基于秩和比法的临床学科效益综合评价
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1.南京医科大学公共卫生学院;2.南京鼓楼医院

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江苏省卫生计生委医学科研课题


Comprehensive evaluation of clinical displine benefits based on rank sum ratio method
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1.School of Public Health Nanjing Medical University;2.Nanjing Drum Tower hospital

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    摘要:

    摘要:目的:通过对南京市某大型综合公立医院25个临床学科效益进行综合评价与分析,为医院管理者提供建议,进一步推进该院学科建设与发展。方法:选取该院25个学科的工作数量、工作效率、治疗质量、社会效益、科研能力5个维度中的12个指标,运用秩和比法进行编秩、计算RSR值、累计概率,利用Excel 2007进行数据录入计算、SPSS17.0进行统计分析,计算回归方程及分档方差分析。结果:对临床学科综合效益分为3档,方差分析(F=45.126,p<0.001)显示3档差异具有统计学意义,分档合理。效益高的学科有10个,效益中等的学科有11个,效益低的学科有4个,基本与实际情况吻合。结论:秩和比法可以简单迅速地评价学科的效益;针对学科效益分档,结合学科发展实际情况,分别提出学科发展建议。提高科技创新力,推动学科内涵式发展;加强学科协同发展,促进学科效益共同提升;缩短学科发展差距,帮扶普通学科发展,全面提高学科效益,提高医院综合实力。

    Abstract:

    Objective:To provide comprehensive advice and analysis for the clinical benefits of 25 clinical disciplines in a large general public hospital in Nanjing,and to provide suggestions for hospital administrators to further promote the discipline construction and development of the hospital. Methods:Selecting 12 indicators in the five dimensions of work volume, work efficiency, treatment quality, social benefits and scientific research ability of the 25 disciplines, using rank sum ratio method to rank, calculate RSR value and cumulative probability, using Excel 2007 for Data entry and calculation, SPSS 17.0 for statistical analysis, calculation of regression equation and variance analysis of scaling. Results:The comprehensive benefit of clinical displines was divided into 3 files. The analysis of variance (F=45.126, p<0.001) showed that the difference of 3 files was statistically significant and the files were reasonable. There are 10 disciplines with high comprehensive benefits, 11 disciplines with medium comprehensive benefits, and 4 disciplines with low comprehensive benefits, which are basically consistent with the actual situation of the hospital. Conclusion :The rank-sum ratio method can evaluate the benefit of discipline simply and quickly.In view of the division of discipline benefit, combining with the actual situation of discipline development, put forward the suggestions of discipline development respectively.Improving the ability of scientific and technological innovation and promoting the development of subject connotation;Strengthening the discipline cooperation development, promoting the discipline benefit together; shortening the gap of discipline development, helping the development of general discipline, improving the efficiency of discipline and the comprehensive strength of hospital.

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  • 收稿日期:2019-05-24
  • 最后修改日期:2019-08-01
  • 录用日期:2019-12-18
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