Development and application of a healthcare quality evaluation system for national regional medical centers based on the structure-process-outcome Theory
10.3969/j.issn.1671-332X.2025.11.004
- VernacularTitle:基于"结构-过程-结果"理论的国家区域医疗中心医疗质量评价指标构建与应用研究
- Author:
Lizhong LIANG
1
;
Hongzhen ZHOU
1
;
Yan LI
1
;
Tong LI
1
;
Yingzhe LIU
1
;
Hong LI
1
;
Jie ZHENG
1
;
Chao YANG
1
Author Information
1. 中山大学附属第一医院广西医院 广西南宁 530022
- Publication Type:Journal Article
- Keywords:
Healthcare quality evaluation;
National regional medical centers;
SPO Model;
Structure-process-outcome theory;
Evaluation system
- From:
Modern Hospital
2025;25(11):1651-1655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a scientific,systematic,and operable healthcare quality evaluation system for Nation-al Regional Medical Centers(NRMCs),providing a theoretical basis and practical tool for objectively assessing their construction outcomes and guiding high-quality development.Methods Based on the classic"Structure-Process-Outcome"(SPO)quality management model,and aligned with national policy directives and the functional positioning of regional medical centers,a pre-liminary set of evaluation indicators was screened and an indicator system was constructed through literature review,policy analy-sis,and field investigations.Guangxi Hospital Division of The First Affiliated Hospital,Sun Yat-sen University was selected as the study subject,and cross-sectional data from March 2023 to June 2025 were collected for empirical application.Results A healthcare quality evaluation system for NRMCs was established,comprising 3 first-level dimensions(Structure Quality,Process Quality,Outcome Quality),10 second-level indicators,and 66 third-level indicators.This system covers multiple aspects,inclu-ding resource allocation,healthcare service efficiency,clinical practices,patient outcomes,and social benefits.Empirical results indicated that the center demonstrated a consistent upward trend in key indicators such as"Proportion of Discharged Patients Un-dergoing Level-4 Surgeries"(O1.2)and"DRG-CMI Value"(O2.1),while"Average Length of Hospital Stay"(P3.1)and"Cost Consumption Index"(O2.3)showed a steady decline.The indicator system effectively revealed the center's progress in en-hancing regional influence and operational efficiency.Conclusion The developed healthcare quality evaluation system is well-grounded in theory and practice,combining scientific rigor with policy relevance,and can serve as a decision-support tool for quality assessment and improvement in National Regional Medical Centers.
