三级医院综合效益评价指标体系构建
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南京医科大学

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江苏省卫计委科研基金项目


Construction of comprehensive benefit evaluation index system for tertiary hospitals
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NANJING MEDICAL UNIVERSITY

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Scientific research fund of jiangsu provincial commission of health and family planning

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    摘要:

    目的:构建科学可操作的三级医院综合效益评价指标体系。方法:利用平衡计分卡理论和德尔菲法完成指标的纳入和筛选,利用德尔菲法和层次分析法计算指标的权重。结果:经过两轮专家咨询构建了包含5项一级指标、13项二级指标和46项三级指标的三级医院医院综合效益评价指标体系,两轮咨询专家积极系数均为1、权威系数为0.88,第二轮咨询专家意见协调系数为0.543,专家咨询结果可靠。结论:本文构建的指标体系对三级医院综合效益评价侧重在患者满意度、患者经济负担、流动比率、双向转诊、医疗服务安全等方面,该指标体系具有一定的科学性和可行性,对评价公立和私立三级综合医院综合效益均适用,但仍存在不足有待改进。

    Abstract:

    Objective:To establish a scientific and operable evaluation index system for the comprehensive benefit of tertiary hospitals.Methods:Using balanced scorecard theory and Delphi method to complete the inclusion and screening of indicators, using Delphi method and analytic hierarchy process to calculate the weight of indicators.Results:After two rounds of expert consultation, a hospital comprehensive benefit evaluation index system of tertiary hospitals is constructed, which included 5 first-level indicators, 13 second-level indicators and 46 third-level indicators. The active coefficient of experts in the two rounds was 1, the authoritative coefficient was 0.88, and the coordination coefficient of expert opinions in the second round was 0.543.The expert consultation results are reliable.Conclusions:This paper builds the index system for evaluation of comprehensive benefit of the third class hospitals focus on patient satisfaction, patients' economic burden, liquidity ratio, two-way referral, medical services, security,the index system has certain scientific nature and feasibility of the evaluation of public and private level 3 general hospital comprehensive benefits are applicable, but there are still deficiencies to be improved.

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  • 收稿日期:2019-10-10
  • 最后修改日期:2020-02-09
  • 录用日期:2020-12-14
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