Construction of evaluation index system for perioperative medical service efficiency based on value healthcare
Objective To construct an evaluation index system for the perioperative medical service efficiency.Methods From September to November 2023,this study conducted literature search and research group discussions to select initial indicators for evaluating the efficiency of perioperative medical services guided by value-based healthcare;2-round Delphi methods were used to construct an evaluation index system for perioperative medical service efficiency,and the weights of the indicators were determined using the analytic hierarchy process.Results The expert motivation for both rounds of Delphi method was 100.00％,the expert authority coefficient was 0.94,and the Kendall coordination scores were 0.56 and 0.75,respectively.The final established evaluation index system for perioperative medical service efficiency included 2 primary indexes,9 secondary indexes,and 41 tertiary indexes.The first level indexes included medical quality and medical cost,with relative weights of 66.67％and 33.33％,respectively.Among them,medical quality included 7 secondary indexes:medical management,medical safety,service mode,information construction,patient outcomes,service efficiency,and satisfaction;Medical costs include 2 secondary indiexes:patient costs and medical institution costs.Conclusions The evaluation index system for the efficiency of perioperative medical services reflected the connotation of value-based healthcare and could comprehensively and objectively evaluate the efficiency of perioperative medical services.
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维普
