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三级公立医院绩效考核一级指标间关系研究

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目的:调查研究三级公立医院绩效考核评价指标体系中4个一级指标之间的关系.方法:采用问卷调查法,获取医务人员对绩效评价指标的合理性认知数据,使用结构方程模型和Amos 21.0统计软件进行数据分析,并使用Bootstrap方法检验中介效应.结果:共获得826份有效问卷.医疗质量、运营效率和持续发展对满意度均有正向影响,运营效率和持续发展在医疗质量影响满意度的过程中起到链式中介作用,即"医疗质量⇒运营效率⇒持续发展⇒满意度".结论:有助于将企业管理领域的知识灵活应用并深化融合到医院管理领域,帮助医院在有限资源的前提下科学制定内部绩效评价方案,为国家优化三级公立医院绩效考核指标体系提供新思路.
A Study on the Relationship between Primary Indicators in Performance Assessment of Tertiary Public Hospitals
Objective:To explore the relationships among 4 primary indicators in the performance assessment and evaluation system of tertiary public hospitals.Methods:A questionnaire survey was employed to collect data on healthcare professionals'perceptions of the rationality of performance evaluation indicators.Structural equation modeling(SEM)and Amos 21.0 Statistical Software were utilized for data analysis,with the mediation effects tested using the Bootstrap method.Results:A total of 826 valid questionnaires were obtained.Medical quality,operational efficiency,and sustainable development had a positive impact on satisfaction.Operational efficiency and sustainable development played a chain-mediated role in the process of medical quality influencing satisfaction evaluation,namely"medical quality → operational efficiency → sustainable development → satisfaction".Conclusion:It helps to flexibly apply and deepen the integration of knowledge in the field of enterprise management into the field of hospital management,helps hospitals to scientifically formulate internal performance evaluation programs under the premise of limited resources,and provides new ideas for the country to optimize the performance appraisal index system of tertiary public hospitals.

tertiary public hospitalsperformance evaluationinternal structural relationship

申飞虎、王小合、杨豆豆、宋慧敏

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南方医科大学第五附属医院 广州 510900

杭州师范大学 杭州 311121

广州体育学院 广州 510500

东莞城市学院 广东 东莞 523000

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三级公立医院 绩效评价 内在结构关系

国家自然科学基金项目东莞城市学院青年教师基金重点项目

71673075201902

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(1)
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