典型文献
Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys
文献摘要：
Background::Worldwide, the volume and availability of digestive endoscopy have undergone dramatic development in recent years, with increasing attention on quality assurance. We investigated the utilization and quality of digestive endoscopy in China from 2015 to 2019 and developed a quantitative quality evaluation tool for medical institutions.Methods::We invited all tertiary/secondary hospitals in Chinese mainland to participate in the survey annually. The questionnaires included the personnel, annual volume, and quality indicators of endoscopy. An endoscopy quality index (EQI) was developed based on recorded quality indicators using principal component analysis to determine the relative weight.Results::From 2015 to 2019, 806, 1412, 2644, 2468, and 2541 hospitals were respectively enrolled in this study. The average annual volume of endoscopy increased from 12,445 to 16,206 (1.30-fold) and from 2938 to 4255 (1.45-fold) in tertiary and secondary hospitals, respectively. The most obvious growth was observed in diagnostic colonoscopy (1.44-fold for all hospitals after standardization). The proportion of early cancer among all esophageal and gastric cancers during diagnostic esophagogastroduodenoscopy increased from 12.3% (55,210/448,861) to 17.7% (85,429/482,647) and from 11.4% (69,411/608,866) to 16.9% (107,192/634,235), respectively. The adenoma detection rate of diagnostic colonoscopy increased from 14.9% (2,118,123/14,215,592) to 19.3% (3,943,203/20,431,104). The EQI model included 12 quality indicators, incorporating 64.9% (7.792/12) of the total variance into one comprehensive index. According to the EQI measurements, the quality of endoscopy was higher in tertiary hospitals and hospitals in developed areas with higher volume or more endoscopists than that in other hospitals.Conclusions::Digestive endoscopy in China has developed considerably in recent years in terms of both volume and quality. The EQI is a promising tool to quantify the quality of endoscopy at different hospitals.
文献关键词：
Endoscopy, gastrointestinal;Health care surveys;Principal component analysis;Quality control
中图分类号：
作者姓名：
Xin Lei;Gao Ye;Cheng Zhiyuan;Wang Tianjiao;Lin Han;Pang Yanan;Sun Chang;Fu Zengjun;Li Zhaoshen;Ma Xudong;Wang Luowei
作者机构：
Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, Naval Medical University, Shanghai 200433, China;Graduate School, Naval Medical University, Shanghai 200433, China;Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200240, China;National Digestive Endoscopy Improvement System, Changhai Hospital, Naval Medical University, Shanghai 200433, China;Department of Medical Quality, Medical and Health Administration, National Health Commission of China, Beijing 100044, China
文献出处：
引用格式：
[1]Xin Lei;Gao Ye;Cheng Zhiyuan;Wang Tianjiao;Lin Han;Pang Yanan;Sun Chang;Fu Zengjun;Li Zhaoshen;Ma Xudong;Wang Luowei-.Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys)[J].中华医学杂志（英文版）,2022(16):2003-2010
A类：
esophagogastroduodenoscopy,endoscopists
B类：
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AB值：
0.492969
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