公立医院公益性评价指标体系构建的理论框架探讨  

An exploration of theoretical framework on setting public welfare evaluation index system in public hospitals

作　　者：李军[1] 刘建[2] 蒋沫怡[1] 张健[2] 王力红[3] 张为远[4] 申昆玲[5] 郑东翔[6] 周保利[7] 李秀兰[8] 史培娜[2] 尹娜[1] 

机构地区：[1]首都卫生管理与政策研究基地.首都医科大学卫生管理与教育学院 [2]首都医科大学附属北京友谊医院,北京市西城区永安路95号100050 [3]首都医科大学宣武医院,北京市西城区长椿街45号100053 [4]首都医科大学附属北京妇产医院 [5]首都医科大学附属北京儿童医院 [6]首都医科大学附属北京口腔医院,北京市东城区天坛西里4号100050 [7]首都医科大学附属北京世纪坛医院 [8]首都医科大学附属北京地坛医院,北京市朝阳区京顺东街8号100015

出　　处：《中国医院》2014年第5期22-24,共3页Chinese Hospitals

基　　金：北京市哲学社会科学规划重点项目(10AbZH186);"北京市教育委员会社会医学与卫生事业管理重点学科建设经费"资助项目

摘　　要：目的:从理论框架角度,探讨构建公立医院公益性评价指标体系。方法:基于文献研究,按照"微观-中观宏观-可持续发展"和"内涵-外延-成效目标"的思路,采取关键业绩指标法构建评价指标体系,并用改良的DELPHI法对指标体系进行初步评价。结果:公立医院公益性指标体系包括医疗服务、社会服务和服务评价三个维度;除个别三级指标尚需要进一步认证和调整外,公立医院公益性评价指标体系基本上得到专家认可,预测精度较高且专家们协调程度较高。结论:公立医院公益性评价指标体系的理论框架,为推进公立医院公益性回归并取得共识,提供了可能的切入点和必要参考。Objective： To set a public welfare evaluation index system in public hospitals from theoretical framework prospective. Methods： Based on literature research, it sets the evaluation index system by taking KPI method, according to the thought about “microcosmic-middle-macroscopic view-sustainable development” and “connotation-extension-effects and goals”, and the system is assessed using improved DELPHI method. Results： There are 3 dimensions in the public welfare evaluation system including medical services, social services and services assessment; the system is nearly completely agreed on except a few individual indicators which belong to III level index, got higher forecast precision, and it shows that the experts have better compatibility. Conclusion： The theoretical framework of public welfare evaluation system would be good for offering the probability of starting point and essential reference to improve public welfare return in quest of reaching a consensus in public hospitals.

关 键 词：公益性 评价指标体系 理论框架 公立医院 关键业绩指标法 DELPHI法 

分 类 号：R197.32[医药卫生—卫生事业管理]