摘要
目的:构建适用于县级医院的综合能力评价指标体系,为县级医院高质量发展相关政策实施的跟踪评估提供参考依据。方法:采用文献分析法检索政策文件及文献资料,参考“千县工程”的重点任务,基于结构-过程-结果模型筛选初始指标池;采用德尔菲法和层次分析法构建指标体系并计算指标权重。结果:经两轮专家咨询,专家意见基本达成一致。该指标体系包含4个一级指标(服务能力、辐射引领、运营管理、医疗质量)、12个二级指标和34个三级指标。结构指标占总权重36.9%,过程指标占33.6%,结果指标占29.5%。县级医院结构指标中,医防融合、病例组合指数和信息化建设权重最高;县域医共体结构指标中,慢病管理中心、医保管理中心和信息数据中心权重最高,共同构成了整合型医疗服务体系的基础。样本医院采用本指标体系预评,验证了实用性。结论:指标体系适用于评价县级医院综合能力,可为县级医院高质量发展提供基线调查和后期效果评估的量化工具。
Objective:To establish an evaluation index system for hospital operational efficiency,providing an analytical tool to reflect changes in the overall efficiency of hospitals under the reform of payment methods centered on DRG/DIP.Methods:An evaluation framework was preliminarily established through literature research,and the Delphi expert consultation method was used to screen indicators and determine their weights.Results:An evaluation index system for hospital operational efficiency under the reform of payment methods was constructed based on an input-output framework,including 10 secondary indicators and 34 tertiary indicators such as personnel,bed,funding and material input,service utilization,bed utilization,medical service capability,service quality,economic operation,and satisfaction.Conclusion:The constructed hospital operational efficiency index system,centered on the reform of payment methods,is scientifically rational.It is recommended to apply it empirically,fully utilize the evaluation results to provide references for improving hospital operations,and thus promote the high-quality development of public hospitals.
作者
刘智明
张良文
韩耀风
袁满琼
方亚
LIU Zhiming;ZHANG Liangwen;HAN Yaofeng;YUAN Manqiong;FANG Ya(School of Public Health,Xiamen University,Xiamen,Fujian Province,361102,PRC)
出处
《中国医院》
北大核心
2024年第4期22-25,共4页
Chinese Hospitals
基金
福建省社会科学基金项目(FJ2022C047)。
关键词
县级医院
综合能力
医院评价
指标体系
county-level hospitals
comprehensive ability
hospital evaluation
indicator system
