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To comprehensively evaluate the medical quality level of tertiary general hospitals in Guangxi and propose targeted quality improvement strategies.
Through the fuzzy union of entropy-weighted TOPSIS method and RSR method, we evaluated the medical quality of general hospitals in Guangxi cities and towns from 2019 to 2022, and utilized the obstacle degree model for the diagnosis of obstacle factors of medical quality development.
The top three weights of medical quality evaluation indexes were the percentage of special medical service volume (0.334), the number of patients referred downstream (0.216), and the percentage of commented prescriptions (0.107); the medical quality levels of Nanning City, Liuzhou City, and Guilin City were in the forefront, and that of Fangchenggang City, Laibin City, and Hechi City were in the back; the barrier factor diagnosis showed that the medical quality was greatly affected by functional positioning and rational drug use, with the barrier degree of 73.77% and 17.70% respectively, but the barrier degree of functional positioning showed a decreasing trend year by year, and the barrier degree of rational drug use showed a rising trend year by year, in which the barrier degree of rational drug use in Nanning City and Guilin City in 2022 had exceeded that of functional positioning.
The development of healthcare quality is not balanced between cities in Guangxi and the focus of development is different, tertiary general hospitals should clarify their own functional positioning and strengthen the guarantee of rational medication use.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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