基于绩效棱柱模型的公立医院绩效评价指标体系构建研究  

Construction of Performance Evaluation Index System for Public Hospitals Based on Performance Prism Model

作　　者：许爱德 刘佳[1] 常亚男[1] 田立启[1] Xu Aide;Liu Jia;Chang Yanan;Tian Liqi(The Affiliated Hospital of Qingdao University,Qingdao,Shandong,266003,China;不详)

机构地区：[1]青岛大学附属医院,山东青岛266003

出　　处：《中国医院管理》2024年第10期38-42,共5页Chinese Hospital Management

基　　金：山东省卫生健康委员会卫生健康政策研究课题(WZY202379)。

摘　　要：目的 构建公立医院绩效评价指标体系,助推公立医院高质量发展。方法 采用德尔菲法和层次分析法确定基于绩效棱柱模型的公立医院绩效评价指标体系。结果 构建了包含政府、职工、患者、供应商和监管机构5个一级指标、16个二级指标以及40个三级指标的公立医院绩效评价体系。5个一级指标权重分别为0.254 8、0.476 8、0.154 4、0.073 4和0.040 6,16个二级指标中薪酬待遇、质量安全、执业环境、医疗质量和运营效率位列前5位,组合权重分别为0.268 5、0.174 3、0.165 4、0.080 9和0.060 6,40个三级指标中,医务人员满意度、单病种质量控制指标、组织支持、抗菌药物使用强度和低风险组病例死亡率,组合权重分别为0.212 0、0.110 0、0.107 0、0.064 3和0.062 4。结论 构建的基于绩效棱柱模型的公立医院绩效评价指标体系,有助于引导公立医院从利益相关者视角思考医院战略变革、流程优化、能力提升,推动高质量发展。Objective To construct the performance evaluation index system of public hospitals, and provide reference for promoting the high-quality development of public hospitals. Methods Delphi method and analytic hierarchy process were used to determine the performance evaluation index system of public hospitals based on performance prism model. Results It established a public hospital performance evaluation system including 5 first-level indicators,16 second-level indicators and 40 third-level indicators of government,staff,patients,suppliers and regulatory agencies. The weights of the five first-level indicators are 0.254 8,0.476 8,0.154 4,0.073 4 and 0.040 6, respectively. Among the 16 second-level indicators, salary, quality and safety, practice environment,medical quality and operation efficiency rank the top 5. The combined weights were 0.268 5,0.174 3,0.165 4,0.080 9 and 0.060 6,respectively. Among the 40 tertiary indicators,the satisfaction of medical staff,the quality control index of single disease,organizational support,the intensity of antibacterial drug use and the case mortality of the low-risk group were investigated. The combined weights were 0.212 0,0.110 0,0.107 0,0.064 3 and 0.0624,respectively. Conclusion The performance evaluation index system of public hospitals based on the performance prism model established is helpful to guide hospitals to think about hospital strategic reform,process optimization and capacity improvement from the multi-dimensional perspective of internal and external stakeholders,so as to improve development performance and promote social harmonious development, and to improve performance,promote high-quality development.

关 键 词：公立医院 绩效棱柱模型 评价指标体系 

分 类 号：R197.32[医药卫生—卫生事业管理]