[墨西哥三级公立医院医疗质量指标的实施情况]
[Implementation of quality of care indicators for third-level public hospitals in Mexico].
作者信息
Saturno-Hernández Pedro Jesús, Martínez-Nicolás Ismael, Poblano-Verástegui Ofelia, Vértiz-Ramírez José de Jesús, Suárez-Ortiz Erasto Cosme, Magaña-Izquierdo Manuel, Kawa-Karasik Simón
机构信息
Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, México.
Representantes del Grupo de Trabajo de los Indicadores de Atención Médica en Alta Especialidad (IAMAE), Comisión Coordinadora de los Institutos Nacionales de Salud y Hospitales de Alta Especialidad. Ciudad de México, México.
出版信息
Salud Publica Mex. 2017 May-Jun;59(3):227-235. doi: 10.21149/8228.
OBJECTIVE
: To select, pilot test and implement a set of indicators for tertiary public hospitals.
MATERIALS AND METHODS
: Quali-quantitative study in four stages: identification of indicators used internationally; selection and prioritization by utility, feasibility and reliability; exploration of the quality of sources of information in six hospitals; pilot feasibility and reliability, and follow-up measurement.
RESULTS
: From 143 indicators, 64 were selected and eight were prioritized. The scan revealed sources of information deficient. In the pilot, three indicators were feasible with reliability limited. Has conducted workshops to improve records and sources of information; nine hospitals reported measurements of a quarter.
CONCLUSIONS
: Eight priority indicators could not be measured immediately due to limitations in the data sources for its construction. It is necessary to improve mechanisms of registration and processing of data in this group of hospital.
目的
选择、试点测试并实施一套适用于三级公立医院的指标。
材料与方法
分四个阶段进行定性定量研究：识别国际上使用的指标；根据实用性、可行性和可靠性进行选择和排序；对六家医院信息来源质量进行探索；试点可行性和可靠性以及后续测量。
结果
从143个指标中，选择了64个，并对8个指标进行了优先排序。扫描发现信息来源存在缺陷。在试点中，三个指标可行，但可靠性有限。已举办研讨会以改善记录和信息来源；九家医院报告了四分之一的测量结果。
结论
由于构建这些优先指标的数据来源存在局限性，无法立即对八个优先指标进行测量。有必要改进这组医院的数据登记和处理机制。
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