Construction of Longitudinal Comprehensive Evaluation Model of Disease Treatment Quality and Its Application in CIS
10.11783/j.issn.1002-3674.2024.05.006
- VernacularTitle:疾病治疗质量纵向综合评价模型的构建及在CIS中的应用
- Author:
Lei YU
1
,
2
;
Mengyang LIU
;
Chao WANG
Author Information
1. 哈尔滨医科大学卫生统计学教研室(150081)
2. 吉林医药学院流行病与卫生统计学教研室
- Keywords:
Treatment quality evaluation;
Longitudinal study;
Comprehensive evaluation model;
Cerebral Ischemic Stroke
- From:
Chinese Journal of Health Statistics
2024;41(5):662-666,670
- CountryChina
- Language:Chinese
-
Abstract:
Objective Construct a longitudinal comprehensive evaluation model of disease treatment quality to evaluate the quality of treatment for cerebral ischemic stroke(CIS).Methods The latent variable measurement model was combined with polynomial and multilevel regression to establish a longitudinal comprehensive evaluation model of disease treatment quality,the MCMC was used for parameter estimation.Simulation studies were conducted to determine the applicable conditions of the model,the accuracy of model parameter estimation was evaluated by root mean square error and rank correlation coefficient,the results were compared with the latent growth curve model(LGCM).Results A comprehensive model that can be used to evaluate the longitudinal change,trend change and the impact of covariates in the quality of disease care was constructed.The number of evaluation objects has a little effect on the model effect.When the number of observation time was 6 and the number of evaluation indicators was 20,the model could obtain the treatment quality and change trend of the evaluation object at different time points.The mean rank correlation coefficient between the estimated value of treatment quality and the true value was 0.8128,which was higher than that of LGCM(0.7610).The mean RMSE between the estimated value of the covariate regression coefficient and the true value was 0.3756,which was lower than that of LGCM(0.448).The more observation time and evaluation indexes,the more accurate the longitudinal comprehensive evaluation model was,and it was always higher than LGCM.From 2011 to 2016,the average CIS quality of care comprehensive score of hospitals increased by 0.9256,secondary and tertiary hospitals increased by 0.9432 and 1.321,teaching and non-teaching hospitals increased by 1.4904 and 1.1155.Conclusion The longitudinal comprehensive evaluation model can comprehensively and reasonably evaluate the quality of disease treatment and its longitudinal changes,and analyze the impact of differences in evaluation objects on the change trend.The quality of CIS treatment in China is generally good,and the changing trend is affected by the level of hospitals and teaching status.The results of this study can provide reference for the subsequent development of targeted treatment quality intervention measures and continuous improvement of treatment quality.
