Comprehensive evaluation methods for medical quality:a comparative study
10.3969/j.issn.1009-0754.2025.03.020
- VernacularTitle:医疗质量综合评价法的比较研究
- Author:
Zhongbin ZHOU
1
;
Yuanyuan QIAO
;
Zihan GAO
;
Ying YANG
Author Information
1. 100048 北京,解放军总医院第六医学中心质量管理科
- Keywords:
Comprehensive evaluation;
Medical quality;
Kendall's coefficient of concordance
- From:
Journal of Navy Medicine
2025;46(3):307-310
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the advantages and limitations of different evaluation methods for medical quality.Methods The rank sum ratio method(RSR),rank sum ratio method after principal component analysis(RSR-after-PCA),and technique for order preference by similarity to ideal solution(TOPSIS)were used to comprehensively evaluate the surgical medical quality in a hospital,respectively.The results of the three evaluation methods were compared.Results The result of Kendall's coefficient of concordance showed high consistency among the three evaluation methods(Kendall's W=0.879,χ2=26.364,P=0.003),although there were significant differences in the evaluation outcomes for some departments.Conclusion Each evaluation method is capable of objectively evaluating the overall situation of a department,but it also has certain limitations and scope of application.The appropriate method should be selected based on the purpose of analysis and data distribution.The evaluation indexes in hospitals are dispersed,but may be correlated to some extent.RSR-after-PCA can overcome these problems and is more suitable for the comprehensive evaluation of multiple indexes in hospitals.
