The Individual Clinics Health Supervision Quantitative Scale Table Study

Background With the development of economic,the medical treatment hygiene system have taked place great change,varied kind of economy medical unit appeared,such as,foreign investment,joint investment,individal and community organization,etc.But with the expand of new medical system and diagnosis item,the medical unit became more specific and smaller.The proportion of these types amount is growing.This Prompte emphasis of the supervision to incline to them.Nowdays the main performance of the difficulties in supervision is the no consummate hygiene law,tardigrade hygiene lawmaking.This leads to the "blank" and the "blemish" in medical institutions supervision,"heavy admit light direct" of the medical institutions supervision system,etc.That makes the sign of no the certificate or super scope practise medicine can not forbidded,the deceitful medical treatment advertises deluge.Misleading the consumer phenomenon sometimes occurres;Parts of medical treatments organization industry are not norm,what cause medical treatment accident and dispute continuously,it endangered the masses the safety cured seriously.In 2005,Ministry of Health,People's Republic of China deside to separate responsibility of medical service certificate and health supervision,and local health supervision agency have the responsibility to manage medical health supervision.But thera're about 30 laws of medical treatment service,it's difficult to attain overall,objective effect during the supervision progress.there are no effect model in management.It's a key problem to select a effective way in our supervision now.Purpose Thought of quantity ratings management is lead to our research work.This topic mean to use Hazard Analysis Critical Control Points(HACCP) methods to do hazard analysis(HA) during the whole medical treatment process.Assurancing critical control point(CCP),we can quantization adminstration item and do the individual clinics health supervision quantitative scale table.then we can strengthen the key point management,medical service treatment in our usual work,the effective of this model can be determined.Methods According to quantization-score table of dining industry ususl health adminstration,《medical treatment organization management regulation》《the People's Republic of China keep the industry doctor's method》,《the People's Republic of China the management nurse's method》etc,we use HACCP principle to analyse hazard during the whole medical treatment process.general item and key item in health is definited and quantizated.quantization-score table on health supervision about individual clnic is established.we select 20 vice physician,use DEPHI methods to evaluate general item of quantization-score table on health supervision about individual clnic.Based on the expert conclusion,we assurance general item and weight coefficient,quantization-scale table on health supervision about individual clnic is established.we use the quantization scale table in our usual health adminstration work about individual clnic,invariably,we do degree of confidence test.we compare the quantization-score data with goverment data,and statistics them to evaluate the effective of the methods.Results Using Hazard Analysis Critical Control Points(HACCP) methods,we have done hazard analysis(HA) during the whole medical treatment process,and assurancd critical control point(CCP).we assurancs 18 key items and 23 general items in whole progress.we use DEPHI methods to analyse general items.Then we confirm 20 items and weight coefficient,and quantization scale table on health supervision about individual clnic is established.TheConclusions of the judge:All the key item goals,scored 90 and the above advantages, reputation for Grade A;All the key goals,scored in the 80-90 for good reputation as a Grade B; The key item in the basic standard scores between 60-80 for the general,reputation for Grade C;The key item is not fulfilled or score less 60 for the poor reputation of Grade D.80 individual clnic have used the table in health supervision,and confidence test was done after two months.we use SPSS to analyse the data,related coefficient in Pearson is 0.915(P=0.000),Cronbachα=0.7127.(Standardized itemα=0.7398),Note the index system at different times of the test results stability,Good internal consistency.80 individual clnic have used the table in health supervision,The results of health supervision score with the health department to provide a good,medium and poor results were analyzed,chi-square test taken X2 =38.78,P＜0.01,Pearson Cp=0.5714,explain two kinds of methods useds for the direct work the inside the income did not show the difference of significant and relation closely,we carry on statisticsfor data from goverment as well,medium,bad result.there is statistics difference between them.it means that the form is effictive in health administration..Conclusion As a more scientific way of the food hygienic administration,Quantitative scale administration will also develop the important function in Individual health clinics administration Individual health clinics quantitative scale table can operate concretely and have complete content, improve supervisory efficiency,enhance the activity between the administrator and supervisees instead of single administrative initiative before,it will be developped the important action in Individual clinics health supervision.