首页|基于德尔菲法及层次分析法的主诊组医疗服务评价指标体系的建立

基于德尔菲法及层次分析法的主诊组医疗服务评价指标体系的建立

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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。
The establishment of medical service evaluation index system of the main diagnostic group based on the delphi method and hierarchical analysis method
Objective To establish an evaluation index system for medical services provided by primary diagnosis physi-cian 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 deter-mine the index system,with a participation rate of 100%and high expert authority coefficients(Round 1:Cr=0.851,Round 2:Cr=0.839).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(0.406),finance(0.288),learning and growth(0.208),and customer(0.098),and 25 secondary indicators.The consistency ratio(CR)values for the weights of the indicators were all less than 0.01.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 man-agement to further enhance the quality of medical services and the level of hospital refinement management.

Balanced scorecardTertiary public hospitalPrimary diagnosis physician groupEvaluation index system

高俊、陈寒杰、段俊、韩振、张宁波、朱思奇、刘颜

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桂林医学院,公共卫生学院 广西桂林 541000

北京大学深圳医院 广东深圳 518000

北京大学深圳医院智慧医院研究院 广东深圳 518000

平衡记分卡 三级公立医院 主诊医师组 评价指标体系

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(7)