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Medical Care Quality Assurance of University Hospitals

大学医院医疗质量保障

基本信息

批准号：
03304048
负责人：
KIIKUNI Kenzo
金额：
$ 1.28万
依托单位：
University of Tsukuba
依托单位国家：
日本
项目类别：
Grant-in-Aid for Co-operative Research (A)
财政年份：
1991
资助国家：
日本
起止时间：
1991 至 1992
项目状态：
已结题

项目摘要

We have examined medical care of university teaching hospitals for past 6 years receiving grant-in-aid for scientific research. First project was to examine organizationed characteristics of Japanese university teaching hospitals. Second project was to examine methodology to evaluate quality of care given at university hospitals. This project is to conclude the examination of care given at university hospitals by making research aiming quality assurance program of university hospitals.We have made examination on general framework of how to measure quality of care within organizational framework and propose some indicators reflecting quality and quality assurance of care given by university hospitals. We also have made extensive examination of data collected from 69 university hospitals and analyzed by indicators developed for our examination purposes.The data is also compared with those of municipality hospitals(83). The results shows some characteristics of care given at university hospitals together with some differences among university hospitals. University hospitals are bigger in sizes and have more spaces as well as more physicians and administrative staffs per bed and showshigher autopsy rate,but no notable differences in other functions as well as financial situation are observed.Among University hospitals,Type A ownership hospitals show several points needing improvement and further examination. Special attention is given to insufficient data concerning teaching activities of university hospitals. We have made several recommendations including uniformed discharge summary and publication of collected data concerning quality of care of university hospitals.

我们检查了6年来高校教学医院接受科研助学金的医疗保障情况。第一个项目是考察日本大学教学医院的组织特征。第二个项目是检查评估大学医院提供的护理质量的方法。本课题旨在通过对高校医院质量保证方案的研究，对高校医院护理质量考核进行总结，对如何在组织框架内衡量护理质量的一般框架进行了考察，并提出了一些反映高校医院护理质量和质量保证的指标。我们还对从69所大学医院收集的数据进行了广泛的检查，并根据为我们的检查目的制定的指标进行了分析。数据还与市立医院的数据(83)进行了比较。结果显示，高校医院的护理服务具有一定的特点，但也存在一定的差异。高校医院规模较大，占地面积较大，每床医生和行政人员较多，尸检率较高，但在其他功能和财务状况方面没有显著差异。特别注意关于大学医院教学活动的数据不足。我们提出了几项建议，包括统一出院总结和公布收集的有关大学医院护理质量的数据。