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评估使用患者结果的产科住院计划
David A Asch1, Sean Nicholson, Sindhu Srinivas
1Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104-6218, USA. asch@wharton.upenn.edu
产科和妇科住院计划可以根据患者并发症率进行排名. 这种护理质量指标是稳定的,并且独立于医生执照考试成绩.
科学领域:
- 医学教育 医学教育
- 产科和妇科 产科和妇科
- 患者安全 患者安全
背景情况:
- 医院和医生的表现是根据患者的结果来评估的.
- 住院计划传统上使用非临床措施进行比较.
研究的目的:
- 为了确定产科和妇科住院计划是否可以根据其校友提供的护理质量进行评估.
- 调查住院培训与产科患者结果之间的联系.
主要方法:
- 在佛罗里达州和纽约 (1992-2007) 的4906169例产科出院的回顾性分析.
- 从107个美国住院计划中检查了4124名产科医生.
- 采用了九项用于阴道和剖腹产的孕产妇并发症的测量方法.
主要成果:
- 产妇并发症率的显著变化与产科医生住院计划有关.
- 排名较低的课程的毕业生与排名最高的课程相比,并发症率高3.3%.
- 课程排名在不同的并发症指标中保持一致,不受许可证考试成绩的影响.
结论:
- 产科和妇科住院计划可以有效地使用其毕业生患者的孕产妇并发症率进行排名.
- 这些排名为节目质量提供了稳定和客观的衡量标准.
- 护理质量指标独立于居民执照考试成绩.
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