{"id":4811,"date":"2007-11-30T13:40:26","date_gmt":"2007-11-30T18:40:26","guid":{"rendered":"http:\/\/blog.jackjia.com\/?p=4811"},"modified":"2007-11-30T13:43:25","modified_gmt":"2007-11-30T18:43:25","slug":"20071130%e5%a3%ab%e5%98%89%e5%a0%a1%e5%85%a8%e7%a7%91%e5%8c%bb%e9%99%a2%e6%ad%bb%e4%ba%a1%e7%8e%87%e5%85%a8%e5%9b%bd%e7%ac%ac3%e9%ab%98","status":"publish","type":"post","link":"https:\/\/blog.jackjia.com\/?p=4811","title":{"rendered":"20071130\/\u58eb\u5609\u5821\u5168\u79d1\u533b\u9662\u6b7b\u4ea1\u7387\u5168\u56fd\u7b2c3\u9ad8"},"content":{"rendered":"

\u5927\u5b66\u533b\u7597\u7f51\u7edc\u6b7b\u4ea1\u7387\u5927\u591a\u4f26\u591a\u6700\u4f4e<\/strong><\/p>\n

\u661f\u62a5\u53ca\u52a0\u901a\u793e\u7efc\u5408\u62a5\u9053\/\u591a\u4f26\u591a\u5730\u533a\u4f17\u591a\u533b\u9662\u4e4b\u4e2d\uff0c\u58eb\u5609\u5821\u5168\u79d1\u533b\u9662(Scarborough General Hospital)\u75c5\u4eba\u6b7b\u4ea1\u7387\u6700\u9ad8\uff0c\u6392\u5168\u56fd\u7b2c3\u9ad8\u3002<\/p>\n

\u5927\u591a\u4f26\u591a\u5730\u533a(GTA)\u7684\u533b\u9662\u4e2d\uff0c\u75c5\u4eba\u6b7b\u4ea1\u7387\u6700\u4f4e\u7684\u662f\u5927\u5b66\u533b\u7597\u7f51\u7edc(University Health Network\u7b80\u79f0UHN)\u8f96\u4e0b\u7684\u533b\u9662\uff0c\u5305\u62ec\u739b\u5609\u70c8\u516c\u4e3b\u533b\u9662(Princess Margaret Hospital)\uff0c\u591a\u4f26\u591a\u5168\u79d1\u533b\u9662(Toronto General Hospital)\u548c\u591a\u4f26\u591a\u897f\u533a\u533b\u9662(Toronto Western Hospital)\u3002<\/p>\n

\u52a0\u62ff\u5927\u4fdd\u5065\u4fe1\u606f\u5b66\u4f1a(Canadian Institute for Health Information\u7b80\u79f0CIHI)\u5468\u56db\u516c\u5e03\u7684\u6570\u636e\uff0c\u662f\u6839\u636e\u533b\u9662\u6807\u51c6\u6b7b\u4ea1\u7387(Hospital Standardized Mortality Ratio\u7b80\u79f0HSMR )\uff0c\u5c06\u5404\u7701\u517185\u95f4\u6709\u6cbb\u7597\u6025\u6027\u75be\u75c5\u8bbe\u5907\u7684\u5927\u578b\u533b\u9662\u548c42\u4e2a\u4fdd\u5065\u5730\u533a\u7684\u75c5\u4eba\u6b7b\u4ea1\u7387\u52a0\u4ee5\u6bd4\u8f83\u540e\uff0c\u5f97\u51fa\u7684\u7ed3\u679c(\u9b41\u7701\u9664\u5916\uff0c\u56e0\u4e3a\u8be5\u7701\u6ca1\u6709\u6536\u96c6\u8be5\u7c7b\u6570\u636e)\u3002<\/p>\n

\u591a\u4f4d\u533b\u7597\u4e13\u5bb6\u6307\u51fa\uff0c\u8be5\u7b49\u6570\u636e\u53cd\u6620\u533b\u9662\u5728\u5904\u7406\u53ef\u9884\u9632\u6b7b\u4ea1\u4e8b\u4ef6\u7684\u52aa\u529b\u6210\u6548\uff0c\u5c06\u8feb\u4f7f\u533b\u7597\u4eba\u5458\u4ed4\u7ec6\u6d4b\u68c0\u6cbb\u7597\u7a0b\u5e8f\u548c\u63d0\u5347\u62a4\u7406\u75c5\u4eba\u7684\u8d28\u7d20\u3002<\/p>\n

\u9996\u6b21\u516c\u5f00\u533b\u9662\u6b7b\u4ea1\u7387<\/p>\n

\u591a\u5e74\u6765\uff0c\u52a0\u56fd\u533b\u9662\u884c\u653f\u4eba\u5458\u662f\u77e5\u9053\u533b\u9662\u5185\u7684\u75c5\u4eba\u6b7b\u4ea1\u7387\uff0c\u4f46\u672a\u6709\u50cf\u7f8e\u56fd\u548c\u82f1\u56fd\u90a3\u6837\uff0c\u5c06\u6570\u636e\u5982\u5b9e\u516c\u5e03\uff0c\u6362\u8a00\u4e4b\uff0c\u8fd9\u662f\u52a0\u56fd\u9996\u6b21\u516c\u5f00\u8be5\u7c7b\u6570\u636e\u3002<\/p>\n

CIHI\u4eca\u6b21\u672a\u6709\u516c\u5e03\u75c5\u4eba\u6b7b\u4ea1\u7387\u7684\u6709\u591a\u4f26\u591a\u7684\u574e\u4f2f\u6cb3\u5730\u533a\u533b\u9662(Humber River Regional Hospital)\u4ee5\u53ca\u5b89\u7701\u7684\u6e29\u838e\u5730\u533a\u533b\u9662(Windsor Regional Hospital)\u3002\u574e\u4f2f\u6cb3\u5730\u533a\u533b\u9662\u53d1\u8a00\u4eba\u9c8d\u534e(Gerrard Power)\u8868\u793a\uff0c\u5728\u6536\u5230\u6709\u5173\u62a5\u544a\u540e\uff0c\u521d\u6b65\u8ba4\u4e3a\u6570\u636e\u6709\u6b20\u59a5\u7684\u5730\u65b9\u3002<\/p>\n

\u5b89\u7701\u75c5\u4eba\u7b49\u5019\u8bca\u75c7\u65f6\u95f4\u653f\u7b56\u8d1f\u8d23\u4eba\u795e\u7ecf\u5916\u79d1\u533b\u751f\u8d6b\u900a(Dr.Alan Hudson)\u8ba4\u4e3a\uff0c\u6240\u6709\u533b\u9662\u90fd\u8981\u63d0\u4ea4\u6570\u636e\u7684\u505a\u6cd5\u81f3\u5173\u91cd\u8981\uff0c\u4ece\u800c\u4e86\u89e3\u95ee\u9898\u6240\u5728\uff0c\u52a0\u4ee5\u8865\u6551\u3002\u53c8\u6307\u51fa\uff0c\u8fd9\u7edd\u5bf9\u662f\u5b89\u7701\u4e00\u4e2a\u5173\u952e\u65f6\u523b\uff0c\u662f\u5411\u524d\u8fc8\u5f00\u4e86\u4e00\u5927\u6b65\u3002\u540c\u65f6\u6574\u4e2a\u7a0b\u5e8f\u5e94\u8be5\u5177\u900f\u660e\u5ea6\uff0c\u8ba9\u7eb3\u7a0e\u4eba\u77e5\u9053\u5f97\u4e00\u6e05\u4e8c\u695a\u3002<\/p>\n

\u661f\u62a5\u6566\u4fc3\u6566\u4fc3\u516c\u5f00\u8d44\u6599<\/p>\n

\u7531\u4e8e\u52a0\u56fd\u4ece\u672a\u6709\u516c\u5f00\u533b\u9662\u7684\u75c5\u4eba\u6b7b\u4ea1\u7387\uff0c\u4ee4\u4eba\u8d28\u7591\u5f53\u4e2d\u6709\u4e0d\u53ef\u544a\u4eba\u7684\u95ee\u9898\uff0c\u300a\u591a\u4f26\u591a\u661f\u62a5\u300b\u7528\u4e86\u4e00\u5e74\u65f6\u95f4\u53bb\u67e5\u6839\u7a76\u67e2\uff0c\u5728\u540d\u4e3a\u300aMedical Secrets\u300b\u7684\u8c03\u67e5\u7cfb\u5217\u7684\u5176\u4e2d\u90e8\u4efd\uff0c\u661f\u62a5\u6566\u4fc3CIHI\u5c06\u6709\u62a5\u544a\u75c5\u4eba\u6b7b\u4ea1\u7387\u7684\u533b\u9662\u540d\u5b57\u516c\u5f00\uff0c\u4e8e\u662f\u4ee4\u4eba\u671f\u5f85\u591a\u65f6\u7684\u8d44\u6599\u7ec8\u4e8e\u516c
\n\u8bf8\u4e8e\u4e16\u3002<\/p>\n

\u5b89\u7701\u653f\u5e9c\u4e1a\u5df2\u89c4\u5b9a\u6240\u6709\u533b\u9662\u5fc5\u987b\u5728\u5176\u533b\u9662\u7f51\u9875\u62a5\u544a\u7a81\u53d1\u4e8b\u6545\u548c\u67d0\u4e9b\u533b\u7597\u7a0b\u5e8f\u7684\u6b7b\u4ea1\u7387\uff0c\u4ee5\u53ca\u75c5\u4eba\u8f6e\u5019\u65f6\u95f4\u7684\u8d44\u6599\u3002<\/p>\n

CIHI\u7684\u7814\u7a76\u662f\u5c06\u533b\u9662\u5185\u75c5\u4eba\u6b7b\u4ea1\u7684\u5b9e\u9645\u6570\u5b57\uff0c\u8ddf\u4e00\u822c\u52a0\u62ff\u5927\u4eba\u7684\u7ecf\u9a8c\u6bd4\u8f83\uff0c\u5f97\u51fa\u7684\u6570\u5b57\u79f0\u4e3a\u533b\u9662\u6807\u51c6\u6b7b\u4ea1\u7387\u3002\u5f97\u5206100\u4ee5\u4e0a\u610f\u5373\u533b\u9662\u662f\u5728\u5168\u56fd\u5e73\u5747\u7387\u4e4b\u4e0a\uff0c100\u4ee5\u4e0b\u5219\u53cd\u6620\u8f83\u4f4e\u7684\u6b7b\u4ea1\u7387\u3002<\/p>\n

\u5927\u5b66\u533b\u7597\u7f51\u7edc(UHN)\u5f97\u520687\uff0c\u5373\u4f4e\u4e8e\u5168\u56fd\u5e73\u5747\u5206100\u4ee5\u4e0b13\u5206\uff0c\u591a\u5e74\u6765\uff0cUHN\u90fd\u6709\u5728\u5176\u7f51\u9875\u62a5\u544a\u75c5\u4eba\u5b89\u5168\u6570\u636e\uff0c\u7531\u533b\u9662\u5185\u51fa\u73b0\u7684\u611f\u67d3\u6570\u636e\u5230\u75c5\u4eba\u8f6e\u5019\u65f6\u95f4\u7684\u8d44\u6599\u4e00\u5e94\u4ff1\u5168\u3002 UHN\u540c\u65f6\u4f1a\u5f15\u8fdb\u7d27\u6025\u5e94\u53d8\u533b\u7597\u961f\uff0c\u534f\u52a9\u51cf\u4f4e\u8f96\u4e0b\u533b\u9662\u5185\u7684\u75c5\u4eba\u6b7b\u4ea1\u7387\uff0c\u8be5\u6279\u533b\u7597\u961f\u5305\u62ec\u63d0\u4f9b\u6df1\u5207\u6cbb\u7597\u7684\u533b\u62a4\u4eba\u5458\uff0c\u80fd\u5feb\u901f\u4e3a\u5fc3\u640f\u505c\u987f\u6216\u8840\u538b\u7a81\u7136\u5927\u5e45\u4e0b\u964d\u7684\u75c5\u4eba\u63d0\u4f9b\u6cbb\u7597\u3002<\/p>\n

UHN\u884c\u653f\u603b\u76d1\u517c\u4e3b\u5e2d\u8d1d\u5c14\u533b\u751f(Dr.Robert Bell)\u5411\u6765\u652f\u6301\u516c\u5f00\u533b\u9662\u7684\u75c5\u4eba\u6b7b\u4ea1\u7387\uff0c\u4ed6\u89e3\u91ca\u8bf4\uff0c\u8be5\u7c7b\u6570\u636e\u53cd\u6620\u75c5\u4eba\u5728\u4e0d\u540c\u533b\u9662\u7684\u7ecf\u5386\uff0c\u8ba9\u533b\u9662\u7684\u533b\u62a4\u4eba\u5458\u548c\u884c\u653f\u4eba\u5458\u6709\u4e00\u4e2a\u6307\u6807\u53bb\u5b9a\u4e0b\u8981\u8fbe\u5230\u7684\u6807\u51c6\uff0c\u4ece\u800c\u63d0\u5347\u533b\u7597\u8d28\u7d20\u3002<\/p>\n

\u4e0d\u5c11\u4e13\u5bb6\u6df1\u4fe1\uff0c\u516c\u5f00\u8be5\u7c7b\u62a5\u544a\u8ba9\u533b\u9662\u5f97\u4ee5\u6bd4\u8f83\u75c5\u4eba\u6cbb\u7597\u7684\u7eaa\u5f55\uff0c\u770b\u5230\u5728\u91cd\u8981\u6307\u6807\u4e0a\u533b\u9662\u7684\u6392\u4f4d\uff0c\u540c\u65f6\u638c\u63e1\u6539\u8fdb\u7684\u65b9\u5411\uff0c\u85c9\u4ee5\u66f4\u597d\u4fdd\u969c\u516c\u4f17\u5b89\u5168\u3002\u4e0e\u6b64\u540c\u65f6\uff0c\u4e3a\u75c5\u4eba\u63d0\u4f9b\u8d44\u8baf\u6e20\u9053\uff0c\u5728\u6c42\u8bca\u524d\u77e5\u9053\u81ea\u5df1\u6240\u5728\u5730\u533a\u7684\u533b\u9662\u53ef\u80fd\u5b58\u5728\u7684\u5371\u9669\u60c5\u51b5\u548c\u5404\u7c7b\u95ee\u9898\u3002<\/p>\n

\u58eb\u5609\u5821\u5168\u79d1\u533b\u9662\u5f97\u5206134\uff0c\u58eb\u5609\u5821\u6148\u6069\u533b\u9662(Scarborough Grace Hospital)\u5f97\u5206110\u3002\u524d\u8005\u66fe\u56e0\u4e3a\u7ba1\u7406\u4e0d\u5584\u800c\u95ee\u9898\u4e1b\u751f\uff0c\u6b64\u5916\u53c8\u591a\u6b21\u88ab\u6307\u5bf9\u533b\u751f\u7684\u76d1\u7763\u677e\u61c8\u3002\u8be5\u533b\u9662\u533b\u7597\u4eba\u5458\u4e3b\u7ba1\u79ef\u900a\u533b\u751f(Dr.Steven Jackson)\u8868\u793a\uff0c\u7ba1\u7406\u4eba\u5458\u51b3\u5fc3\u5c06\u6570\u5b57\u964d\u4f4e\uff0c\u5c06\u8d28\u7d20\u63d0\u5347\u3002<\/p>\n

\u662f\u65e5\u516c\u5e03\u7684\u6570\u636e\u88ab\u89c6\u4e3a\u533b\u9662\u91cc\u75c5\u4eba\u5b89\u5168\u6c34\u5e73\u7684\u91cd\u8981\u6307\u6807\uff0c\u662f\u533b\u7597\u4e13\u5bb6\u4eec\u65e5\u76ca\u5173\u6ce8\u7684\u95ee\u9898\u3002\u6839\u636e2004\u5e74CIHI\u7684\u7814\u7a76\u7ed3\u679c\u663e\u793a\uff0c\u4ecb\u4e4e9,250\u81f323,750\u540d\u52a0\u62ff\u5927\u6210\u5e74\u4eba\u66fe\u5728\u533b\u9662\u7ecf\u5386\u4e00\u6b21\u201c\u53ef\u9884\u9632\u201d\u7684\u7d27\u6025\u4e8b\u6545\u800c\u5176\u540e\u6b7b\u4ea1\u3002\u8fc7\u53bb3\u5e74\uff0c\u4ea6\u662f\u6700\u65b0\u6b7b\u4ea1\u7387\u6570\u636e\u6db5\u76d6\u7684\u65f6\u6bb5\uff0c\u5728\u9b41\u7701\u4ee5\u5916\u7684\u52a0\u56fd\u533b\u9662\u4e2d\uff0c\u6709\u903e254,000\u540d\u75c5\u4eba\u6b7b\u4ea1\u3002<\/p>\n

\u4ee3\u8868\u5b89\u7701\u6240\u6709\u533b\u9662\u7684\u5b89\u7701\u533b\u9662\u534f\u4f1a(Ontario Hospital Association)\u4e3b\u5e2d\u90b5\u7279(Hilary Short)\u8868\u793a\uff0c\u516c\u5e03\u5168\u56fd\u7684\u8be5\u7c7b\u6570\u636e\u7684\u505a\u6cd5\uff0c\u662f\u8d70\u51fa\u4e86\u4e00\u5927\u6b65\u3002\u5f53\u9996\u6b21\u516c\u5f00\u8be5\u7c7b\u62a5\u544a\u65f6\uff0c\u786e\u5b9e\u4ee4\u4eba\u6709\u70b9\u4e0d\u597d\u53d7\uff0c\u4f46\u4e00\u65e6\u5f00\u59cb\u8fd9\u6837\u505a\u4e4b\u540e\uff0c\u80af\u5b9a\u53ef\u4ee5\u63d0\u5347\u548c\u8feb\u4f7f\u6539\u5584\u533b\u7597\u8d28\u7d20\u3002<\/p>\n

\u5229\u658b\u62ff\u5168\u79d1\u533b\u9662\u6b7b\u4ea1\u7387\u6700\u4f4e<\/p>\n

\u53e6\u65b9\u9762\uff0c\u6839\u636eCIHI\u7684\u62a5\u544a\u6240\u793a\uff0c\u65b0\u7701\u548c\u7ebd\u82ac\u5170\u53ca\u62c9\u5e03\u62c9\u591a\u7701\u6709\u4e9b\u533b\u9662\u7684\u75c5\u4eba\u6b7b\u4ea1\u7387\u662f\u5168\u56fd\u6700\u9ad8\uff0c\u5f53\u4e2d\u65b0\u7701\u7684\u5e03\u5217\u987f\u89d2\u533b\u9662(Cape Breton Healthcare Complex)\u7684HSMR\u9ad8\u8fbe137\uff0c\u662f\u62a5\u544a\u4e2d\u6240\u5217\u533b\u9662\u4e2d\u6700\u9ad8\u8005\uff1b\u800c\u9010\u4e2a\u5730\u533a\u770b\uff0c\u5e03\u5217\u987f\u89d2\u5730\u533a\u4fdd\u5065\u5c40\u8f96\u4e0b\u76845\u95f4\u533b\u9662HSMR\u662f135\u3002\u81f3\u4e8e\u6c99\u7701\u7684\u5229\u658b\u62ff\u5168\u79d1\u533b\u9662(Regina General Hospital)\u7684HSMR\u662f71\uff0c\u662f\u5168\u56fd\u533b\u9662\u4e2d\u75c5\u4eba\u6b7b\u4ea1\u7387\u6700\u4f4e\u8005\u3002<\/p>\n

\u5df2\u63a1\u53d6\u6539\u5584\u670d\u52a1\u63aa\u65bd.\u58eb\u5609\u5821\u4e24\u9662\u6b7b\u4ea1\u7387\u6301\u7eed\u4e0b\u964d<\/strong><\/p>\n

\u661f\u62a5\u591a\u4f26\u591a\u4e13\u8baf\/\u58eb\u5609\u5821\u533b\u9662(Scarborough Hospital)\u5728\u6574\u4e2a\u5927\u591a\u4f26\u591a\u5730\u533a\u7684\u533b\u9662\u4e2d\u6b7b\u4ea1\u7387\u53ef\u80fd\u6700\u9ad8\ufe50\u4f46\u9996\u5e2d\u533b\u52a1\u5b98\u79ef\u900a(Dr. Steven Jackson)\u8868\u793a\ufe50\u8be5\u9662\u5c07\u63a1\u53d6\u63aa\u65bd\ufe50\u4f5c\u51fa\u91cd\u5927\u6539\u5584\u3002<\/p>\n

\u4ed6\u8bf4\ufe50\u7531\u65bc\u63a1\u53d6\u4e86\u4e00\u7cfb\u5217\u63d0\u9ad8\u670d\u52a1\u8d28\u7d20\u7684\u63aa\u65bd\ufe50\u6b7b\u4ea1\u7387\u9010\u6b65\u964d\u4f4e\u3002\u76ee\u524d\u7684\u6b7b\u4ea1\u7387\u4ecd\u7136\u9ad8\u65bc\u6a19\u51c6\ufe50\u8fd9\u610f\u5473\u8457\u533b\u9662\u9700\u8981\u7ee7\u7eed\u6539\u5584\u3002<\/p>\n

\u52a0\u62ff\u5927\u4fdd\u5065\u4fe1\u606f\u5b66\u4f1a(Canadian Institute of Health Information)\u5468\u56db\u516c\u5e03\u4e86\u300c\u533b\u9662\u6a19\u51c6\u6b7b\u4ea1\u7387\u300d(Hospital Standardized Mortality Ration\ufe50\u7b80\u79f0HSMR)\u3002\u8fd9\u662f\u8861\u91cf\u67d0\u5bb6\u533b\u9662\u5b9e\u9645\u6b7b\u4ea1\u6570\u76ee\u4e0e\u5e73\u5747\u6c34\u5e73\u7684\u6bd4\u8f83\u3002<\/p>\n

\u58eb\u5609\u5821\u5168\u79d1\u533b\u9662\u4e0d\u5305\u62ec\u4e34\u7ec8\u5173\u6000\u75c5\u4f8b\u7684\u6b7b\u4ea1\u7387\u4e3a134\ufe50\u6bd4\u52a0\u62ff\u5927\u5168\u56fd\u5e73\u5747\u6c34\u5e73\u9ad834\u70b9\u3002\u5728\u6148\u6069\u533b\u9662(Grace Hospital)\ufe50\u6b7b\u4ea1\u7387\u4e3a110\u3002\u52a0\u8d77\u6765\ufe50\u58eb\u5609\u5821\u533b\u9662\u7684\u6b7b\u4ea1\u7387\u4e3a125\u3002\u6839\u636e\u52a0\u62ff\u5927\u4fdd\u5065\u4fe1\u606f\u5b66\u4f1a\u7684\u8ffd\u8e2a\u8c03\u67e5\ufe50\u8fc7\u53bb3\u5e74\u6765\ufe50\u8fd9\u4e24\u5bb6\u533b\u9662\u7684\u6b7b\u4ea1\u7387\u6301\u7eed\u4e0b\u964d\u3002<\/p>\n

\u79ef\u900a\u6307\u51fa\ufe50\u4e3a\u4e86\u4fdd\u8bc1\u75c5\u4eba\u7684\u5b89\u5168\ufe50\u533b\u9662\u6210\u7acb\u4e86\u5305\u62ec\u7531\u91cd\u75c7\u62a4\u7406\u533b\u751f\u4e0e\u62a4\u58eb\u7ec4\u6210\u7684\u5feb\u901f\u53cd\u5e94\u56e2\u961f\ufe50\u5bf9\u75c5\u4eba\u7684\u7d27\u6025\u60c5\u51b5\u8fc5\u901f\u4f5c\u51fa\u53cd\u5e94\u3002<\/p>\n

\u800c\u836f\u5242\u79d1\u63a1\u7528\u4e86\u7535\u8111\u5316\u914d\u836f\u7cfb\u7edf\ufe54\u533b\u9662\u4e26\u4e14\u89e3\u51b3\u4e86\u624b\u672f\u5ba4\u7684\u95ee\u9898\ufe50\u624b\u672f\u5ba4\u5167\u7684\u6750\u6599\u4e0e\u706f\u5149\u7167\u660e\u6709\u6240\u6539\u5584\u3002<\/p>\n

\u672c\u6708\u521d\ufe50\u5b89\u7701\u536b\u751f\u5385\u957f\u53f2\u5bc6\u745f\u66fc(George Smitherman)\u4efb\u547d\u8fea\u7ef4\u7279(Rob Devitt)\u62c5\u4efb\u58eb\u5609\u5821\u533b\u9662\u7684\u4e3b\u7ba1\ufe50\u534f\u52a9\u89e3\u51b3\u8be5\u9662\u7684\u7ba1\u7406\u95ee\u9898\u3002<\/p>\n

\u62a5\u544a\u4e2d\u63d0\u53ca\u4e86\u58eb\u5609\u5821\u533b\u9662\u6240\u5b58\u5728\u7684\u8bb8\u591a\u95ee\u9898\ufe50\u5305\u62ec\ufe55\u7531\u65bc\u7a7a\u8c03\u4e0d\u591f\ufe50\u4e0d\u5f97\u4e0d\u53d6\u6d88\u624b\u672f\ufe50\u4ee5\u53ca\u6025\u75c7\u5ba4\u4eba\u6ee1\u4e3a\u60a3\u7b49\u3002\u4e00\u4e2a\u793e\u533a\u56e2\u4f53\u4e0e\u8be5\u9662\u8463\u4e8b\u4f1a\u53ca\u7ba1\u7406\u90e8\u95e8\u610f\u89c1\u4e0d\u5408\u3002<\/p>\n

\u58eb\u5609\u5821\u5168\u79d1\u533b\u9662\u95ee\u9898\u6240\u5728<\/p>\n

\u300a\u591a\u4f26\u591a\u661f\u62a5\u300b\u6240\u83b7\u5f97\u7684\u4e00\u4efd\u5167\u90e8\u62a5\u544a\u663e\u793a\u4e86\u8fc7\u53bb\u6240\u5b58\u5728\u7684\u4e00\u7cfb\u5217\u95ee\u9898\ufe55<\/p>\n

*\u57282001\u5e74\ufe50\u8aee\u8be2\u516c\u53f8Johnson & Johnson\u7684\u62a5\u544a\u5f97\u51fa\u7ed3\u8bba\ufe50\u58eb\u5609\u5821\u5168\u79d1\u533b\u9662\u7684\u624b\u672f\u8bbe\u65bd\u9648\u65e7\u3001\u4e0d\u8db3\u3001\u8bbe\u8ba1\u4e0d\u826f\ufe50\u65e0\u6cd5\u4fdd\u8bc1\u75c5\u4eba\u4e0e\u804c\u5458\u7684\u5b89\u5168\ufe50\u9700\u8981\u8fdb\u884c\u91cd\u5927\u7ffb\u4fee\u5347\u7ea7\ufe50\u4ee5\u8fbe\u5230\u5f53\u4eca\u7684\u624b\u672f\u6a19\u51c6\u3002<\/p>\n

*1\u6708\u4efd\ufe50\u5bf949\u540d\u6025\u8bca\u5ba4\u62a4\u58eb\u7684\u4e00\u9879\u5167\u90e8\u8c03\u67e5\u663e\u793a\ufe5098%\u7684\u62a4\u58eb\u8ba4\u4e3a\ufe50\u58eb\u5609\u5821\u5168\u79d1\u533b\u9662\u6025\u75c7\u5ba4\u4e0d\u5b89\u5168\ufe5096%\u7684\u4eba\u8868\u793a\ufe50\u6025\u8bca\u5ba4\u4e0d\u6e05\u6d01\ufe50\u800c92%\u7684\u4eba\u8ba4\u4e3a\ufe50\u6ca1\u6709\u5145\u8db3\u7684\u5408\u683c\u804c\u5458\u3002<\/p>\n

*\u540c\u6837\u57281\u6708\u4efd\ufe50\u58eb\u5609\u5821\u5168\u79d1\u533b\u966236\u540d\u6025\u8bca\u5ba4\u533b\u751f\u7b7e\u7f72\u4e86\u4e00\u4efd\u4fe1\u51fd\ufe50\u533b\u751f\u81f4\u51fd\u884c\u653f\u603b\u76d1\u65af\u845b\u7279\u533b\u751f(Dr. Hugh Scott)\ufe50\u8868\u793a\u7531\u65bc\u5de5\u4f5c\u8d1f\u8377\u8fc7\u91cd\ufe50\u5b58\u5728\u5404\u7c7b\u533b\u7597\u5dee\u9519\ufe50\u5305\u62ec\u8840\u6db2\u6837\u54c1\u5931\u8e2a\u3001\u836f\u7269\u5dee\u9519\u3001\u836f\u7269\u5931\u8e2a\ufe50\u4ee5\u53ca\u672a\u80fd\u9069\u5f53\u76d1\u62a4\u5371\u91cd\u75c5\u4eba\u7b49\u3002<\/p>\n

\u5927\u5b66\u533b\u7597\u7f51\u7edc\u5168\u52a0\u7b2c15\u4f73\u533b\u9662<\/strong><\/p>\n

\u661f\u62a5\u591a\u4f26\u591a\u4e13\u8baf\/\u5728\u9632\u6b62\u75c5\u4eba\u610f\u5916\u6b7b\u4ea1\u65b9\u9762\uff0c\u52a0\u62ff\u5927\u89c4\u6a21\u6700\u5927\u533b\u9662\u4e4b\u4e00\uff0c\u540c\u65f6\u4e5f\u5728\u5168\u52a0\u8868\u73b0\u6700\u4f73\u7684\u533b\u7597\u673a\u6784\u884c\u5217\u3002<\/p>\n

\u6839\u636e\u52a0\u62ff\u5927\u4fdd\u5065\u4fe1\u606f\u5b66\u4f1a(Canadian Institute for Health Information)\u5468\u56db\u516c\u5e03\u7684\u5168\u56fd\u533b\u9662\u6807\u51c6\u6b7b\u4ea1\u7387\u8c03\u67e5\u62a5\u544a\uff0c\u5305\u62ec\u739b\u5609\u70c8\u516c\u4e3b\u533b\u9662(Princess Margaret Hospital)\u3001\u591a\u4f26\u591a\u897f\u533a\u533b\u9662(Toronto Western Hospital)\u53ca\u591a\u4f26\u591a\u5168\u79d1\u533b\u9662(Toronto General Hospital)\u5728\u5185\u7684\u5927\u5b66\u533b\u7597\u7f51\u7edc(University Health Network)\u7684\u5f97\u5206\u4e3a87\u3002<\/p>\n

\u8fd9\u662f\u52a0\u62ff\u5927\u8868\u73b0\u7b2c15\u4f73\u7684\u533b\u9662\uff0c\u4e5f\u662f\u591a\u4f26\u591a\u5730\u533a\u6700\u597d\u7684\u3002<\/p>\n

\u5927\u5b66\u533b\u7597\u7f51\u7edc\u884c\u653f\u603b\u76d1\u66a8\u603b\u88c1\u8d1d\u5c14\u533b\u751f(Dr. Robert Bell)\u8868\u793a\uff0c\u8fd9\u4e00\u6570\u636e\u663e\u793a\u8be5\u9662\u7ba1\u7406\u5c42\u964d\u4f4e\u4e0d\u5fc5\u8981\u6b7b\u4ea1\u7684\u52aa\u529b\u3002<\/p>\n

\u591a\u5e74\u6765\uff0c\u8be5\u533b\u7597\u673a\u6784\u5c06\u5de5\u4f5c\u91cd\u70b9\u653e\u5728\u4fdd\u8bc1\u75c5\u4eba\u7684\u5b89\u5168\u65b9\u9762\u3002\u8d1d\u5c14\u8868\u793a\uff0c\u533b\u9662\u8463\u4e8b\u4f1a\u5f00\u4f1a\u65f6\uff0c\u603b\u662f\u5c06\u75c5\u4eba\u5b89\u5168\u95ee\u9898\u7f6e\u4e8e\u8d22\u52a1\u4e4b\u4e0a\u3002\u533b\u9662\u8463\u4e8b\u4f1a\u8bbe\u6709\u533b\u7597\u8d28\u7d20\u59d4\u5458\u4f1a\uff0c\u4e13\u95e8\u8d1f\u8d23\u76d1\u7ba1\u53ca\u8c03\u67e5\u533b\u7597\u5931\u8bef\u4e8b\u4ef6\u3002<\/p>\n

\u5927\u5b66\u533b\u7597\u7f51\u7edc\u4f30\u8ba1\uff0c\u4eca\u5e74\u5c06\u51fa\u73b0\u533b\u7597\u5931\u8bef\u53ca\u9669\u4e9b\u917f\u6210\u5931\u8bef\u67094,500\u5b97\u3002\u82e5\u533b\u9662\u5185\u53d1\u751f\u4e25\u91cd\u53ca\u5371\u6025\u4e8b\u6545\uff0c\u7acb\u5373\u4ea4\u7531\u8d1d\u5c14\u5904\u7406\u3002\u901a\u8fc7\u7535\u5b50\u90ae\u4ef6\uff0c\u8d1d\u5c14\u83b7\u5f97\u6240\u6709\u533b\u7597\u5931\u8bef\u4e8b\u4ef6\u7684\u901a\u62a5\u3002<\/p>\n

\u8d1d\u5c14\u6307\u51fa\uff0c\u7ba1\u7406\u5c42\u8fd8\u65bd\u884c\u4e86\u7535\u8111\u5316\u6307\u4ee4\u7cfb\u7edf\uff0c\u4ece\u800c\u62ef\u6551\u4e86\u65e0\u6570\u4eba\u7684\u751f\u547d\u3002\u7535\u8111\u5c4f\u5e55\u4e0a\u4f1a\u81ea\u52a8\u663e\u793a\u5b89\u5168\u4fe1\u606f\uff0c\u63d0\u9192\u533b\u751f\uff0c\u7559\u610f\u662f\u5426\u836f\u7269\u5242\u91cf\u8fc7\u5927\uff0c\u6216\u67d0\u4e00\u75c5\u4eba\u662f\u5426\u5bf9\u67d0\u79cd\u836f\u7269\u6709\u8fc7\u654f\u53cd\u5e94\u7b49\u3002<\/p>\n

\u4ed6\u8bf4\uff0c\u516c\u5f00\u533b\u9662\u6b7b\u4ea1\u7387\u975e\u5e38\u5173\u952e\u3002<\/p>\n

\u533b\u9662\u75c5\u4eba\u6b7b\u4ea1\u7387 \u65af\u7701\u6700<\/strong>\u9ad8
\n5\u5927\u6b7b\u56e0\uff1a\u5fc3\u810f\u75c5\u5fc3\u8870\u7aed\u80ba\u708e\u6162\u6027\u80ba\u963b\u8d25\u8840<\/p>\n

(\u591a\u4f26\u591a29\u65e5\u52a0\u65b0\u793e\u7535)\u52a0\u62ff\u5927\u536b\u751f\u8d44\u8baf\u7814\u7a76\u6240(Canadian Institute for Health Information)\u5468\u56db\u53d1\u8868\u62a5\u544a\uff0c\u6bd4\u5bf9\u5168\u56fd\u5404\u5730\u533b\u9662\u5c31\u8bca\u75c5\u4eba\u6b7b\u4ea1\u7387\u548c\u5168\u56fd\u5e73\u5747\u6807\u51c6\u3002\u7ed3\u679c\u663e\u793a\uff0c\u65af\u9ad8\u6c99\u548c\u7ebd\u82ac\u5170\u7701\u533b\u9662\u7684\u75c5\u4eba\u6b7b\u4ea1\u7387\u5168\u56fd\u6700\u9ad8\uff1b\u6c99\u65af\u5361\u5bf8\u65fa\u7701\u6700\u4f4e\u3002<\/p>\n

\u62a5\u544a\u4f7f\u7528\u533b\u9662\u6807\u51c6\u6b7b\u4ea1\u7387\u6307\u6570(HSMR)\uff0c\u5206\u67902004\u52302007\u5e74\u95f4\u7684\u533b\u9662\u6b7b\u4ea1\u6570\u5b57\uff0c\u6bd4\u8f83\u5168\u56fd\u9664\u9b41\u5317\u514b\u591692\u95f4\u5927\u578b\u533b\u9662\u300142\u95f4\u536b\u751f\u5c40\u72b6\u51b5\u3002\u5728\u8be5\u671f\u95f4\u5185\uff0c25.4\u4e07\u591a\u4eba\u5728\u533b\u9662\u6b7b\u4ea1\u3002<\/p>\n

\u62a5\u544a\u96c6\u4e2d\u4e8e65\u4e2a\u8bca\u65ad\u56e2\u4f53\uff0c\u5360\u9662\u5185\u6b7b\u4ea1\u75c5\u4f8b80%\u3002\u5176\u4e2d\u6700\u59275\u79cd\u75c5\u4f8b\u4e3a\u5fc3\u810f\u75c5\u53d1\u4f5c\u3001\u5fc3\u810f\u8870\u7aed\u3001\u80ba\u708e\u3001\u6162\u6027\u963b\u585e\u6027\u80ba\u75c5\u3001\u8d25\u8840\u75c7\u3002\u5b83\u4e0d\u5305\u62ec\u63a5\u53d7\u4e34\u7ec8\u5173\u6000\u770b\u62a4\u540e\u6b7b\u4ea1\u7684\u60a3\u8005\u3001\u5b55\u4ea7\u5987\u6b7b\u4ea1\u548c\u65b0\u751f\u513f\u6b7b\u4ea1\u3002<\/p>\n

\u7814\u7a76\u6240\u7406\u4e8b\u4f1a\u4e3b\u5e2d\u65af\u79d1\u7279(Graham Scott)\u8bf4\uff1a\u201c\u533b\u9662\u548c\u533b\u62a4\u4eba\u5458\u4e0d\u65ad\u5bfb\u6c42\u6539\u5584\u65b9\u6cd5\uff0c\u5411\u60a3\u8005\u63d0\u4f9b\u670d\u52a1\u3002\u6807\u51c6\u6b7b\u4ea1\u7387\u6307\u6570\u4ee5\u6b64\u4e3a\u57fa\u7840\uff0c\u52a0\u6df1\u4eba\u4eec\u5bf9\u60a3\u8005\u9662\u5185\u6b7b\u4ea1\u7387\u7684\u7406\u89e3\uff0c\u786e\u5b9a\u9700\u8981\u6539\u5584\u7684\u90e8\u5206\u3002\u201d<\/p>\n

\u7814\u7a76\u5c06\u6807\u51c6\u6b7b\u4ea1\u7387\u6307\u6570\u5b9a\u4e3a100\uff0c\u5c06\u6bcf\u95f4\u533b\u9662\u6309\u6807\u51c6\u6253\u5206\uff0c\u4f4e\u4e8e100\u8bf4\u660e\u6b7b\u4ea1\u7387\u4f4e\u4e8e\u5168\u56fd\u6c34\u5e73\uff0c\u53cd\u4e4b\u5219\u9ad8\u8fc7\u5168\u56fd\u5e73\u5747\u6807\u51c6\u3002\u7ed3\u679c\uff0c\u65af\u9ad8\u6c99\u7701\u5e03\u96f7\u987f\u89d2\u533b\u9662(Cape Breton Healthcare Complex)\u6700\u7cdf\uff0c\u5f97\u5206137\u3002\u6309\u5730\u533a\u5206\u7c7b\uff0c\u5e03\u96f7\u987f\u89d2\u536b\u751f\u5c40(Cape Breton District Health Authority)\u8f96\u4e0b5\u95f4\u533b\u9662\u603b\u4f53\u8bc4\u5206\u6700\u9ad8\uff0c\u4e3a135\u3002<\/p>\n

\u6c99\u65af\u5361\u5bf8\u65fa\u7684\u5229\u8f7d\u62ff\u5168\u79d1\u533b\u9662(Regina General Hospital)\u83b771\u5206\uff0c\u5206\u6570\u5728\u5168\u56fd\u6700\u4f4e\u3002<\/p>\n

\u5b89\u7701\u533b\u9662\u534f\u4f1a\u4e3b\u5e2d\u3001\u6267\u884c\u603b\u88c1\u65af\u79d1\u7279(Hilary Scott)\u8bf4\uff0c\u6c11\u4f17\u4e0d\u8981\u56e0\u533b\u9662\u6807\u51c6\u6b7b\u4ea1\u7387\u6307\u6570\u5f97\u5206\u9ad8\u800c\u62c5\u5fc3\u3002\u6570\u636e\u76ee\u7684\u662f\u900f\u8fc7\u6d4b\u8bd5\u60a3\u8005\u6ee1\u610f\u5ea6\uff0c\u9f13\u52b1\u533b\u9662\u6539\u5584\u670d\u52a1\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

\u5927\u5b66\u533b\u7597\u7f51\u7edc\u6b7b\u4ea1\u7387\u5927\u591a\u4f26\u591a\u6700\u4f4e \u661f\u62a5\u53ca\u52a0\u901a\u793e\u7efc\u5408\u62a5\u9053\/\u591a\u4f26\u591a\u5730\u533a\u4f17\u591a\u533b\u9662\u4e4b\u4e2d\uff0c\u58eb\u5609\u5821\u5168\u79d1\u533b\u9662(Scarborough General Hospital)\u75c5\u4eba\u6b7b\u4ea1\u7387\u6700\u9ad8\uff0c\u6392\u5168\u56fd\u7b2c3\u9ad8\u3002 \u5927\u591a\u4f26\u591a\u5730\u533a(GTA)\u7684\u533b\u9662\u4e2d\uff0c\u75c5\u4eba\u6b7b\u4ea1\u7387\u6700\u4f4e\u7684\u662f\u5927\u5b66\u533b\u7597\u7f51\u7edc(University Health Network\u7b80…
Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"_links":{"self":[{"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=\/wp\/v2\/posts\/4811"}],"collection":[{"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4811"}],"version-history":[{"count":0,"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=\/wp\/v2\/posts\/4811\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.jackjia.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}