Szczepura A, Mugford M, Stilwell J A
Br Med J (Clin Res Ed). 1987 Apr 4;294(6576):875-80. doi: 10.1136/bmj.294.6576.875.
Staff who organise and run maternity units contribute many statistics to their health authority but do not find it easy to obtain information about their unit from these statistics. Data that are collected routinely, however, can be used to provide each unit with a graphical profile of its activity and resources. The method described here was derived from the personality profiles used by psychologists and allows staff in one unit to assess the outcome, activity, and use of resources in their unit in relation to similar units, to explain some of the differences when these occur, or to highlight potential problems. Examples are taken from a study of maternity units in the West Midlands. It is concluded that the technique can indicate potential problems and usefully be adopted by those who monitor maternity care in districts or hospitals.
负责组织和运营产科病房的工作人员向卫生部门提供了许多统计数据,但却发现从这些统计数据中获取有关本病房的信息并非易事。然而,常规收集的数据可用于为每个病房提供其活动和资源的图形化概况。这里所描述的方法源自心理学家使用的性格剖析法,它能让一个病房的工作人员评估本病房在结果、活动以及资源利用方面与其他类似病房相比的情况,解释出现差异的原因,或者突出潜在问题。示例取自西米德兰兹郡产科病房的一项研究。得出的结论是,该技术能够指出潜在问题,对于在地区或医院监督产科护理的人员而言,具有实用价值,值得采用。