公立医院公益性的患者评价聚类分析  

Cluster analysis on patient＇s evaluation of public welfare for tertiary public hospitals

作　　者：刘文彬[1] 邓伟[1] 梁斐[1] 胡献之[1] 谷茜[1] 赵列宾[2] 董斌[2] 施李正 陈英耀[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海交通大学医学院 [3]美国杜兰大学公共卫生和热带病学院

出　　处：《中华医院管理杂志》2013年第11期820-822,共3页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金项目（70973025）

摘　　要：目的从患者角度了解公立医院的公益性状况，并分析不同的三级医院在公益性方面的情况差异，为提高公立医院公益性提出政策建议。方法对公立医院就诊患者进行现场调查，分析患者对医院公益性的评价情况；通过聚类分析，将纳入调查的公立医院划分为不同类别；通过F检验，分析不同类别公立医院的各公益性指标得分情况。结果通过聚类分析，将纳入研究的17所三级医院划分为四类；各类三级医院的12个公益性指标得分差异均有统计学意义，得分在1．12～2．70之间。结论发挥政府主导作用，三级医院承担相应的惠民公益服务，并从控制费用、合理检查等方面增强服务适宜性，将有助于提高其公益性。Objective To compare the differences in public welfare among tertiary public hospitals from patients＂ perspective and provide policy recommendations to improve the social responsibility of public hospitals. Methods Field survey data were collected in public hospitals. The patients＂ assessment （12 items） on public welfare of public hospitals was analyzed using a hierarchical cluster analysis to classify the tertiary public hospitals into different categories. F-test was applied to detect the differences of public welfare among the hospitals by category. Results According to the hierarchical cluster analysis, the sample of tertiary public hospitals was divided into four different categories. The differences in each patient-reported item of public welfare among the categories were statistically significant. Conclusion Under guidance of the government, tertiary hospitals are expected to provide due public benefits, and enhance service fitness in terms of expense control and justifiable medical examinations.

关 键 词：公立医院 三级医院 公益性 患者 聚类分析 

分 类 号：R197.3[医药卫生—卫生事业管理]