紧密型医共体整合健康管理服务能力综合评价指标体系构建研究  

Study on the construction of comprehensive evaluation index system of integrated health management and service ability of the close-knit medical consortium

作　　者：石欣怡 吴限[2] 彭明瑶 张子楠 王中华[1,3] SHI Xin-yi;WU Xian;PENG Ming-yao;ZHANG Zi-nan;WANG Zhong-hua(School of Medical Administration,Nanjing Medical University,Nanjing Jiangsu 211166,China;Binhai County People's Hospital,Yancheng Jiangsu 224599,China;School of Public Health,Nanjing Medical University,Nanjing Jiangsu 211166,China)

机构地区：[1]南京医科大学医政学院,江苏南京211166 [2]江苏盐城市滨海县人民医院,江苏盐城224599 [3]南京医科大学公共卫生学院,江苏南京211166

出　　处：《中国卫生政策研究》2023年第11期53-59,共7页Chinese Journal of Health Policy

基　　金：国家社会科学基金(18BGL243);健康江苏研究院智库专项。

摘　　要：目的:构建紧密型医共体整合健康管理服务能力综合评价指标体系,为推动我国紧密型医共体建设提供有效评价工具。方法:通过政策分析、文献阅读和实地调研,基于服务链理论,从服务保障、服务指导、服务提供、服务评估四个维度建立初始指标池;采用德尔菲法,通过两轮专家咨询对评价指标进行完善,并运用层次分析法确定各指标的权重。结果:构建的指标体系包含4个一级指标、11个二级指标和50个三级指标。一级指标中,服务保障、服务指导、服务提供和服务评估的权重分别为0.133、0.301、0.401和0.165。结论:本研究基于服务链理论,应用德尔菲专家咨询法和层次分析法,邀请相关领域专家开展咨询,旨在构建一套可操作性强、科学合理的紧密型医共体整合健康管理服务能力综合评价指标体系,为推动我国紧密型医共体建设提供有效评价工具。Objective:To construct a comprehensive evaluation index system for integrated health management service capacity of the close-knit medical consortium,and to provide an effective evaluation tool for promoting the construction of a close-knit medical consortium in China.Methods:Based on service chain theory,the initial index pool is established from four dimensions of service guarantee,service guidance,service provision and service evaluation through policy analysis,literature reading and field investigation.Delphi method is used to improve the evaluation indicators through two rounds of expert consultation,and the analytic hierarchy process is used to determine the weight of each indicator.Results:The constructed index system consists of 4 first-class indicators,11 second-class indicators and 50 third-class indicators.The weights of service guarantee,service guidance,service provision and service evaluation are 0.133,0.301,0.401 and 0.165 respectively.Conclusions:Based on the service chain theory,this study applies Delphi expert consultation method and the analytic hierarchy process and invites experts in relevant fields to carry out consultation,aiming at constructing a comprehensive evaluation index system for the integrated health management service capacity of the close-knit medical consortium with strong operability and scientific rationality,and providing an effective evaluation tool for promoting the construction of the close-knit medical consortium in China.

关 键 词：紧密型医共体 整合健康管理 德尔菲法 层次分析法 评价指标体系 

分 类 号：R197[医药卫生—卫生事业管理]