公立医院经济运行综合评价指数模型构建及实证分析  

Model Construction and Empirical Analysis of Comprehensive Evaluation Index of Economic Operation in Public Hospitals

作　　者：杨中浩 张天 徐嘉婕 徐峥 王力男[3] 刘雅娟 黄玲萍 Yang Zhonghao;Zhang Tian;Xu Jiajie;Xu Zheng;Wang Linan;Liu Yajuan;Huang Lingping(Shanghai Shenkang Hospital Development Center,Shanghai,200041,China;不详)

机构地区：[1]上海申康医院发展中心,上海200041 [2]上海市胸科医院,上海200030 [3]上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所),上海201199 [4]上海交通大学医学院附属新华医院,上海200092

出　　处：《中国卫生经济》2023年第12期94-98,共5页Chinese Health Economics

基　　金：上海申康医院发展中心管理课题项目(2021SKMR-13)。

摘　　要：目的:为应对公立医院经济运行风险,研究构建经济运行综合评价指数,提高公立医院经济运行监测分析的全面性、科学性和动态性。方法:采用文献研究法、专家咨询法和层次分析法。结果:构建了涵盖结构优化、风险可控、效率提升、运行平稳、发展持续等5个维度、25项指标的公立医院经济运行综合评价模型;对上海三级医院数据进行了总体指数、分项指数、月度指数等实证分析,验证了上述指数模型对提升医院经济运行监测分析评价的有效性,揭示了上述指数模型对医院经济状况变化及影响因素的作用。结论:构建综合评价指数能够对公立医院综合性考核评价和传统财务描述性分析等管理方面形成有效互补。Objective:In order to cope with the rising risk pressure on the economic operation of public hospitals,it aims to re-search and construct a comprehensive economic operation evaluation index,and improve the comprehensiveness,scientific and dynamic nature of monitoring and analysis of the economic operation of public hospitals.Methods:Literature research,expert consultation and hierarchical analysis were adopted.Results:A comprehensive evaluation model of public hospitals’economic operation covering 5 dimensions and 25 indexes,including structural optimization,controllable risk,efficiency enhancement,smooth operation and sustain-able development,has been constructed;empirical analyses of the overall index,sub-indexes and monthly indexes have been carried out on the data of some of the tertiary hospitals in Shanghai,which have verified the validity of the above index model in enhancing the monitoring,analysis and evaluation of the hospitals’economic operation,and revealed the role of the above index model in the changes of the economic conditions of the hospitals and the factors.Conclusion:Constructing a comprehensive evaluation index can effectively complement management such as comprehensive assessment and evaluation of public hospitals and traditional financial descriptive analysis.

关 键 词：公立医院 经济运行 综合评价指数模型 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F2[经济管理—国民经济]