中国临床保健杂志2026，Vol.29Issue(1)：105-109,5.DOI:10.3969/J.issn.1672-6790.2026.01.018
基于真实世界数据的老年肺部感染专病质量控制指标体系构建及验证的研究
Construction and validation of a quality control indicator system for pulmonary infection in the elderly based on real-world data
摘要
Abstract
Objective To establish a disease-specific quality control indicator system tailored to the characteristics of geriatric medicine for elderly patients with pulmonary infection,validate its application value using real-world data,and identify key factors influencing diagnosis and treatment quality and efficiency.Methods A preliminary three-dimensional quality control indicator system(structure-process-outcome)for pulmonary infection in the elderly was constructed through literature review,policy alignment,and expert consensus.An information-based data platform was established under the Jiangsu Provincial Quality Control Center for Geriatric Medicine,collecting data from 3 000 valid cases of geriatric pulmonary infection from July 2023 to June 2025.Multivariate regression model was used to analyze factors affecting medical efficiency,medical cost trends,regional disparities,and patient outcomes.Results The constructed indicator system effectively monitored the entire diagnosis and treatment process.The average length of stay(LOS)for elderly patients with pulmonary infection in the province showed a declining trend,and Western medicine costs decreased significantly due to centralized procurement policies.Multivariate regression analysis revealed that no swallowing rehabilitation(OR=12.98),serum albumin(OR=0.88),and CURB-65 score(OR=2.76)were core factors influencing patient outcomes and medical resource consumption(all P＜0.05).Conclusions A closed-loop quality control pathway for geriatric diseases was preliminarily established,encompassing"standard formulation-training promotion-data monitoring-feedback improvement"which can provide an effective quality-management tool for improving the quality of care for pulmonary infection in the elderly.关键词
肺疾病/质量控制/影响因素分析/老年人Key words
Lung diseases/Quality control/Root cause analysis/Aged引用本文复制引用
张微微,陆小伟,许伟,吴剑卿..基于真实世界数据的老年肺部感染专病质量控制指标体系构建及验证的研究[J].中国临床保健杂志,2026,29(1):105-109,5.基金项目
江苏省科教能力提升工程项目(CXZX202228) （CXZX202228）
江苏省前沿技术研发计划项目(卫生健康领域)(BF2025616) Jiangsu Provincial Science and Education Capacity Improvement Project(CXZX202228) （卫生健康领域）
Jiangsu Province Cutting-edge Technology R&D Program(Health Sector)(BF2025616) （Health Sector）
