研究型医院评价维度和指标的探索性研究  

Exploratory study on the evaluation dimension and index of research hospital

作　　者：刘威[1] 张文珊[2] 马磊[3] 高帆 黄蔚[1] 刘畅 蒋薇薇[5] 王晓蕊 郦梦南 殷嘉珺[8] 黄雪飞[1] 陈靖[1] Liu Wei;Zhang Wenshan;Ma Lei;Gao Fan;Huang Wei;Liu Chang;Jiang Weiwei;Wang Xiaorui;Li Mengnan;Yin Jiajun;Huang Xuefei;Chen Jing(National Clinical Research Center for Aging and Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China;Research Department of Shanghai Ninth People’s Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China;Research Department of Shanghai General Hospital,Shanghai 200080,China;Department of Medical Affairs,Changhai Hospital of Shanghai,Shanghai 200433,China;Research Department of Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China;Research Department of Beijing Cancer Hospital,Beijing 100142,China;Research Department of Zhongshan Hospital,Fudan University,Shanghai 200032,China;Research Department of Fudan University Shanghai Cancer Center,Shanghai 200032,China)

机构地区：[1]复旦大学附属华山医院国家老年疾病临床医学研究中心,上海200040 [2]上海交通大学医学院附属第九人民医院科研处,200011 [3]上海交通大学附属第一人民医院科研处,200080 [4]海军军医大学第一附属医院医务处,上海200433 [5]上海交通大学医学院附属瑞金医院科技发展处,200025 [6]北京大学肿瘤医院科研处,100142 [7]复旦大学附属中山医院科研处,上海200032 [8]复旦大学附属肿瘤医院科研部,上海200032

出　　处：《中华医学科研管理杂志》2021年第6期427-432,共6页Chinese Journal of Medical Science Research Management

基　　金：上海市"科技创新行动计划"软科学重点项目(20692105100);上海申康医院发展中心管理研究项目(2020SKMR-12);上海市卫生健康委员会项目(201840243)。

摘　　要：目的探索研究型医院评价维度和指标,为建立研究型医院提供一定的实践依据。方法采用非概率抽样方法,邀请上海市9家设有国家临床医学研究中心或上海市临床医学研究中心的医院的医生作为调研对象。临床医生分为资深医生和青年医生两种类型。研究团队向资深医生提供涵盖5个维度的21个指标,由调研对象判断指标是否可用于衡量该维度,并提出需要增加的维度和指标。向青年医生提出两个开放式问题,由调研对象提出临床和科研工作中需要得到的支持。结果基于调研对象、研究团队和团队之外专家的建议,本文初步提出评价研究型医院的5个维度和21个指标。其中11个为研究团队根据文献整理并得到超三分之二资深医生认可的指标,其他为依据调研结果提出的指标。研究团队计划使用熵值法确定指标的权重,因此未要求调研对象对维度和指标的权重做出判断。结论对研究型医院的评价尚未形成系统性的实践。通过评价维度和指标的探索和建立,发现更接近于研究型医院发展目标的医疗机构,可为后续实践提供基础。Objective To explore the evaluation dimensions and indicators of research hospital,provide empirical evidence for the construction of research hospital.Methods Non-probability sampling was adopted,physicians from 9 hospitals in Shanghai that have a National Clinical Medical Research Center or Shanghai Clinical Medical Research Center were invited as survey participants.The physician participants were divided into senior and junior groups.For senior group,a questionnaire including 5 dimensions and 21 indicators was provided.The survey participants were consulted to determine whether the indicators can be used to measure this dimension,and also invited to propose additional dimensions and indicators for improvement.For junior group,two open questions were proposed to explore their needs of support in both clinical service and research.Results Based on suggestions from the research participants,the research team,and other expert consultant,this article tried to propose 5 dimensions and 21 indicators for evaluating research hospitals.Among them,11 were indicators compiled by the research team based on the literature review and agreed by more than 2/3 of senior physicians surveyed,while others were proposed based on the survey results.The research team planned to use the entropy method to determine the weights of different indicators,thus,the participants were not required to make judgments on the weights of dimensions and indicators.Conclusions The evaluation of research hospitals has not yet formed a systematic consensus.Through the exploration and establishment of evaluation dimensions and indicators,identify hospitals that are closer to the development goals of research hospitals can provide a basis for future next-step practices.

关 键 词：临床医学研究 研究型医院 评价 

分 类 号：R197.3[医药卫生—卫生事业管理]