广东省县级公立医院综合改革考核指标体系构建及应用  

Construction and Application of Evaluation Index System for Comprehensive Reforms in Countyside Hospital in Guangdong

作　　者：王茂生[1] 匡莉[2] 李耀泽[1] 陈淑华[3] 亓玉台 林巧文[1] 尹春艳[3] 

机构地区：[1]高州市人民医院,广东高州525200 [2]中山大学公共卫生学院,广东广州510275 [3]广东省第二人民医院,广东广州510317 [4]广东省卫生系统思想政治工作研究会,广东广州510317

出　　处：《现代医院》2016年第5期625-628,共4页Modern Hospitals

基　　金：广东省科技计划资金项目(编号:2016A020228001)

摘　　要：目的本研究以着重解决提升县级公立医院服务能力为核心,建立科学性、可操作性和实效性的考核指标体系。方法运用Delphi法,构建县级公立医院大病不出县考核指标体系。结果筛选出医德优、技术优、服务优、机制优、收费平价,也即"四优一平"5个一级考核指标,并确定14个二级指标及权重,发现技术先进始终是推进县级公立医院改革发展的关键性因素。结论 "四优一平"指标体系可为建立实现大病不出县的可持续发展运行机制提供参考依据。Objective To focus on improving the service capabilities of public hospitals at the county level and pay- ing attention to science, operability and effectiveness. Methods Evaluation index system for Serious Diseases Can Be Trea- ted within the counties was built with Delphi method. Results ＂Four High Quality ＆ Normal Price＂, five first - grade inde- xes were chosen： excellent professional quality, outstanding medical technology, good integrated service, effective operating system and fair medical charges. 14 second - grade index weight were identified. We found that it was always a key factor to provide a valuable preference to advance the county - level public hospital reforms. Conclusion ＂Four High Quality ＆ Nor- mal Price＂ can provide reference for establishing a sustainable operating system for Serious Diseases Can Be Treated Within County.

关 键 词：大病不出县 DELPHI法 指标体系 

分 类 号：R197.3[医药卫生—卫生事业管理] R19-0[医药卫生—公共卫生与预防医学]