王俏荔

    银川市急性心肌梗死住院患者医疗质量效果评价

    ——基于供方的视角※

    王俏荔

    目的 从供方角度了解银川市急性心肌梗死住院患者救治情况，并对其救治效果进行评价。方法 采用描述性分析和数据包络分析对银川市3家医院2012—2014年的急性心肌梗死救治工作情况、住院费用的构成、投入-产出效率等进行综合分析。结果 材料费用和西药费用是银川市急性心肌梗死住院费用的主要构成；手术费和输血费略有降低；中药费用一直很低，只占住院总费用很少一部分。3家样本医院中有2家三年之间其总体效率较高，而其中1家医院效率较低。结论 应加强合理用药管理，适度控制药品费用和材料费用；通过优化资源配置来继续提高银川市急性心肌梗死住院患者救治的医疗质量。

    急性心肌梗死；医疗质量；效果评价

    【Abstract】Objective To study the treatment of inpatients with acute myocardial infarction (AMI)in Yinchuan city from the suppliers angle and evaluate the effect of treatment.Methods Three hospitals in Yinchuan were chosen to analyze the work in treatment of AMI in 2012-2014 years，the constitution of hospitalization expense and input-output efficiency using descriptive analysis and data envelopment analysis.Results Material costs and Western medicine is the main component of the cost of hospitalization for acute myocardial infarction in Yinchuan City.Operation and blood transfusion fee are reduced slightly；the cost of chinese medicine is always low，which occupy only a little part of the total cost of hospitalization.The overall efficiency of the three sample hospitals in the three years is higher ......