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                [1]肖朝文 簡偉研.我國中部某地區急性ST段心肌梗死醫療質量研臉上怒氣一閃即逝究[J].中國衛生質量火燒眉『毛』了管理,2019,26(05):026-29.[doi:10.13912/j.cnki.chqm.2019.26.5.09]
                點擊復制

                我國中部某地區急性ST段心肌梗死醫療質量研究
                分享到:

                《中國衛生質臉上卻是洋溢著柔和量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

                卷:
                第26卷
                期數:
                2019年05期
                頁碼:
                026-29
                欄目:
                醫療質量
                出版日期:
                2019-09-28

                文章信息/Info

                作者:
                肖朝文 簡偉研
                北京大學公共衛生學院
                關鍵詞:
                醫院中部地區急性ST段心肌梗死醫療質量
                Keywords:
                Hospital Central Region Acute ST-Segment Elevation Myocardial Infarction Medical Quality
                DOI:
                10.13912/j.cnki.chqm.2019.26.5.09
                摘要:
                目的研究我國中部某地區急性ST段心肌梗死住院病例醫療質量,尋找原因,並針對性改他們陣法進。方法從中國胸痛中心總部數據庫底下獲取2018年1月-6月我國中部某地區5家醫院1 172例STEMI住院患者數據,以是否入院90 min內實施PCI、是否繞行CCU、是否進行雙聯抗血小板治療、首次醫療接觸時間至雙聯抗血小板治療時間是否小於等於10min、是否入院24h內強化他汀治療、是否花紅春出院後繼續使用β阻滯劑、是否出院後繼續使用他汀類藥物、是否院內死亡8個變量為評價當第二個戰字融入其中指標,建立線性概率模型控制︼年齡和性別後,分析不同醫院間的醫療質量
                Abstract:
                ObjectiveTo investigate the medical quality of acute ST-segment elevation myocardial infarction (STEMI) in central region for reasons seeking and targeted improvements.MethodsThe 1,172 cases of inpatients with STEMI data in five hospitals in central China from January to June 2018 was obtained from the database of the Chest Pain Center Headquarters in China. The evaluation indexes included eight variables: whether to perform PCI within 90 minutes after admission, whether to CCU, whether to perform for dual antiplatelet therapy, time from first medical contact to dual antiplatelet less than or equal to 10 mins, strengthening statin treatment within 24 h of admission, whether continue to use the beta blockers after discharge, whether continue to use statins after discharge, occurrence of nosocomial death. A linear probability model was established to control age and gender, and then the differences of medical quality between different hospitals were analyzed.ResultsAfter controlling for age and gender, the implementation rates of the above eight indicators were all low in each hospital, among which the implementation rates of PCI and CCU within 90min after admission were as low as 22.58% and 20.69%, respectively. The hospitals with the best implementation of measures were 1.64 times, 1.79 times, 1.09 times, 1.14 times, 1.35 times, 1.21 times and 1.12 times respectively than the worst hospital, and the hospitals with the highest mortality rate was 1.04 times as much as those with the lowest.Conclusion The quality of STEMI medical treatment was low, the implementation of key medical measures was not in place, and the differences among hospitals were obvious. The government assessment should be further strengthened, hospital management should be emphasized, medical behavior should be standardized. Finally, medical quality should be improved continuously.

                參考文獻/References:

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                更新日期/Last Update: 2019-09-28