大型综合医院患者分层级入院优先级决策的评价指标体系构建研究  

Study on the establishment of hierachical admission priority decision of patients in large general hospital

作　　者：申文武[1] 廖成成 罗利 李佳玲 朱婷 SHEN Wen-wu, LIAO Cheng-cheng, LUO Li, LI Jia-ling, ZHU Ting(Outpatient Department, West China Hospital,Sichuan University, Chengdu, Sichuan 610041, Chin)

机构地区：[1]四川大学华西医院门诊部,四川成都600401 [2]四川大学商学院,四川成都600401

出　　处：《现代预防医学》2018年第8期1424-1427,共4页Modern Preventive Medicine

基　　金：成都市科技计划支撑项目2015-HM01-00012-SF<大型综合医院分层级入院控制排队模型研究>;四川省科技计划支撑项目2016FZ0080:<基于分级医疗的大型综合医院分层级入院控制排队模型研究>

摘　　要：目的应用Delphi法筛选影响入院排程的关键指标,构建患者入院优先级决策的评价体系。方法采用文献回顾法、专家访谈法、Delphi法对51名专家进行3轮问卷调查。结果初步确立了包括临床与功能障碍、预期成效、学科价值与科研发展、社会因素等4项一级指标,疾病严重程度、治疗难易程度、等待期间的资源消耗等16项二级指标的分层级入院优先级决策的评价体系。各一级指标的重要性权重分别为:临床与功能障碍0.479、预期成效0.117、学科价值与科研发展0.238、社会因素0.166。结论指标体系为大型综合医院患者分层级入院提供了优先级决策的重要参考依据。Objective To evaluate the hierachical admission priority decision of patients by using Delphi method to screen the related key index.Methods Literature review,expert interview and Delphi method were used to survey 51 experts by 3 rounds of questionnaire survey.Results The patients hierachical admission priority decision was established with 4 first-class targets including clinical dysfunction,expected effects,disciplinary value and research development,social factors,and 16 second-class targets including disease severity,treatment complexity and the resource consumption etc.The significance weight of four dimension were 0.479 of clinical dysfunction,0.117 of the expected effects,0.238 of disciplinary value and research development,0.166 of social factors.Conclusion The system provides important reference for hierachical admission priority decision of patients in large general hospital.

关 键 词：入院优先级决策 医院管理 分级诊疗 

分 类 号：R197.3[医药卫生—卫生事业管理]