the completion value after threshold limitation is determined to be the corresponding target value; if the current completion value is less than the corresponding target value, the result of the completion value after threshold limitation is still the current completion value.
[0025] Furthermore, in the step of respectively calculating the first normalized result of the target value of each medical quality evaluation item in the current assessment period and the second normalized result of the limit value, the normalized calculation formula is expressed as:
[0026]
[0027] in, Expressed as the first normalized result, The second normalized result is expressed as T ij It is expressed as the target value of the medical quality evaluation item, C ij * Expressed as the limit value of the medical quality evaluation item.
[0028] Furthermore, in the step of calculating the Euclidean distance between the first normalized result and the second normalized result, the calculation formula of the Euclidean distance is expressed as:
[0029]
[0030] Among them, D i Expressed as Euclidean distance.
[0031] Furthermore, in the step of calculating the target Manhattan distance according to the first normalization result, the second normalization result and the base distance, the calculation formula of the target Manhattan distance is expressed as:
[0032]
[0033] Among them, D ij Denoted as Manhattan distance, D ij * It is represented as the target Manhattan distance and 1 / j is represented as the base distance.
[0034] A second aspect of the embodiments of the present invention provides a medical quality evaluation system under a hospital performance evaluation system, which is used to implement the medical quality evaluation method under a hospital performance evaluation system according to the first aspect of the embodiments of the present invention, and the system includes:
[0035] The first setting module is used to set the major categories of medical quality evaluation according to the evaluation manual and the hospital's own evaluation requirements, and to subdivide the corresponding medical quality evaluation items according to the major categories of medical quality evaluation;
[0036] The second setting module is used to set weights for the medical quality evaluation categories and corresponding medical quality evaluation items;
[0037] The first determination module is used to determine the target value and indicator type of the medical quality evaluation items of each clinical department during the current assessment period according to the assessment manual and the hospital's own assessment requirements;
[0038] The first calculation module is used to calculate the completion value and degree of completion of the medical quality evaluation items of each clinical department during the current assessment period;
[0039] The first output module is used to calculate the assessment scores of the medical quality evaluation items of each clinical department in the current assessment period and the assessment scores of each clinical department according to the completion degree and the weights of the medical quality evaluation items, and output them.
[0040] A third aspect of an embodiment of the present invention provides a computer-readable storage medium, including:
[0041] The readable storage medium stores one or more programs, which, when executed by the processor, implement the medical quality evaluation method under the hospital performance evaluation system as described in the first aspect.
[0042] A fourth aspect of an embodiment of the present invention provides an electronic device, the electronic device comprising a memory and a processor, wherein:
[0043] The memory is used to store computer programs;
[0044] When the processor is used to execute the computer program stored in the memory, the medical quality evaluation method under the hospital performance evaluation system as described in the first aspect is implemented.
[0045] A medical quality evaluation method and system under a hospital performance evaluation system provided in an embodiment of the present invention sets major categories of medical quality evaluation according to an evaluation manual and the hospital's own evaluation requirements, and subdivides corresponding medical quality evaluation items according to the major categories of medical quality evaluation; sets weights for the major categories of medical quality evaluation and the corresponding medical quality evaluation items; determines the target value and indicator type of the medical quality evaluation items of each clinical department in the current evaluation period according to the evaluation manual and the hospital's own evaluation requirements; calculates the completion value and degree of completion of the medical quality evaluation items of each clinical department in the current evaluation period; calculates the evaluation score of the medical quality evaluation items of each clinical department in the current evaluation period and the evaluation score of each clinical department according to the degree of completion and the weight of the medical quality evaluation items, and outputs them to complete the evaluation. Specifically, the evaluation score is further applied to the medical quality performance ranking or performance distribution scenario to promote the high-level development of medical quality in public hospitals to a certain extent. BRIEF DESCRIPTION OF THE DRAWINGS
[0046] Figure 1 A flowchart of a method for evaluating medical quality under a hospital performance evaluation system provided in the first embodiment of the present invention;
[0047] Figure 2 A structural block diagram of a medical quality evaluation system under a hospital performance evaluation system provided in Embodiment 3 of the present invention;
[0048] Figure 3 This is a structural block diagram of an electronic device provided in Embodiment 4 of the present invention. DETAILED DESCRIPTION
[0049] It should be noted that when an element is referred to as being "fixed to" another element, it may be directly on the other element or there may be a central element. When an element is considered to be "connected to" another element, it may be directly connected to the other element or there may be a central element at the same time. The terms "vertical", "horizontal", "left", "right" and similar expressions used herein are for illustrative purposes only.
[0050] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as those commonly understood by those skilled in the art of the present invention. The terms used herein in the specification of the present invention are only for the purpose of describing specific embodiments and are not intended to limit the present invention. The term "and / or" used herein includes any and all combinations of one or more related listed items.
[0051] Embodiment 1
[0052] According to an embodiment of the present invention, a medical quality evaluation method under a hospital performance appraisal system is provided. It should be noted that the steps shown in the flowchart of the accompanying drawings can be executed in a computer system such as a set of computer executable instructions, and although a logical order is shown in the flowchart, in some cases, the steps shown or described can be executed in an order different from that shown here.
[0053] In this embodiment 1, a medical quality evaluation method under a hospital performance evaluation system is provided, which can be used in electronic devices, such as computers. Figure 1 , which is a flow chart for implementing a medical quality evaluation method under a hospital performance evaluation system provided in Embodiment 1 of the present invention, specifically including steps S01 to S05.
[0054] Step S01, according to the assessment manual and the hospital's own assessment requirements, set up major categories of medical quality evaluation, and subdivide corresponding medical quality evaluation items according to the major categories of medical quality evaluation.
[0055] In this embodiment, the medical quality evaluation category S is set i For example, S1 is "medical output", S2 is "quality of inspection", S3 is "rational use of drugs", S4 is "quality of nursing", S5 is "hospital infection monitoring", S6 is "quality of medical records", and S7 is "other monitoring". Further, each medical quality evaluation category is subdivided into corresponding medical quality evaluation items S ij , for example, under S1 "Medical Output" set S 11 “Average length of stay”, S 12 “Cure and improvement rate”, S 13 "Success rate of rescuing hospitalized critically ill patients", S 14 "Analysis rate of hospitalization for more than 30 days", S 15 “Perioperative examination compliance rate”, S 16 “Compliance rate of 18 core medical safety systems”.
[0056] Step S02, setting weights for the major categories of medical quality evaluation and the corresponding detailed items of medical quality evaluation.
[0057] Specifically, set S i The assessment weight M i , where ∑ i=1 M i =100%; set S ij The assessment weight M ij , where ∑ j=1 M ij =M i It should be noted that the steps for setting weights for the major categories of medical quality evaluation include:
[0058] According to the assessment manual and the hospital's own assessment needs, determine the details of each medical quality evaluation item during the current assessment period. ij The target value T ij and indicator type P ij , where the target value T ij It is a numerical value. The indicator types include high-quality indicators and low-quality indicators. When the medical quality evaluation item is less than or equal to the corresponding target value, the indicator type is a low-quality indicator; when the medical quality evaluation item is greater than the corresponding target value, the indicator type is a high-quality indicator. It is understandable that P ij ={high quality index, low quality index}, for example, this year S 11 The target value of “average length of stay” is ≤5.2 days. 11 =5.2, P 11 = low-quality index;
[0059] Calculate the medical quality evaluation items S of traditional Chinese medicine hospitals in the previous assessment period (generally the previous year) ij The completion value C ij , and according to the target value and indicator type of each medical quality evaluation item in the current assessment period, the completion value of each medical quality evaluation item of the hospital in the previous assessment period is limited by the threshold value, and the limit value C is obtained. ij * It should be noted that when the indicator type is a low-quality indicator, if the current completion value is greater than or equal to the corresponding target value, the result after the completion value is limited by the threshold is still the current completion value. If the current completion value is less than the corresponding target value, the result after the completion value is limited by the threshold is determined to be the corresponding target value; when the indicator type is a high-quality indicator, if the current completion value is greater than or equal to the corresponding target value, the result after the completion value is limited by the threshold is determined to be the corresponding target value. If the current completion value is less than the corresponding target value, the result after the completion value is limited by the threshold is still the current completion value. It can be understood that when P ij = Low-quality indicators, such as C ij ≥T ij , then C ij * =C ij , otherwise C ij * =T ij When P ij =High quality index, such as C ij ≥T ij , then C ij * =T ij , otherwise C ij * =C ij ;
[0060] The first normalized result of the target value of each medical quality evaluation item in the current assessment period and the second normalized result of the limit value are calculated respectively, and the Euclidean distance between the first normalized result and the second normalized result is calculated. Specifically, the normalized calculation formula is expressed as:
[0061]
[0062] in, Expressed as the first normalized result, The second normalized result is expressed as T ij It is expressed as the target value of the medical quality evaluation item, C ij * It is expressed as the limit value of the medical quality evaluation item, and the calculation formula of the Euclidean distance is expressed as:
[0063]
[0064] Among them, D i Expressed as Euclidean distance;
[0065] According to the Euclidean distance, the weight of the major category of medical quality evaluation is calculated and set, where M i =D i / ∑ i=1 D i , to meet ∑ i=1 M i =100%, and also meets the requirements of the previous assessment period S i The worse the completion, the shorter the current assessment period S i The algorithm design concept with a greater assessment weight is shown in the following table for example:
[0066]
[0067] The steps for setting weights for the corresponding medical quality evaluation items include:
[0068] According to the first normalization result, the second normalization result and the basic distance, the target Manhattan distance is calculated. Specifically, the calculation formula of the target Manhattan distance is expressed as:
[0069]
[0070] Among them, D ij Denoted as Manhattan distance, D ij * It is represented as the target Manhattan distance, and 1 / j is represented as the basic distance. It should be noted that when the target value is completed, D ij = 0, which cannot be directly applied to weight calculation, so the basic distance pair D is introduced ijOptimize and get D ij * , where basic distance = 1 / j. For example, if there are 6 medical quality evaluation items under S1, then j = 6 and basic distance = 1 / 6;
[0071] According to the target Manhattan distance and the weight of the major category of medical quality evaluation, the weight of each medical quality evaluation item is calculated and set, where the calculation formula is M ij =D ij * / ∑ j=1 D ij * ×M i , to meet ∑ j=1 M ij =M i , and meet the requirements of the previous assessment period S ij The worse the completion, the shorter the current assessment period S ij The algorithm design concept with a greater assessment weight is shown in the following table for example:
[0072]
[0073] Step S03, according to the assessment manual and the hospital's own assessment requirements, determine the target value and indicator type of the medical quality evaluation items of each clinical department during the current assessment period.
[0074] Among them, the target value T of the medical quality evaluation item of each clinical department in the current assessment period is set nij and indicator type P nij Where T nij is a numerical value, P nij ={high-quality index, low-quality index}. For example, this year, the S 11 The target value of “average length of stay” is ≤5.2 days, then T 111 =5.2, P 111 = Low-quality indicators, illustrative examples are shown in the following table:
[0075]
[0076] Step S04, calculating the completion value and degree of completion of the medical quality evaluation items of each clinical department during the current assessment period.
[0077] For example, the completion value C of the medical quality evaluation items of each clinical department in the current assessment period is calculated. nij , exemplarily, as shown in the following table:
[0078]
[0079]
[0080] Then calculate the completion rate Z of the medical quality evaluation items of each clinical department in the current assessment period nij , the calculation method is: when P nij = low quality index, if C nij ≤T nij , then Z nij =1, otherwise Z nij =1-(C nij -T nij ) / T nij When P nij = high quality index, if C nij ≥T nij , then Z nij =1, otherwise Z nij =1-(C nij -T nij ) / T nij , exemplarily, as shown in the following table:
[0081]
[0082] Step S05, based on the completion degree and the weight of the medical quality evaluation items, calculate the assessment scores of the medical quality evaluation items of each clinical department in the current assessment period and the assessment scores of each clinical department, and output them.
[0083] Specifically, calculate the assessment score L of the medical quality evaluation items of each clinical department in the current assessment period nij , the calculation formula is L nij =Z nij ×M ij , exemplarily, as shown in the following table:
[0084]
[0085] Then calculate the total assessment score L of each clinical department in the current assessment period n , the calculation formula is L n =∑ i=1,j= 1L nij , that is, the total assessment score of a department L n It is the sum of the assessment scores of each evaluation item of the department.
[0086] In summary, an embodiment of the present invention proposes a medical quality evaluation method under a hospital performance appraisal system. The method sets major medical quality evaluation categories according to the appraisal manual and the hospital's own appraisal requirements, and subdivides corresponding medical quality evaluation items according to the major medical quality evaluation categories; sets weights for the major medical quality evaluation categories and the corresponding medical quality evaluation items; determines the target value and indicator type of the medical quality evaluation items of each clinical department in the current appraisal period according to the appraisal manual and the hospital's own appraisal requirements; calculates the completion value and completion degree of the medical quality evaluation items of each clinical department in the current appraisal period; calculates the appraisal score of the medical quality evaluation items of each clinical department in the current appraisal period and the appraisal score of each clinical department according to the completion degree and the weight of the medical quality evaluation items, and outputs them to complete the evaluation. Specifically, the appraisal score is further applied to the medical quality performance ranking or performance distribution scenario, so as to promote the high-level development of medical quality in public hospitals to a certain extent.
[0087] Embodiment 2
[0088] Embodiment 2 of the present invention also provides a medical quality evaluation method under a hospital performance evaluation system, which is different from the medical quality evaluation method under a hospital performance evaluation system provided in Embodiment 1 of the present invention in that, after the step of setting weights for the medical quality evaluation categories and the corresponding medical quality evaluation items, the step further includes:
[0089] According to the assessment manual and the hospital's own assessment needs, determine the target values and indicator types of the medical quality evaluation items for each managing physician during the current assessment period;
[0090] Calculate the completion value and degree of completion of the medical quality evaluation items of each managing doctor during the current assessment period;
[0091] According to the completion degree and the weights of the medical quality evaluation items, the assessment scores of the medical quality evaluation items of each managing doctor and the assessment scores of each managing doctor in the current assessment period are calculated and output.
[0092] It should be noted that the method for calculating the assessment score of the managing physician is consistent with the method in the first embodiment.
[0093] Embodiment 3
[0094] See also Figure 2, is a structural block diagram of a medical quality evaluation system under a hospital performance evaluation system provided in Example 3 of the present invention. The medical quality evaluation system 200 under the hospital performance evaluation system is used to implement the above-mentioned embodiments and preferred implementation modes, and the descriptions that have been made will not be repeated. As used below, the term "module" can be a combination of software and / or hardware that implements a predetermined function. Although the devices described in the following embodiments are preferably implemented in software, the implementation of hardware, or a combination of software and hardware, is also possible and conceivable.
[0095] Specifically, the medical quality evaluation system 200 under the hospital performance appraisal system includes: a first setting module 21, a second setting module 22, a first determination module 23, a first calculation module 24 and a first output module 25, wherein:
[0096] The first setting module 21 is used to set the medical quality evaluation categories according to the evaluation manual and the hospital's own evaluation requirements, and to subdivide the corresponding medical quality evaluation items according to the medical quality evaluation categories;
[0097] The second setting module 22 is used to set weights for the medical quality evaluation categories and corresponding medical quality evaluation items. The steps of setting weights for the medical quality evaluation categories include:
[0098] According to the assessment manual and the hospital's own assessment needs, determine the target values and indicator types for each medical quality evaluation item during the current assessment period;
[0099] Calculate the completion value of each medical quality evaluation item of the hospital in the previous assessment period, and according to the target value and indicator type of each medical quality evaluation item in the current assessment period, perform threshold limits on the completion value of each medical quality evaluation item of the hospital in the previous assessment period to obtain limit values, wherein, when the indicator type is a low-quality indicator, if the current completion value is greater than or equal to the corresponding target value, the result of the completion value after the threshold limit is still the current completion value, if the current completion value is less than the corresponding target value, the result of the completion value after the threshold limit is determined to be the corresponding target value; when the indicator type is a high-quality indicator, if the current completion value is greater than or equal to the corresponding target value, the result of the completion value after the threshold limit is determined to be the corresponding target value, if the current completion value is less than the corresponding target value, the result of the completion value after the threshold limit is still the current completion value;
[0100] The first normalized result of the target value of each medical quality evaluation item in the current assessment period and the second normalized result of the limit value are calculated respectively, and the Euclidean distance between the first normalized result and the second normalized result is calculated. The normalized calculation formula is expressed as:
[0101]
[0102] in, Expressed as the first normalized result, The second normalized result is expressed as T ij It is expressed as the target value of the medical quality evaluation item, C ij * It is expressed as the limit value of the medical quality evaluation item, and the calculation formula of the Euclidean distance is expressed as:
[0103]
[0104] Among them, D i Expressed as Euclidean distance;
[0105] Calculate and set the weight of the major category of medical quality evaluation according to the Euclidean distance;
[0106] The steps for setting weights for the corresponding medical quality evaluation items include:
[0107] According to the first normalization result, the second normalization result and the basic distance, the target Manhattan distance is calculated. The calculation formula of the target Manhattan distance is expressed as:
[0108]
[0109] Among them, D ij Denoted as Manhattan distance, D ij * It is represented as the target Manhattan distance, and 1 / j is represented as the base distance;
[0110] According to the target Manhattan distance and the weight of the major category of medical quality evaluation, the weight of each medical quality evaluation item is calculated and set;
[0111] The first determination module 23 is used to determine the target value and indicator type of the medical quality evaluation item of each clinical department in the current evaluation period according to the evaluation manual and the evaluation requirements of the hospital itself. The indicator type includes high-quality indicators and low-quality indicators. When the medical quality evaluation item is less than or equal to the corresponding target value, the indicator type is a low-quality indicator; when the medical quality evaluation item is greater than the corresponding target value, the indicator type is a high-quality indicator;
[0112] The first calculation module 24 is used to calculate the completion value and completion degree of the medical quality evaluation items of each clinical department in the current assessment period;
[0113] The first output module 25 is used to calculate the assessment scores of the medical quality assessment items of each clinical department and the assessment scores of each clinical department in the current assessment period according to the completion degree and the weights of the medical quality assessment items, and output them.
[0114] Furthermore, in some other embodiments of the present invention, the medical quality evaluation system 200 under the hospital performance evaluation system further includes:
[0115] The second determination module is used to determine the target value and indicator type of the medical quality evaluation items of each managing doctor in the current assessment period according to the assessment manual and the hospital's own assessment requirements;
[0116] The second calculation module is used to calculate the completion value and completion degree of the medical quality evaluation items of each managing doctor during the current assessment period;
[0117] The second output module is used to calculate the assessment scores of the medical quality evaluation items of each managing doctor in the current assessment period and the assessment scores of each managing doctor according to the completion degree and the weights of the medical quality evaluation items, and output them.
[0118] Embodiment 4
[0119] Another aspect of the present invention provides an electronic device, see Figure 3 , shown is an electronic device in Embodiment 4 of the present invention, including a memory 20, a processor 10, and a computer program 30 stored in the memory and executable on the processor, wherein when the processor 10 executes the computer program 30, the medical quality evaluation method under the hospital performance appraisal system as described above is implemented.
[0120] In some embodiments, the processor 10 may be a central processing unit (CPU), a controller, a microcontroller, a microprocessor or other data processing chip, used to run program codes or process data stored in the memory 20, such as executing access restriction programs.
[0121] Among them, the memory 20 includes at least one type of readable storage medium, and the readable storage medium includes flash memory, hard disk, multimedia card, card-type memory (for example, SD or DX memory, etc.), magnetic memory, disk, optical disk, etc. The memory 20 may be an internal storage unit of an electronic device in some embodiments, such as a hard disk of the electronic device. The memory 20 may also be an external storage device of an electronic device in other embodiments, such as a plug-in hard disk equipped on the electronic device, a smart memory card (Smart Media Card, SMC), a secure digital (Secure Digital, SD) card, a flash card (FlashCard), etc. Further, the memory 20 may also include both an internal storage unit of the electronic device and an external storage device. The memory 20 may be used not only to store application software and various types of data of the electronic device, but also to temporarily store data that has been output or is to be output.
[0122] The embodiment of the present invention further provides a computer-readable storage medium having a computer program stored thereon, which, when executed by a processor, implements the medical quality evaluation method under the hospital performance evaluation system as described above.
[0123] Those skilled in the art will appreciate that the logic and / or steps represented in the flowchart or otherwise described herein, for example, may be considered as an ordered list of executable instructions for implementing logical functions, and may be embodied in any computer-readable medium for use by an instruction execution system, device or apparatus (such as a computer-based system, a system including a processor, or other system that can fetch instructions from an instruction execution system, device or apparatus and execute instructions), or in conjunction with such instruction execution systems, devices or apparatuses. For purposes of this specification, a "computer-readable medium" may be any device that can contain, store, communicate, propagate or transmit a program for use by an instruction execution system, device or apparatus, or in conjunction with such instruction execution systems, devices or apparatuses.
[0124] More specific examples of computer-readable media (a non-exhaustive list) include the following: an electrical connection with one or more wires (electronic device), a portable computer disk case (magnetic device), a random access memory (RAM), a read-only memory (ROM), an erasable and programmable read-only memory (EPROM or flash memory), an optical fiber device, and a portable compact disk read-only memory (CDROM). In addition, the computer-readable medium may even be a paper or other suitable medium on which the program is printed, since the program may be obtained electronically, for example, by optically scanning the paper or other medium, followed by editing, deciphering or, if necessary, processing in another suitable manner, and then stored in a computer memory.
[0125] It should be understood that the various parts of the present invention can be implemented by hardware, software, firmware or a combination thereof. In the above-mentioned embodiments, a plurality of steps or methods can be implemented by software or firmware stored in a memory and executed by a suitable instruction execution system. For example, if implemented by hardware, as in another embodiment, it can be implemented by any one of the following technologies known in the art or a combination thereof: a discrete logic circuit having a logic gate circuit for implementing a logic function for a data signal, a dedicated integrated circuit having a suitable combination of logic gate circuits, a programmable gate array (PGA), a field programmable gate array (FPGA), etc.
[0126] In the description of this specification, the description with reference to the terms "one embodiment", "some embodiments", "examples", "specific examples", or "some examples" means that the specific features, structures, materials or characteristics described in conjunction with the embodiment or example are included in at least one embodiment or example of the present invention. In this specification, the schematic representation of the above terms does not necessarily refer to the same embodiment or example. Moreover, the specific features, structures, materials or characteristics described may be combined in any one or more embodiments or examples in a suitable manner.
[0127] The above embodiments only express several implementation methods of the present invention, and the descriptions thereof are relatively specific and detailed, but they cannot be understood as limiting the scope of the present invention. It should be pointed out that, for a person of ordinary skill in the art, several modifications and improvements can be made without departing from the concept of the present invention, and these all belong to the protection scope of the present invention. Therefore, the protection scope of the present invention patent shall be subject to the attached claims.
Claims
1. A medical quality evaluation method under a hospital performance evaluation system, characterized in that: The method comprises: According to the assessment manual and the hospital's own assessment needs, set up major categories of medical quality evaluation, and subdivide the corresponding medical quality evaluation items according to the major categories of medical quality evaluation; Setting weights for the major categories of medical quality evaluation and the corresponding detailed items of medical quality evaluation; According to the assessment manual and the hospital's own assessment needs, determine the target values and indicator types for the medical quality evaluation items of each clinical department during the current assessment period; Calculate the completion value and degree of completion of the medical quality evaluation items of each clinical department during the current assessment period; According to the degree of completion and the weight of the medical quality evaluation items, the evaluation scores of the medical quality evaluation items of each clinical department and the evaluation scores of each clinical department in the current evaluation period are calculated and output; The steps of setting weights for the major categories of medical quality evaluation include: According to the assessment manual and the hospital's own assessment needs, determine the target values and indicator types for each medical quality evaluation item during the current assessment period; Calculate the completion value of each medical quality evaluation item of the hospital in the previous assessment period, and according to the target value and indicator type of each medical quality evaluation item in the current assessment period, set a threshold limit on the completion value of each medical quality evaluation item of the hospital in the previous assessment period to obtain a limit value; Respectively calculating the first normalized result of the target value of each medical quality evaluation item in the current assessment period and the second normalized result of the limit value, and calculating the Euclidean distance between the first normalized result and the second normalized result; Calculate and set the weight of the major category of medical quality evaluation according to the Euclidean distance; The steps for setting weights for the corresponding medical quality evaluation items include: Calculate the target Manhattan distance according to the first normalization result, the second normalization result and the base distance; According to the target Manhattan distance and the weight of the major category of medical quality evaluation, the weight of each medical quality evaluation item is calculated and set.
2. The medical quality evaluation method under the hospital performance evaluation system according to claim 1 is characterized in that: After the step of setting weights for the major medical quality evaluation categories and the corresponding medical quality evaluation items, the following step is further included: According to the assessment manual and the hospital's own assessment needs, determine the target values and indicator types of the medical quality evaluation items for each managing physician during the current assessment period; Calculate the completion value and degree of completion of the medical quality evaluation items of each managing doctor during the current assessment period; According to the completion degree and the weights of the medical quality evaluation items, the assessment scores of the medical quality evaluation items of each managing doctor in the current assessment period and the assessment scores of each managing doctor are calculated and output.
3. The medical quality evaluation method under the hospital performance evaluation system according to claim 1 or 2 is characterized in that: The indicator types include high-quality indicators and low-quality indicators. When the medical quality evaluation item is less than or equal to the corresponding target value, the indicator type is a low-quality indicator; when the medical quality evaluation item is greater than the corresponding target value, the indicator type is a high-quality indicator.
4. The medical quality evaluation method under the hospital performance evaluation system according to claim 3 is characterized in that: The completion value of each medical quality evaluation item of the hospital in the previous assessment period is calculated, and according to the target value and indicator type of each medical quality evaluation item in the current assessment period, the completion value of each medical quality evaluation item of the hospital in the previous assessment period is threshold-limited. In the step of obtaining the limit value, when the indicator type is a low-quality indicator, if the current completion value is greater than or equal to the corresponding target value, the result of the completion value after the threshold limitation is still the current completion value, if the current completion value is less than the corresponding target value, the result of the completion value after the threshold limitation is determined to be the corresponding target value; when the indicator type is a high-quality indicator, if the current completion value is greater than or equal to the corresponding target value, the result of the completion value after the threshold limitation is determined to be the corresponding target value, if the current completion value is less than the corresponding target value, the result of the completion value after the threshold limitation is still the current completion value.
5. The medical quality evaluation method under the hospital performance evaluation system according to claim 4 is characterized in that: In the step of respectively calculating the first normalized result of the target value of each medical quality evaluation item in the current assessment period and the second normalized result of the limit value, the normalized calculation formula is expressed as: in, Expressed as the first normalized result, The second normalized result is expressed as T ij It is expressed as the target value of the medical quality evaluation item, C ij * Expressed as the limit value of the medical quality evaluation item.
6. The medical quality evaluation method under the hospital performance evaluation system according to claim 5 is characterized in that: In the step of calculating the Euclidean distance between the first normalized result and the second normalized result, the calculation formula of the Euclidean distance is expressed as: Among them, D i Expressed as Euclidean distance.
7. The medical quality evaluation method under the hospital performance evaluation system according to claim 6 is characterized in that: In the step of calculating the target Manhattan distance according to the first normalization result, the second normalization result and the base distance, the calculation formula of the target Manhattan distance is expressed as: D ij * =1 / j+D ij Among them, D ij Denoted as Manhattan distance, D ij * It is represented as the target Manhattan distance and 1 / j is represented as the base distance.
8. A medical quality evaluation system under the hospital performance evaluation system, characterized in that: The system is used to implement the medical quality evaluation method under the hospital performance evaluation system described in any one of claims 1 to 7, and comprises: The first setting module is used to set the major categories of medical quality evaluation according to the evaluation manual and the hospital's own evaluation requirements, and to subdivide the corresponding medical quality evaluation items according to the major categories of medical quality evaluation; The second setting module is used to set weights for the medical quality evaluation categories and corresponding medical quality evaluation items; The first determination module is used to determine the target value and indicator type of the medical quality evaluation items of each clinical department during the current assessment period according to the assessment manual and the hospital's own assessment requirements; The first calculation module is used to calculate the completion value and degree of completion of the medical quality evaluation items of each clinical department during the current assessment period; The first output module is used to calculate the assessment scores of the medical quality evaluation items of each clinical department in the current assessment period and the assessment scores of each clinical department according to the completion degree and the weights of the medical quality evaluation items, and output them.
9. A computer-readable storage medium, characterized in that: include: The readable storage medium stores one or more programs, which, when executed by a processor, implement the medical quality evaluation method under the hospital performance evaluation system as described in any one of claims 1 to 7.
10. An electronic device, characterized in that: The electronic device comprises a memory and a processor, wherein: The memory is used to store computer programs; When the processor is used to execute the computer program stored in the memory, the medical quality evaluation method under the hospital performance evaluation system described in any one of claims 1 to 7 is implemented.