Construction and application of an evaluation system for collaboration effectiveness in county hospitals based on DRG quality performance
Objective:To develop an evaluation index system for collaboration effectiveness in county hospitals from the perspective of DRG(Diagnosis-Related Group)quality performance,providing a scientific basis for assessing collaboration outcomes.Methods:A preliminary index pool was established through literature review and semi-structured interviews.The Delphi method and analytic hierarchy process(AHP)were used to determine the evaluation index system and its weights.Weighted TOPSIS was applied for empirical case analysis.Results:The effective response rates for the two rounds of Delphi expert consultations were 94.74％and 100％,respectively,with an authority coefficient of 0.878.Kendall's coefficient of concordance ranged from 0 to 1,and the consistency ratio(CR)was less than 0.1,indicating that the indices passed the consistency test.A collaboration effectiveness evaluation system comprising 3 dimensions and 18 indicators was finalized.Among the dimensions,"workload"had the highest weight(50.682％),while"number of discharges"had the highest weight(12.903％)among the indicators.Weighted TOPSIS analysis revealed that the hospital's quality performance in 2023 was the best over the past five years,indicating emerging collaboration effectiveness.Conclusion:The collaboration effectiveness evaluation system constructed from a quality performance perspective is scientific and practical,demonstrating the effectiveness of inter-hospital collaboration.
county hospitalscollaboration effectivenessDRGquality performanceindex system
万方数据
维普
