摘要
目的构建三级公立医院主诊医师组医疗服务评价指标体系。方法基于现有政策以及相关文献分析拟定初始指标,借鉴平衡记分卡的理论框架,通过两轮德尔菲函询法确定指标体系,两轮专家咨询积极程度均为100%,且专家权威系数较高(第一轮:Cr=0.851,第二轮:Cr=0.839)。再运用层次分析法求出指标权重。结果通过两轮专家咨询构建了主诊医师组医疗服务评价指标体系,并通过层次分析法得出指标体系权重,共4个一级指标内部流程(0.406)、财务(0.288)、学习与成长(0.208)、客户(0.098),25个二级指标。且各个指标权重的一致性检验CR值均小于0.01。结论该指标体系对三级公立医院主诊医师组医疗服务评价具有科学性及可行性,可借鉴到医院科室管理中,用以进一步提升医疗服务质量和医院精细化管理水平。
Objective To establish an evaluation index system for medical services provided by primary diagnosis physician groups in tertiary public hospitals,using the Delphi method and Analytic Hierarchy Process(AHP).Methods Based on existing policies and relevant literature,initial indicators were formulated.The Delphi method was used in two rounds to determine the index system,with a participation rate of 100%and high expert authority coefficients(Round 1:Cr=0851,Round 2:Cr=0839).The AHP was then applied to calculate the weights of the indicators.Results The evaluation index system for medical services provided by primary diagnosis physician groups was established through two rounds of expert consultations.The AHP yielded the weights of the indicators,with four primary indicators:internal processes(0406),finance(0288),learning and growth(0208),and customer(0098),and 25 secondary indicators.The consistency ratio(CR)values for the weights of the indicators were all less than 001.Conclusion The proposed index system is scientific and feasible for evaluating medical services provided by primary diagnosis physician groups in tertiary public hospitals.It can be applied in hospital department management to further enhance the quality of medical services and the level of hospital refinement management.
作者
高俊
陈寒杰
段俊
韩振
张宁波
朱思奇
刘颜
GAO Jun;CHEN Hanjie;DUAN Jun;HAN Zhen;ZHANG Ningbo;ZHU Siqi;LIU Yan(School of Public Health,Guilin Medical University,Guilin 541000,China)
出处
《现代医院》
2024年第7期1044-1047,共4页
Modern Hospitals
基金
深圳市“三名工程”资助项目(SZSM201812088)
深圳市卫生经济学会科研基金项目(202404)。
关键词
平衡记分卡
三级公立医院
主诊医师组
评价指标体系
Balanced scorecard
Tertiary public hospital
Primary diagnosis physician group
Evaluation index system
