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肿瘤专科医院质量评价指标体系构建与应用

Construction and Application of Quality Evaluation Index System in Oncology Hospital

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目的 建立具有肿瘤专科特色的医院质量评价指标体系并进行应用.方法 采用德尔菲法和层次分析法构建指标体系并确定各级指标权重,运用目标管理法及O/E值(实际值/期望目标值)对指标体系进行应用分析.结果 两轮德尔菲专家积极系数均为100%,权威系数分别为0.837、0.859,两轮专家意见协调系数介于0.290~0.312之间.构建的指标体系包含4个一级指标、12个二级指标和47个三级指标.各级指标CR值均<0.1,表明指标权重较合理.2022年,样本医院达到设定目标值的三级指标有32个,达标率为68.09%.结论 指标体系具有一定科学性、可靠性和适用性,可作为提升区域肿瘤防治水平的评价工具.
Objective To establish a quality evaluation index system with oncology specialty characteristics and car-ry out its application.Methods The Delphi method and Analytic Hierarchy Process(AHP)were used to construct an index system and determine the weights of each level of indicators.The Management by Objectives(MBO)approach and the O/E value were used to analyze the indicator system.Results The positive coefficient of the two rounds of Delphi experts was 100%,and the authority coefficient was 0.837 and 0.859 respectively.The coordination coefficients of the two rounds of experts ranged from 0.290 to 0.312.The constructed evaluation system included 4 primary indicators,12 secondary indicators,and 47 tertiary indicators.The CR values of each level of indicators were all<0.1,indicating good rationality of weight.The number of level-3 indicators that reached the set target value in sample hospital in 2022 was 32,with a compliance rate of 68.09%.Conclusion The index system has certain scientificity,reliability,and applica-bility,which provide an evaluation tool for improving the level of regional tumor prevention and treatment.

Oncology SpecializationIndex SystemDelphi MethodAnalytic Hierarchy Process(AHP)Management by Objectives Method

沈乐冲、唐琴、王志刚、王㠉州、顾晓芳、林海涛

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江苏省肿瘤医院(南京医科大学附属肿瘤医院)/江苏省癌症中心 江苏 南京 210000

肿瘤专科 指标体系 德尔菲法 层次分析法 MBO目标管理法

江苏省肿瘤医院卓越管理计划江苏省医院管理创新研究课题(2021)

ZG202107JSYGY-2-2021-286

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(4)
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