首页|基于德尔菲-熵权法的智慧医保发展水平评估体系构建研究

基于德尔菲-熵权法的智慧医保发展水平评估体系构建研究

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目的 构建智慧医保发展水平评估指标体系,为医保管理部门进行智慧医保发展水平与医保信息化评估工作提供参考.方法 基于事件系统理论与文本分析法遴选智慧医保关键事件,结合专家访谈开展德尔菲专家咨询确定评估指标体系,并利用熵权法计算各指标权重,最后评估当前智慧医保发展水平与理想发展水平.结果 选取咨询专家共16人,经两轮德尔菲专家咨询后最终纳入一级指标2个、二级指标18个.其中当前我国智慧医保发展水平为智慧发展级(2.524分),理想发展水平为智慧提升级(4.073分).两轮德尔菲专家咨询的积极系数均为100%,权威系数为0.842,且专家协调程度逐轮提升.结论 构建的智慧医保发展水平评估指标体系具有较高的科学性、稳定性与可推广性,能够为各统筹区智慧医保发展提供有效的评估工具.
Construction and Application of an Intelligent Health Insurance Development Level Evaluation System Based on the Delphi-Entropy Method
Objective It aims to construct an evaluation index system for the development level of intelligent health insurance,which can serve as a reference for health insurance management departments in assessing the develop-ment level of intelligent health insurance and the implementation of health insurance informatization.Methods Key events in intelligent health insurance were identified based on event system theory and text analysis.The evaluation index system was determined through a combination of expert interviews and Delphi expert consultations.The entro-py method was used to calculate the weights of each index,followed by the assessment of the current and ideal de-velopment levels.Results A total of 16 experts were consulted.After two rounds of Delphi expert consultation,two first-level indicators and 18 second-level indicators were finally included in the system.The current development level of intelligent health insurance in China is at the intelligent development stage(2.524 points),while the ideal de-velopment level is at the intelligent improvement stage(4.073 points).The positivity coefficient of both rounds of Del-phi expert consultation was 100%,with an authority coefficient of 0.842,and the degree of expert coordination im-proved with each round.Conclusion The constructed evaluation index system exhibits high scientificity,stability,and generalizability.It can provide an effective evaluation tool for the development of intelligent health insurance in various pooled areas.

Delphi methodentropy methodintelligent health insurancehealth insurance informatizationin-dex system

叶雨昕、唐文熙、李帅龙、邢倩、李明阳、刁仁昌、马爱霞

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中国药科大学国际医药商学院 江苏南京 211198

南京市医疗保障局 江苏南京 210000

德尔菲法 熵权法 智慧医保 医保信息化 指标体系

南京市医保研究会重点项目南京市医保研究会基础项目

NJYB2022ZD003NJYB2022JC010

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(2)
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