上海市某三级公立医院医师绩效考核评估指标探索  

Exploration on index system of physician performance evaluation in a third-grade public hospital in Shanghai

作　　者：徐晓波[1] 陈国强[1] 程纯[1] 焦翔[1] 张少明 XU Xiao-bo;CHEN Guo-qiang;CHENG Chun;JIAO Xiang;ZHANG Shao-ming(The First Medical Affairs,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,CHINA;Administration Department,Hainan Western Central Hospital,Danzhou 571700,Hainan,CHINA)

机构地区：[1]上海交通大学医学院附属第九人民医院医务一处,上海200011 [2]海南西部中心医院[上海第九人民医院集团(海南)儋州医联体],海南儋州571700

出　　处：《海南医学》2021年第4期536-538,共3页Hainan Medical Journal

基　　金：上海市卫生和计划生育委员会科研课题面上项目(编号:201640118)。

摘　　要：目的建立一套科学、合理的三级公立医院临床医师绩效评价指标。方法通过文献研究法建立指标库;采用专家咨询法,对83名专家进行咨询,筛选评价指标;运用层次分析法计算确定指标权重。结果经过3轮咨询,确定了包括4个一级维度、7个二级维度、21个三级维度的指标体系,各指标的重要性均值均>4.0,肯德尔协调系数0.48~0.54 (P<0.01)。其中终末指标权重较大的是患者满意度(0.13)、患者投诉率(0.11)、住院均次费用(0.10)和出院人次(0.10)。结论临床医师绩效评估指标初步形成,对三级公立医院绩效考核有参考价值。Objective To build a scientific and reasonable index system of physician performance evaluation for a third-grade hospital in Shanghai by balanced score card theory.Methods Through literature study,Delphi method and,indicators and their weight have been established.Eight-three experts were consulted using the Delphi method and then the quality evaluation system was determined.Analytic Hierarchy Process(AHP)was used to calculate the weight of each index.Results The index system including 4 first-level dimensions,7 second-level dimensions and 21 third-level dimensions and their corresponding weights were determined.After three rounds of experts'consultation,the average scores of all indexes were>4.0,and Kendall coefficients of concordance(Kendall's W)were 0.48 to 0.54(P<0.01).Among them,patients'satisfaction(0.13),patients'complaint rate(0.11),average cost of hospitalization(0.10)and number of discharged patients(0.10)were more important.Conclusion The index of physician performance evaluation system constructed in the study is rational and effectiveness.The index system can give reference for other public hospitals to assess physician performance.

关 键 词：三级公立医院 临床医师 绩效考核 评价指标 平衡计分卡 

分 类 号：R197.3[医药卫生—卫生事业管理]